Hospice Director of Nursing (DON) – Full-Time

Concho Hearts Hospice; Fairfield (TX); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) with Company Match

Paid Time Off

Paid Holidays

Mileage Reimbursement

Leadership Support

Growth Opportunities

Team Environment

Job summary

Concho Hearts Hospice is seeking an experienced Director of Nursing (DON) to lead its Freestone County clinical team. The DON will provide clinical leadership, oversee daily operations, mentor RNs, LVNs, and aides, and ensure care aligns with physician orders and CMS standards.

The role emphasizes collaboration with physicians and leadership, staff development, and a patient-centered approach to high-quality hospice care across Fairfield and surrounding areas.

Qualifications

• Active Texas RN license required.
• Hospice nursing experience required.
• Clinical leadership or nursing management preferred.
• Strong knowledge of hospice regulations and documentation.

Responsibilities

• Provide clinical leadership and support to nursing staff and IDT members.
• Oversee daily clinical operations to ensure high-quality hospice care.
• Supervise RNs, LVNs, Hospice Aides and other clinical staff.
• Ensure care complies with physician orders and plans of care.
• Monitor caseloads, visits, scheduling, and staffing needs.
• Ensure timely clinical documentation and regulatory compliance.
• Coordinate with physicians and leadership; participate in IDT meetings.
• Assist with hiring, onboarding, education, and competency evaluations.
• Promote accountability and a positive work environment.

Skills

Texas RN License

Hospice Nursing Experience

Clinical Leadership

Nursing Management

Regulatory Knowledge

Staff Supervision

Communication Skills

Clinical Assessment

Team Coordination

CPR Certification

Job description

Hospice Director of Nursing (DON).

Location: Fairfield, TX / Freestone County & Surrounding Areas.
Position: Full-Time.
Compensation: Competitive Salary Based on Experience.

Great Nurses Make a Difference. Great Nursing Leaders Inspire Others to Do the Same!

Are you an experienced RN who is passionate about patient care, supporting your team, and leading by example?

Do you believe great leadership means being approachable, communicating openly, and helping your nurses succeed?

At Concho Hearts Hospice, we're looking for a compassionate, experienced, and motivated Director of Nursing (DON) to lead and support our clinical team serving Freestone County and surrounding communities.

We're looking for someone who doesn't just manage a team but inspires one!

If you're a confident nursing leader who values teamwork, accountability, and exceptional patient care, we'd love to meet you!

What You'll Do:

• Provide clinical leadership, guidance, and support to nursing staff and interdisciplinary team members.
• Oversee daily clinical operations to ensure safe, compassionate, and high-quality hospice care.
• Supervise, mentor, and support RNs, LVNs, Hospice Aides, and other clinical team members.
• Ensure patient care is delivered in accordance with physician orders, individualized plans of care, and hospice regulations.
• Monitor patient caseloads, visit frequencies, scheduling, and clinical staffing needs.
• Ensure timely completion of clinical documentation, assessments, and required patient visits.
• Review clinical records for accuracy, completeness, and regulatory compliance.
• Coordinate with physicians, the Executive Director, and interdisciplinary team members.
• Participate in interdisciplinary team (IDT) meetings and clinical care planning.
• Assist with clinical hiring, onboarding, education, competency evaluations, and employee development.
• Address clinical concerns, provide coaching, and promote accountability among staff.
• Support quality assurance, performance improvement, and survey readiness.
• Ensure compliance with CMS Conditions of Participation, Texas hospice regulations, and company policies.
• Assist with patient visits and clinical needs when necessary.
• Promote a positive, respectful, and supportive work environment.

What We're Looking For:

• Active Texas Registered Nurse (RN) license or qualifying Nurse Licensure Compact (NLC) license.
• Previous hospice nursing experience required.
• Clinical leadership or nursing management experience strongly preferred.
• Strong understanding of hospice regulations, clinical documentation, and patient care requirements.
• Experience supervising, coaching, and supporting nursing staff.
• Excellent communication, organization, and problem-solving skills.
• Ability to manage clinical operations while maintaining a patient-centered approach.
• Strong clinical assessment and critical-thinking skills.
• Knowledge of interdisciplinary team coordination and hospice care planning.
• Ability to lead with professionalism, compassion, and accountability.
• Comfortable working collaboratively with branch leadership and home office.
• Current CPR certification.
• Valid driver's license, reliable transportation, and current auto insurance.
• Ability to travel throughout the assigned service area.

We're looking for a leader who understands hospice, supports their team, communicates effectively, and isn't afraid to step in and help when needed.

Benefits:

• Competitive Salary Based on Experience.
• Medical Insurance – BCBS.
• Dental Insurance – BCBS.
• Vision Insurance – BCBS.
• 401(k) with Company Match.
• Paid Time Off.
• Paid Holidays.
• Mileage Reimbursement.
• Supportive Executive and Home Office Leadership.
• Opportunities for Professional Growth.
• A Team-Oriented Work Environment.

Join a Best of Texas 2026 Award-Winning Hospice!

Concho Hearts Hospice is proud to be recognized as a Best of Texas 2026 winner!

We're locally owned and operated, and our mission is to provide compassionate care wherever our patients call home.

At Concho Hearts Hospice, we believe exceptional patient care starts with strong leadership and a supported clinical team.

Our Directors of Nursing play an essential role in building that environment. They're mentors, problem-solvers, patient advocates, and trusted leaders who help their teams provide outstanding hospice care.

We value leaders who communicate openly, lead by example, take accountability, and genuinely care about the success and well-being of their employees.

If you're an experienced hospice RN who's ready to lead a team, make a meaningful impact, and be part of an organization that values compassionate care and strong leadership, we'd love to meet you!