Regional Director of Nursing (Registered Nurse)

Waco Family Medicine; Waco (TX); On-site; USD 120,000 - 150,000; Full time

Job summary

Waco Family Medicine seeks a Regional Director of Nursing to lead nursing operations across multiple Texas clinics. You will partner with the Chief Nursing Officer to shape strategy, manage staffing, and ensure high-quality, patient-centered care.

The role requires 5+ years of progressive nursing leadership, Texas RN licensure, CPR certification, and a proven track record in ambulatory, multi-site leadership and regulatory compliance. Epic workflows expertise is a plus.

Qualifications

• Bachelor’s or Associate degree in Nursing required; BSN strongly preferred.
• Current RN license in Texas and CPR certification.
• Minimum of five years of progressive nursing leadership experience.
• Ambulatory, multi-site or regional leadership preferred.

Responsibilities

• Partner with the Chief Nursing Officer in strategic and operational management of regional nursing services.
• Provide visible leadership across clinics, building trust and accountability.
• Develop and analyze operational and quality reports to drive performance.
• Monitor staffing and workloads; ensure adequate, equitable coverage.
• Lead QA initiatives and regulatory compliance across sites.
• Oversee Epic workflows and clinical processes (baskets, MyChart, refills, referrals, prior authorizations).
• Conduct staff evaluations, coaching, and professional development.
• Improve patient safety, emergency response, and continuity of care.
• Mentor nursing personnel and support leadership development.

Skills

Leadership

Staff coaching

Communication

Data analysis

Regulatory compliance

Multisite leadership

Problem solving

Education

Bachelor's or Associate degree in Nursing

BSN strongly preferred

Tools

Epic workflows

Job description

Primary ResponsibilitiesThe Regional Director of Nursing provides leadership and oversight for nursing operations across assigned clinics and healthcare sites, ensuring high-quality, patient-centered care and alignment with organizational goals. Key responsibilities include:Partner with the Chief Nursing Officer (CNO) in the strategic and operational management of regional nursing services, including workforce planning, performance management, employee relations, and compliance.Provide visible leadership across assigned clinics, building trust, engagement, and accountability within nursing teams.Develop, prepare, and analyze operational and quality reports to identify trends, drive performance improvement, and support evidence-based practice.Serve as a key nursing leader on organizational committees and in leadership meetings.Monitor nursing coverage schedules across assigned sites; ensure adequate staffing levels and equitable workload distribution.Conduct staff performance evaluations, provide coaching and corrective action as needed, and support professional development of team members.Ensure compliance with OSHA, CMS, state, and federal regulations, as well as internal organizational policies.Lead regional quality assurance (QA) initiatives, including monitoring, assigning, and tracking completion of staff QA responsibilities.Ensure effective management of Epic workflows including in-baskets, MyChart, prescription refills, referrals, and prior authorizations.Conduct regular site visits to monitor clinic operations, provide leadership presence, and assess nursing practices.Facilitate quarterly one-on-one meetings with staff, chart audits, AIDET observations, and team huddles.Provide leadership in patient safety, emergency response, and continuity of care, serving as a clinical resource when needed.Contribute to ongoing leadership development of nursing personnel through mentoring, education, and direct engagement.Physical & Mental RequirementsAbility to see and hear with accuracy.Standard 8-hour shifts with flexibility to meet operational needs.Indoor office/clinic environment with frequent travel between sites.Prolonged periods of sitting, computer use, and telephone communication.Occasional reaching, walking, bending, kneeling, squatting, or lifting up to 25 lbs.Ability to respond quickly and effectively to medical emergencies.Ability to travel frequently between regional clinics on a weekly basis.Capacity to understand, retain, and execute complex oral and written instructions.Title: Regional Director of Nursing (Registered Nurse)Reports To: Chief Nursing OfficerEducation & ExperienceBachelor’s or Associate degree in Nursing required; BSN strongly preferred.Current RN license in the State of Texas.Current CPR certification.Minimum of five (5) years of progressive nursing leadership experience required; ambulatory, multi-site or regional leadership preferred.Knowledge, Skills & AbilitiesExceptional verbal and written communication skills.Strong interpersonal skills with the ability to foster collaboration, engagement, and accountability.Proven ability to lead, coach, and develop diverse teams.Highly organized with excellent time management and prioritization skills.Strong critical thinking, problem-solving, and analytical skills.Ability to perform effectively in a fast-paced, high-demand, and occasionally stressful environment.Demonstrated success in driving quality outcomes, operational efficiency, and regulatory compliance.Proficiency in leveraging data and evidence-based practices to guide decision-making.Ability to oversee and direct CMA, LVN, and RN staff across multiple clinics/healthcare sites.