Position Summary
The Director of Nursing oversees all nursing services at Sunshine Pediatric Day Center, a licensed Prescribed Pediatric Extended Care Center (PPECC). The DON ensures the delivery of safe, high-quality, family-centered nursing care to medically and technologically dependent pediatric patients in full compliance with 26 TAC Chapter 550 and the Texas Nursing Practice Act.
Essential Duties & Responsibilities
- Direct, supervise, and evaluate all nursing staff (RNs, LVNs) and direct care staff.
- Develop, implement, and audit nursing policies, procedures, and individualized plans of care.
- Ensure ongoing compliance with 26 TAC Chapter 550 and HHSC licensing requirements.
- Coordinate plans of care with physicians, families, therapists, and the interdisciplinary team.
- Maintain accurate medical records and all required regulatory documentation.
- Lead Quality Assessment and Performance Improvement (QAPI) activities.
- Oversee staffing ratios, scheduling, and competency validation for all nursing personnel.
- Direct onboarding, orientation, and continuing education programs for nursing staff.
- Serve as primary point of contact for HHSC surveyors and regulatory inspections.
- Participate in hiring, performance management, and corrective action for nursing staff.
- Partner with the Regional Director of Nursing on clinical strategy, KPIs, and reporting.
- Mentor Charge RNs and the ADON to develop the next generation of nursing leaders.
Required Qualifications (per 26 TAC §550.309)
- Active, unencumbered Texas RN license under Texas Occupations Code Chapter 301, with no disciplinary action.
- Current Pediatric CPR (PALS) or Basic Cardiac Life Support (BCLS) certification.
- Minimum two (2) years of supervision and management experience in a pediatric setting caring for medically or technologically dependent minors — OR — two years of supervision in pediatric ICU (PICU), neonatal ICU (NICU), pediatric emergency, a PPECC, pediatric home health or hospice, pediatric ambulatory surgical center, or two consecutive years of comparable pediatric unit experience in a hospital.
- Completion of HHSC pre-licensing training "Overview of Prescribed Pediatric Extended Care Center Licensing Standards in Texas" within 30 days of hire.
- Full-time employment with the center (regulatory requirement under 26 TAC §550.309).
Preferred Qualifications
- Prior PPECC, pediatric home health, or pediatric long-term care leadership experience
- Charge RN, supervisor, or clinical lead experience
- English/Spanish
- Familiarity with Texas Medicaid and managed care authorizations
- BSN or MSN
Core Competencies
- Clinical judgment in pediatric high-acuity and technology-dependent care
- Regulatory knowledge, survey readiness, and documentation accuracy
- Staff leadership, coaching, delegation, and conflict resolution
- Family communication and trauma-informed care
- Operational and budget awareness
- Data-driven decision-making and quality improvement
Physical Requirements
Ability to lift up to 50 pounds, stand and walk for extended periods, perform CPR, and respond physically to patient emergencies. Reasonable accommodations will be considered in accordance with the Americans with Disabilities Act (ADA).
What We Offer
✓ Medical Insurance
✓ Paid Time Off (PTO)
✓ Dental Insurance
✓ Paid Holidays
✓ Vision Insurance
✓ 401(k) Retirement Savings
✓ Ongoing Training & Development
✓ Growth Opportunities
Equal Opportunity Employer
Sunshine Pediatric Day Center is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, genetic information, veteran status, sexual orientation, gender identity, or any other characteristic protected by federal, state, or local law.
Pay: $85,000.00 - $90,000.00 per year
Benefits:
- 401(k)
- Health insurance
- Life insurance
- Paid time off
- Professional development assistance
Work Location: In person
