Director of Nursing Home Health (San Antonio)

Company: Tricare Home Health Services Inc
Location: San Antonio
Posted on: February 14, 2026

Job Description:

Job Description Job Description Benefits: Bonus based on performance Competitive salary Flexible schedule Paid time off Training & development About the Role We are an established, independently owned Medicare-certified home health agency in San Antonio that has been open since 1996 seeking a hands-on Director of Nursing to lead clinical operations, ensure compliance, and support continued growth. This is not a corporate DON role . Our DON is actively involved in day-to-day clinical oversight, quality assurance, staff support, and survey readiness. We are looking for someone who values structure, accountability, and patient safety and understands the realities of home health. Key Responsibilities Provide overall clinical leadership and oversight for nursing services Own and manage the QAPI program and quality improvement initiatives Ensure compliance with Medicare Conditions of Participation , Texas HHSC rules, and agency policies Oversee clinical documentation and support OASIS accuracy (coding outsourced; DON-level understanding required) Supervise, mentor, and support RNs and LVNs Participate in survey readiness and respond to audits as needed Coordinate with intake, scheduling, and administrative staff Be available for occasional field visits (spot checks, coverage when needed) Support growth while maintaining compliance and clinical quality Required Qualifications (Non-Negotiable) Active Texas RN license in good standing Medicare Home Health experience (minimum 23 years) Prior leadership experience (DON, ADON, Clinical Manager, QA Nurse, or Supervisor) Strong understanding of: Medicare home health regulations Clinical documentation standards QA/QAPI processes Comfortable working in a small-agency, hands-on environment Strong organizational and communication skills Preferred (Strongly Desired) OASIS SOC/ROC/Discharge experience Survey or audit experience Psych or complex patient experience Axxess, Kinnser, or similar home health EMR experience Bilingual (English/Spanish) What This Role Is and Is Not This role IS: Hands-on Compliance-focused Collaborative with ownership Designed for someone who wants autonomy and real impact This role is NOT: A corporate or regional DON position A desk-only role A hospital transition role with no home health background Compensation Salary range: $85,000 $100,000 (based on experience) Paid Time Off (PTO) offered Mileage reimbursement for work-related travel Phone stipend No corporate bureaucracy; direct access to leadership Why Join Us Stable, established agency with strong compliance history Opportunity to shape clinical operations and growth Respect for clinical judgment and leadership Supportive, experienced administrative team Focus on doing things the right way , not cutting corners How to Apply Qualified candidates with Medicare home health leadership experience are encouraged to apply. Please submit your resume for confidential consideration.

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