Associate Deputy Director of Medical Services

A Legacy of Compassion and Impact - Be Part of Something Bigger at Compass Connections

For over 75 years, we’ve been a trusted pillar of care and support, beginning as BCFS (Baptist Child and Family Services) and evolving into what is now the First Day Foundation. Compass Connections continues to deliver life-changing services to vulnerable children and families nationwide. We provide comprehensive shelter, residential care, foster care, adoption, and community-based support services. At Compass Connections, we don’t just offer jobs — we offer purpose. Join a mission-driven team that empowers communities, transforms lives, and builds brighter futures every day.

Position Summary:

The Associate Deputy Director – Medical Services (ADD-MS) is responsible for supporting the leadership and strategic direction of medical services across the agency. This role involves supervising critical medical projects and program operations while ensuring high standards of care and regulatory compliance. The ideal candidate will bring a registered nursing background, pediatric expertise, supervisory experience, training experience, and a strong understanding of trauma-informed and culturally competent care for diverse populations, including unaccompanied minors. We are also looking for an energetic and involved leader who can lead an amazing team, but also be able to jump in and take charge of any real-life situations and bring their background to the forefront.

Key Things to know about the role:

• Department: Medical Services
• Salary: $121,222.00 (Bi-weekly pay)
• Relocation: Relocation assistance available with leadership approval
• Location: San Antonio, TX or Houston, TX (Baytown office)
• Employment Type: Full-Time, Permanent
• Work Schedule: Monday–Friday, 8:00 AM – 5:00 PM (based on program demands)
• Travel: Be able to deploy to the program and be on-call as needed. You will be covering three (3) programs. The travel to California would be at most semi-annual. Local programs would be monthly.
• Benefits: Company-paid health, dental, and vision insurance; 403(b) retirement plan; relocation assistance available*; benefits begin on day one.

Qualifications Required:

• Active Registered Nursing License and Bachelor of Science in Nursing (BSN)
• Minimum three (3) years in a nursing leadership/management role
• Direct experience in pediatric care and understanding of child/adolescent psychology/mental health
• Demonstrated experience in crisis response, team supervision, and compliance reporting
• Previous ORR experience (preferred)
• Bilingual in English and Spanish (preferred)
• Proficiency in documentation, regulatory standards, and trauma-informed practice
• Valid driver's license and reliable transportation; must live near a major airport and be willing to travel as required

Core Competencies:

• Strong critical thinking and decision-making under pressure
• High personal integrity, professionalism, and discretion
• Commitment to child welfare and medical best practices
• Effective communication and collaborative leadership
• Organizational efficiency and comfort with technology systems
• Excellent time management, conflict resolution, and the ability to adapt and pivot in a rapidly changing environment.

Apply Here