Medical Day Center Director of Nursing - HURST

Join VIVA Pediatrics - Where Passion Meets Purpose!

VIVA Pediatrics is a home health services company with a specialty in private duty nursing, therapy, skilled nursing visits and medical day centers for infants and children. We are committed to providing each patient with an exceptional level of care. Here, you're not just a number, you're a valued member of our patient-centered community. Experience a work environment where quality care triumphs and your voice matters.

The Director of Nursing is a full-time, licensed registered nurse responsible for overseeing all clinical services at the Medical Day Center (PPECC). This role ensures the safe, high-quality delivery of pediatric care to medically fragile children and supervises the day-to-day operations of the nursing and direct care teams. The DON works collaboratively with interdisciplinary staff and families, ensures compliance with state and federal regulations, maintains appropriate staffing levels, and supports professional development for all clinical staff. This position is vital to maintaining the overall effectiveness, safety, and regulatory compliance of the center.

Responsibilities:

• Supervise all aspects of a minor’s Plan of Care to ensure care is delivered as ordered
• Lead and evaluate all professional and direct care clinical staff to ensure compliance with accepted nursing standards and PPECC regulations
• Ensure compliance with federal, state, and local laws, rules, and policies related to PPECC services
• Supervise daily clinical operations and serve as a liaison to the interdisciplinary team
• Monitor and ensure timely documentation of clinical services, daily logs, and census
• Ensure documentation of and compliance with required staffing ratios
• Implement staffing policies that ensure only qualified, licensed staff are hired and retained
• Verify and maintain records of licensure, CPR, certifications, and competencies
• Implement and enforce clinical policies and procedures to support quality care
• Coordinate onboarding and in-service education for all nursing and direct care staff
• Conduct annual performance evaluations for the clinical team
• Participate in committees, planning meetings, and IDT coordination
• Monitor care delivery to ensure it is safe, compassionate, and effective
• Identify QA/PI issues and lead process improvement initiatives
• Respond to emergencies and lead clinical incident investigations as needed
• Participate in networking and outreach meetings with hospitals, pediatricians, and community-based providers to support pediatric referrals and enhance collaborative care planning.
  
  
  

Requirements:

• Bachelor’s or Associate’s Degree in Nursing
• Current, unencumbered RN license under Texas Occupations Code, Chapter 301
• At least two years of supervision and management in a pediatric setting caring for medically fragile children
• Experience in one of the following settings:
• Pediatric ICU, NICU, pediatric ER, pediatric home health/hospice, pediatric surgery, or pediatric hospital unit
• Completion of the HHSC-required “Overview of Prescribed Pediatric Extended Care Center Licensing Standards in Texas” course
• Certification in CPR or Basic Cardiac Life Support
  
  
  

Benefits:

• 401(k)
• Dental insurance
• Disability Insurance
• Employee assistance program
• Cell Phone Reimbursement
• Flexible schedule
• Health Insurance
• Life Insurance
• Paid time off
• Vision insurance
• Voluntary insurance (accident & critical illness)
  
  
  

Join us at VIVA Pediatrics, where your career is more than a job - it's a journey of growth, support, and purpose. Apply now and be a part of a team that's making a difference, one child at a time!