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Hospice Director of Nursing

Confidential

San Antonio, Texas permanent

Posted: February 4, 2026

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Quick Summary

The Hospice Director of Nursing will lead our hospice clinical team, providing knowledge, motivation and encouragement to deliver high-quality patient care.

Job Description

Hospice Director of Nursing - Pacific Hospice & Palliative Care

Join Our Leadership Team

Pacific Hospice and Palliative Care has an immediate opening for a compassionate and dynamic Director of Nursing (DON) who will lead our hospice clinical team by providing knowledge, motivation and encouragement. This is an exciting opportunity for a highly experienced nursing professional who is committed to excellence in patient care, team development, and regulatory compliance in a professional and growing hospice environment. We're seeking a Director of Nursing who is committed to upholding the values and principles of professional patient care at Pacific Hospice. 

Position Summary

The Hospice Director of Nursing is responsible for the overall clinical operations of the hospice program. This role provides leadership, guidance, and supervision to the nursing staff and interdisciplinary team to ensure quality, compliance, and compassionate care. The Director of Nursing will work closely with the Medical Director, Administrator, and other leaders to promote a respectful culture of excellence, teamwork, accountability.

Key Responsibilities

Provide leadership and direction to the hospice nursing and clinical teams

Ensure delivery of high-quality, compassionate care to patients and families.

Oversee clinical policies, procedures, and compliance with state, federal, and accreditation standards.

Supervise and mentor nursing staff; provide ongoing education, training, and performance evaluations.

Coordinate patient care in collaboration with physicians, social workers, chaplains, and other members of the interdisciplinary team.

Develop and monitor quality improvement initiatives to enhance patient outcomes and satisfaction.

Maintain accurate clinical documentation and ensure timely reporting.

Participate in strategic planning and contribute to the growth and success of the hospice program.

Qualifications

Mandatory Minimum 3–5 years of Hospice DON Experience

Current, unencumbered Registered Nurse (RN) license in the State of Texas.

Bachelor of Science in Nursing (BSN) required; Master’s degree preferred.

Bilingual Spanish/English a plus

In-depth knowledge of Medicare/Medicaid hospice regulations and compliance standards.

Knowledge of EHR systems (Axxess a plus)

Comprehensive knowledge of QA and billing process 

Strong leadership, organizational, and communication skills.

Compassionate, patient-centered approach with the ability to support patients, families, and staff.

Why Join Us?

Mission-driven organization focused on dignity, comfort, and quality of life.

Collaborative, experienced and supportive leadership team

Competitive salary and benefits package, including medical, dental and vision insurance

Paid time off, sick time and paid holidays

Professional growth and leadership development opportunities.

Opportunity to make a profound difference in the lives of patients and families.

Apply Today
If you are a passionate nursing leader ready to guide a dedicated team and uphold the positive values of hospice care, we invite you to apply to Pacific Hospice and Palliative Care’s Director of Nursing role. We offer generous Paid Time Off, Sick Time, Medical, Dental and Vision insurance and much more.  Together, we can continue to bring compassion, comfort, and excellence to every patient and family we serve.

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