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Job Opportunities

Director of Nursing

La Esperanza is seeking a mission-driven Director of Nursing to join our team.

Job Summary

The Director of Nursing (DON) is the lead nurse of the Center and functions as a member of the multi-disciplinary health care team within the scope of his or her license. The DON is responsible for delivery of quality medical care to patients of the Center and oversees the nursing staff providing direction regarding nursing care at the Center.  Any clinic concerns exceeding the DON’s scope of practice, will be deferred to the Chief Medical Officer (CMO).

Duties and Responsibilities

  1. Provide clinic services ensuring they are covered by nursing personnel.

    • Maintain clinic expertise and competency (including age specific competency) demonstrating thorough knowledge of procedures to deliver quality primary health care.

    • Document delivery of health care and nursing processes in accordance with the Center’s policies and procedures in a timely, accurate, and consistent manner.

    • Educate the patient and family about diagnosis and plan of care, acting as a resource for facilitating communication when necessary.

    • Coordinate delivery of patient care provided by the health care team.

    • Interact with personnel and assist providers, ensuring optimal patient care and patient flow to  increase patient satisfaction.

    • Identify and respond promptly to changes in patient’s condition and/or clinic environment.

    • Collaborate with administrative staff, nurses, and providers optimizing efficiency of a variety of related services ranging from patient care to follow up care.

    • Ensure wait time of patients are minimal, patient referrals and prescribed medications are processed promptly, and patient confidentiality is maintained.

  2. Provide clinic oversight of nursing personnel.

    • Supervise, advise, counsel, discipline and evaluate nursing staff.

    • Ensure nursing staff coverage, scheduling, and training with the new hire department.

    • Ensure compliance with all standards of care, contract requirements, and policies and procedures related to the clinic’s accrediting and funding agencies.

    • Monitor and maintain compliance of vaccines; medical equipment, and all logs ensuring all are updated and compliant.

    • Participate in the evaluation of products, procedures, and patient care standards.

    • Measure competency

    • Assume responsibility/accountability for delegation of ensuring compliance with all standards of care, contract requirements, policies and procedures related to accrediting and funding agencies within the clinics are of responsibility.

    • Work with (CMO) in the development of standard treatment protocols for disease conditions most prevalent in the Center’s patient population.

    • Work with (CMO) to review and revise standard treatment protocols at least once a year to meet the medical needs of Center patients.

    • Participate in Compliance and Performance Improvement activities for continuous quality improvement and risk management purposes.

    • Serve as a resource and positive, proactive leader for the department.

    • Accept responsibility for remaining current with nursing and health care trends and information impacting the nursing practice.

    • Participate in collaboration with the health care team in identifying, evaluating, and prioritizing patient and family needs to develop a plan of care.

    • Responsible for appropriate infection control and employee health programs including training staff, and monitoring compliance.

    • Complete medical record and nursing documentation audits and implement system changes for the nursing staff as necessary.

    • Travels when necessary to fulfill the entity’s needs and attends meetings as necessary to represent the Center.

    • Participate in the preparation of grant applications for the Center and assumes primary responsibility for developing and implementing the medical health care plan.

    • Assist in the coordination and integration of the corporation’s medical programs and services with other corporate programs and services for the welfare of the corporation’s patients.

    • Assist in the provision of technical assistance and health education in the community as requested.

    • Serve on the Pharmacy and Therapeutics Committee and other committees as assigned.

    • Demonstrates flexibility, enthusiasm and willingness to cooperate while working with others in assigned inter-professional care teams to support PCMH programmatic activities.

    • Participate in population management activities, as directed.

    • Assist the care team by helping to measure quality and identify, refine and implement practice improvements that support the medical home, and assist in performance evaluation and quality improvement.

    • Apply the principles of comprehensive, community-based, patient-centered, developmentally appropriate, culturally and linguistically sensitive care.

  3. Perform all other duties as assigned

Knowledge, Skills and Abilities


  • Knowledge of

    • Advanced principles of health promotion, prevention and motivation

    • Protocols in general and an ability to quickly gain specific knowledge of the Center’s current operational protocols

    • Medical terminology and appropriate abbreviations

    • Thorough knowledge of the Texas Nursing Practice Act

  •  Ability to

    • Read and comprehend medical instructions, short correspondence, and memos

    • Document, with clarity, all information relevant to a patient’s needs

    • Effectively present information in small group situations to patients, Center staff, and the general public

    • Prepare statistical and administrative reports

    • Work cooperatively with community agency personnel to coordinate services for patients

    • Use office equipment including but not limited to computers, fax machines, telephones and copiers

    • Prioritize and allocate resources


  • Bilingual in English and Spanish is preferred but not required.

Credentials and Experience


  • Licensed Registered Nurse degree from an accredited school of nursing

  • Current unrestricted license from the Texas Board of Vocational Nurse Examiners to practice as a Registered Nurse (RN) in the State of Texas

  • Current Cardiopulmonary Resuscitation (CPR) for Healthcare Professionals Certification


  • Five (5) years of practice experience as an RN giving direct patient care

  • Current unrestricted license to practice as a registered nurse (RN) in the State of Texas.

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