Pediatric Home Service is excited to be expanding with a new Prescribed Pediatric Extended Care (PPEC) center in San Antonio. We specialize in providing exceptional care for medically complex, technology-dependent, and behaviorally challenged children through a child-focused, family-centered model designed to help every child thrive.

We are currently seeking a highly motivated Director of Nursing to help lead clinical operations at our new San Antonio location. Our PPEC center will provide skilled nursing care in a safe, nurturing day-health environment and operate in full compliance with Medicaid guidelines and state regulatory standards, ensuring the highest levels of quality, safety, and accountability.

• Position: Director of Nursing, RN
• Location: San Antonio, TX
• Hours: Full Time | Monday-Friday | Days

THE POSITION:

As the Director of Nursing, you will oversee the case management of all children admitted for Day Health Center-Based Services. Working closely with the Center Administrator, you will ensure the safe delivery of services aligned with PHS’s mission and standards. This role involves establishing strong relationships with physicians, nursing staff, and other healthcare professionals while managing staffing patterns to meet clinical needs. You will also assume the “Acting Administrator” role in the absence of the Center Administrator.

• Assist in administrative duties and case management.
• Coordinate daily clinical activities and respond to emergency situations.
• Manage staff schedules and ensure compliance with documentation requirements.
• Collaborate with admissions for effective patient management.
• Develop comprehensive care plans and coordinate services with other providers.
• Lead family education initiatives to enhance care confidence.
• Participate in staff training and development programs.
• Monitor quality assurance and improvement processes.
• Help manage the center’s budget and operational reports.
• Engage in on-call rotations and clinical evaluations.

REQUIREMENTS:

• Graduate of an accredited nursing program; current Texas RN license required.
• Bachelor’s Degree preferred.
• Minimum of 1 year in nursing management and leadership.
• CPR certification required; PALS certification preferred.
• Experience in pediatrics, especially with medically fragile children, is essential.
• Strong communication skills and knowledge of community resources.

Why Choose Us?

• Impactful Work: Make a profound difference in the lives of children and families facing unique health challenges.
• Innovative Environment: Join a team at the forefront of pediatric health care innovation and best practices.
• Career Growth: Explore diverse opportunities for professional development and advancement within our expanding network.
• Collaborative Culture: Work alongside dedicated professionals who share a commitment to excellence and compassionate care.
• Comprehensive Benefits: Enjoy competitive compensation, comprehensive benefits packages, and a supportive work environment.

THE BENEFITS

• Holiday Pay
• Paid Time Off
• Health and Dental insurance
• Short & Long-Term Disability and Life Insurance
• 401K with match & educational benefits

Interested candidates should apply online at, please include cover letter & resume along with salary requirements in your application.

We look forward to learning more about you & the skills you can bring to Pediatric Home Service!

Pediatric Home Service is an equal opportunity employer; we are committed to affirmative action and equal employment opportunities for all regardless of protected veteran status, race, color, creed, religion, national origin, sex, sexual orientation or identity, disability, age, marital status, familial status, membership or activity in a local human rights commission, or status with regard to public assistance. #PPEC123