Executive Director, Pediatric Home Health

Position Summary

The Executive Director directs the business and clinical-operational functions of Sunshine Pediatric Day Center's Private Duty Nursing (PDN) program — skilled, in-home nursing care for medically and technologically dependent pediatric clients delivered under a Texas Home and Community Support Services Agency (HCSSA) license. The Administrator serves as the agency's designated administrator under 26 TAC §558.243 and ensures full, continuous compliance with Texas Health & Safety Code Chapter 142 and 26 TAC Chapter 558. This is an on-site role based at the agency's licensed place of business.

Essential Duties & Responsibilities

• Serve as the agency's designated Administrator under 26 TAC §558.243, holding day-to-day management and administrative responsibility for the PDN program.
• Ensure ongoing compliance with Texas Health & Safety Code Chapter 142, 26 TAC Chapter 558, and all applicable federal, state, and payer requirements.
• Oversee client intake, physician plan-of-care authorization, and coordination of skilled private duty nursing for pediatric clients in the home.
• Direct scheduling, staffing, assignment, and competency validation of RNs and LVNs delivering in-home PDN, including trach/vent, G-tube, and suctioning care.
• Partner with the Supervising Nurse / Director of Nursing (per 26 TAC §558.244) on clinical oversight, supervisory visits, and plan-of-care compliance.
• Clinical judgment in pediatric high-acuity and technology-dependent home care
• Staff supervision, delegation, and coordination of a distributed in-home nursing workforce
• Family communication and trauma-informed care
• Operational, budget, and authorization/utilization management
• Data-driven decision-making and quality improvement

Required Qualifications (per 26 TAC §558.244)

• At least one (1) year of management or supervisory experience in a health-related setting — such as a HCSSA, hospital, nursing facility, hospice, outpatient rehabilitation center, or comparable licensed health care delivery setting — satisfying 26 TAC §558.244(a)(1)(A).
• Pediatric clinical experience caring for medically or technologically dependent minors (e.g., tracheostomy, ventilator, G-tube, and suctioning care).
• Current CPR / BLS certification (Pediatric Advanced Life Support (PALS) preferred).
• Completion of HHSC initial administrator training under 26 TAC §558.259 within the required timeframe, plus 12 clock hours of continuing education annually under 26 TAC §558.260.
• On-site availability at the agency's licensed place of business during operating hours.

Preferred Qualifications

• Active, unencumbered Texas RN license under Texas Occupations Code Chapter 301 (or a multistate/NLC privilege to practice in Texas), with no disciplinary action.
• Prior PDN, pediatric home health, or HCSSA administrator / alternate administrator experience
• Working knowledge of Texas Medicaid PDN and STAR Kids managed care authorization processes
• Experience leading HHSC surveys and corrective action plans
• BSN or higher
• Bilingual English/Spanish

Core Competencies

• HCSSA regulatory knowledge, survey readiness, and documentation accuracy
• Clinical judgment in pediatric high-acuity and technology-dependent home care
• Staff supervision, delegation, and coordination of a distributed in-home nursing workforce
• Family communication and trauma-informed care
• Operational, budget, and authorization/utilization management
• Data-driven decision-making and quality improvement

Equal Opportunity Employer

Sunshine Pediatric Day Center is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, genetic information, veteran status, sexual orientation, gender identity, or any other characteristic protected by federal, state, or local law.

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Professional development assistance