Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Regional Director of Clinical Operations- Skilled Nursing

Full-time

Touchstone Communities

Regional Director of Clinical Operations (RN) 

Central Texas Region (Killeen | Belton | Temple | Waco | Tyler | Houston) – Weekly Travel to Houston Required

At Touchstone Communities , we don’t just deliver care—we elevate lives. Guided by our purpose to glorify God by serving others , we are committed to providing best-in-class care to the patients, residents, and Veterans we proudly serve. Our team members are the heart of everything we do, creating meaningful, compassionate experiences every day.

We are seeking an experienced, mission-driven Regional Director of Clinical Operations (RN) to lead and inspire clinical excellence across multiple skilled nursing communities.

Why This Role Matters

As a key clinical leader, you will shape outcomes, mentor nursing leadership, and drive quality across a growing regional portfolio. This is an opportunity for a seasoned Director of Nursing or Regional Nurse leader who thrives in a fast-paced environment, leads with purpose, and is passionate about elevating post-acute care. Location & Travel Expectations

  • Must reside within Central Texas (Killeen, Belton, Temple, Waco) or Tyler, TX
  • Weekly travel to Houston required , along with routine regional site visits

What You’ll Bring

  • Active Texas RN or Compact License (unencumbered) is required. 
  • 5+ years as a DON or Regional Nurse in the skilled nursing industry with demonstrated success is required. 
  • Regional clinical leadership experience strongly preferred
  • Proven ability to lead across multiple facilities and drive measurable clinical outcomes
  • Deep expertise in:
    • State & federal regulations
    • QAPI and quality improvement processes
    • Survey readiness and Plan of Correction execution
    • RAI process and clinical reimbursement fundamentals

What You’ll Do

  • Champion Clinical Excellence
    Drive a high-performing clinical culture aligned with The Touchstone Experience

  • Lead & Mentor Nursing Leaders
    Serve as a trusted advisor and coach to Directors of Nursing and clinical teams across the region

  • Drive Outcomes Through Data & Process
    Implement consistent clinical start-up practices and leverage technology to optimize outcomes

  • Strengthen Compliance & Quality
    Ensure adherence to all regulatory requirements while advancing best practices in care delivery

  • Partner Across Leadership
    Collaborate closely with Administrators, Clinical Reimbursement, and Operations leadership to achieve operational and clinical success

  • Develop Future Talent
    Identify training opportunities and elevate clinical capabilities across communities

  • Maintain Strong Field Presence
    Conduct routine site visits and maintain meaningful engagement with each community

What Sets You Apart

You are a strategic thinker and hands-on leader who builds trust quickly, navigates complexity with confidence, and is energized by developing people as much as improving outcomes.

What We Offer

We recognize and reward the impact you make:

  • Employer-paid medical insurance (for you!)
  • Comprehensive medical, dental, and vision benefits
  • Regional bonus incentive plan
  • 401(k) with company match (after 90 days)
  • Employer-paid life insurance
  • Supplemental coverage (including pet & accident insurance )
  • Tuition reimbursement program
  • Flexible PTO plan
  • Employee Assistance Program
  • Access to the Touchstone Emergency Fund
  • Dedicated chaplain support for all team members
Vacancy posted 2 hours ago
Similar jobs that could be interesting for youBased on the Regional Director of Clinical Operations- Skilled Nursing in San Antonio, TX vacancy
  • $80k

     ...Job Description \n Director of Clinical Education (RN)\n\n Stone Oak Care Center \n505 Madison Oak Dr. | San Antonio, TX 78258 \n...  ...prevention efforts, and supporting clinical excellence in a skilled nursing setting. This is a visible, hands-on leadership role for... 
    Suggested

    Touchstone Communities

    San Antonio, TX
    16 days ago
  • $75k - $85k

     ...Regional Business Office Director – East and Central Texas Regions (Houston, Killeen, Tyler) Make Lives...  ...business office and revenue cycle operations across multiple communities. In...  ...a Business Office role within a Skilled Nursing Facility (SNF) environment is required... 
    Suggested
    Full time
    Work at office
    Flexible hours

    Touchstone Communities

    San Antonio, TX
    2 hours ago
  •  ...Regional Clinical Manager Lead regional imaging operations across multiple sites and modalities by driving...  ...with operations directors, radiologists, and multidisciplinary...  ...workforce management skills: You optimize staffing...  ...radiologic sciences, nursing, or related field... 
    Suggested
    Work at office

    SimonMed Imaging

    San Antonio, TX
    1 day ago
  •  ...Hospice Director Of Clinical Operations The Hospice Director of Clinical Operations will be responsible for implementing company policy and mission...  ...needs. Qualifications: Graduate Degree in Nursing Valid RN License in the state At least 8 years Hospice... 
    Suggested
    Local area

    MRINetwork

    San Antonio, TX
    1 day ago
  •  ...Responsibilities The Hospice Branch Director is a Registered Nurse who manages all aspects of terminal...  ...must have excellent communication skills and the ability to execute an...  ...supervises the day-to-day office and clinical operations as well as the planning, coordination... 
    Suggested
    Full time
    Work at office
    Local area
    Flexible hours

    Enhabit Home Health & Hospice

    San Antonio, TX
    2 days ago
  •  ...experienced RN Administrator / Director of Operations to lead the launch and...  ...procedural platform and drive clinical, financial, and strategic...  ...closely with the Director of Nursing, Business Office Manager,...  ...certification is preferred. Knowledge, Skills, and Abilities The... 
    Full time
    Contract work
    Work at office
    Local area
    Afternoon shift

    PAM Health Specialty Hospital of San Antonio

    San Antonio, TX
    4 days ago
  •  ...Regional Wellness Director - Senior Living StoryPoint Group / CommonSail...  ...Wellness Director oversees clinical and wellness operations across multiple senior...  ..., and expertise in nursing standards and state regulations...  ...Strong communication skills, with the ability to present... 

    Common Sail Investment Group

    San Antonio, TX
    1 day ago
  •  ...: Develops and leads nursing neonatal initiatives...  ...the Neonatal Medical Director to oversee neonatal practice...  ...also works with regional clinical leaders in the...  ...evidence-based practices, operational excellence, and optimal...  ...gaps in resources, skills or training and develops... 
    Full time

    CHRISTUS Health

    San Antonio, TX
    3 days ago
  •  ...healthcare organization committed to high-quality, patient-centered post-acute care. We are seeking an experienced Regional Clinical Supervisor (RCS) - a Nurse Practitioner or Physician Assistant - to provide clinical leadership and oversight across multiple care sites in... 
    Remote work
    2 days per week

    medicalrecruiting.com

    San Antonio, TX
    2 days ago
  • $110k - $130k

     ...Job Description Job Description Hospice Director Clinical Operations Registered Nurse Location: San Antonio, TX Position: Hospice Director of Clinical Operations RN Job ID: 2026-86370 Remote/Virtual Position: No Coverage Area: Greater San Antonio and... 
    Work experience placement
    Local area
    Remote work
    Flexible hours

    AccentCare, Inc.

    San Antonio, TX
    21 days ago
  • $279k - $320k

     ...Regional Medical Director, Texas Texas, United States Counterpart Health...  ...Texas Regional Market to own clinical relationships and outcomes...  ...state. You'll partner with the Operations and Account Management...  ...and stakeholder management skills with physicians and physician... 
    Work experience placement
    Work at office
    Local area

    Clover Health

    San Antonio, TX
    9 days ago
  •  ...Regional Medical Director Of Hospital Medicine HCA/Methodist Healthcare – San...  ...provide physician leadership, operational oversight, and strategic...  ...centered care while advancing clinical excellence, physician...  ...communication and physician engagement skills Incentive / Benefits... 
    Full time
    Flexible hours

    Methodist Healthcare System

    San Antonio, TX
    18 hours ago
  • OPCO Skilled Management - Job Summary The Regional Business Office Consultant will provide oversight and support for a group of skilled nursing facilities in the Dallas to Fort Worth, TX area...  ...Administrator and Regional Director of Operations Knowledge of Iowa... 
    Work at office
    Remote work

    OPCO Skilled Management

    San Antonio, TX
    1 day ago
  •  ...largest private employer of Registered Nurses, we’re honored by the trust of over...  ...keep you fully equipped. Ongoing clinical education to improve your skills. As a Registered Nurse at Methodist...  ...recently been named the No.1 Best Regional Hospital by the U.S. News and World... 
    Hourly pay
    Temporary work
    Flexible hours
    Shift work

    Methodist Hospital

    San Antonio, TX
    14 hours ago
  •  ...District Campus Operations Director Position Title: District Campus Operations Director Position...  ...Texas state snapshot date. Analyze regional demographic data and market trends to...  ...exhaustive list of all responsibilities, skills, efforts, or working conditions... 
    Full time
    Work at office

    Jubilee Academies

    San Antonio, TX
    14 hours ago
  •  ...Director Of Nursing As Director of Nursing at Brookdale, you will utilize your leadership...  ...inspire, lead and manage the overall operation of the clinical team to provide the highest quality...  ...your clinical expertise and leadership skills development. Network of almost 70... 
    Work at office
    Local area
    Relocation

    Brookdale Hockessin

    San Antonio, TX
    1 day ago
  • $175k - $220k

     ...Regional Medical Director The Regional Medical Director is responsible for developing and sustaining relationships and impacting clinical strategies and workflows that promote practice and patient...  ...solutions. Provide coaching, skill building and mentorship to Aledade... 
    Local area

    Aledade, Inc.

    San Antonio, TX
    3 days ago
  • $725 per month

     ...Workplaces for Diversity About the Director of Nursing Position As Director of Nursing...  ..., lead and manage the overall operation of the clinical team to provide the highest quality...  ...your clinical expertise and leadership skills development. Network of almost... 
    Hourly pay
    Full time
    Temporary work
    Part time
    Work at office
    Local area
    Relocation
    Flexible hours

    Brookdale Senior Living

    San Antonio, TX
    18 hours ago
  •  ...Clinical Supervisor The Clinical Supervisor is responsible...  ...at all times during operating hours to assist...  ...recommendations to Clinical Director and appropriate...  ...Qualifications Registered nurse with current licensure...  ...written communication skills. All County Home... 
    Immediate start

    All County Home Care & Hospice

    San Antonio, TX
    1 day ago
  • $70k - $80k

     ...regular basis; occasional overnight travel required ~ Ability to climb ladders ~ Moderate lifting (up to 50 pounds) ~ Computer skills; competent in MS Office software (Word and Excel) ~ Must achieve NATE certification in first full year as Branch Manager ~ EPA... 
    Temporary work
    Local area
    Night shift

    Lennox International Inc

    San Antonio, TX
    4 days ago
  • $150k - $180k

     ...The Regional ASU Operations Manager has overall responsibility for the safe and efficient operation...  ...Manager reports to the Zone Director Bulk Production. Essential Function...  ...atmospheric gases. * Knowledge, Skills and Abilities * Experience interacting... 
    Temporary work
    For contractors
    Local area

    Matheson Tri-Gas

    San Antonio, TX
    18 hours ago
  •  ...Summary Under branch manager direction manage the overall operational efficiency of the branch office. Directs day to day...  ...regulatory policies and procedures. Uses extensive knowledge and skills obtained through education and experience to identify, research... 
    Work experience placement
    Work at office
    Work from home
    Home office

    Raymond James Financial Services

    San Antonio, TX
    2 days ago
  • $50k

     ...for overseeing the administrative and clinical operations of assigned clinic(s). Ensures established...  ...and interpersonal communication skills. Ability to make decisions guided by precedents...  ...Examiners is preferred. Current nursing license, MA certification or Medical Technician... 
    Bank staff
    Work at office
    Flexible hours

    UT Health San Antonio

    San Antonio, TX
    4 days ago
  • $90k - $120k

     ...Requirements We are seeking an ambitious, operationally focused, and results driven leader. As a Clinic Manager you will oversee the...  ...; BSN preferred. 12 months of nursing experience. 6 months of...  ...communication and document interpretation skills. Benefits At Innovative Renal... 
    Work experience placement
    Local area

    Innovative Renal Care

    San Antonio, TX
    18 hours ago
  • Description of Duties As the Clinical Director, you will lead and manage...  ...with oversight of clinical operations, ensuring high-quality, compliant...  ...and written communication skills. Excellent interpersonal skills...  ...practice providers (APPs), nursing staff, pharmacists, and... 
    Permanent employment
    For contractors
    For subcontractor
    Work at office
    Local area
    Immediate start

    Loyal Source

    San Antonio, TX
    18 hours ago
  •  ...motivated individual. This is a clinical position that serves as a...  ..., overseeing the day-to-day operations of their assigned clinic team...  ...front desk, medical records, nursing, and ancillary services (when...  ...and effective communication skills. Excellent planning,... 
    Full time
    Temporary work
    Work at office
    Monday to Friday
    Shift work
    Weekend work
    Day shift

    Sports Medicine Associates of San Antonio

    San Antonio, TX
    1 day ago
  •  ...Job Description Job Description Individualized Skills & Socialization (ISS) Program Manager Mission Road Ministries | San Antonio...  ...Summary: The ISS Program Manager oversees the daily operations of our Individualized Skills & Socialization program, ensuring... 

    Mission Road Ministries

    San Antonio, TX
    2 days ago
  •  ...position is responsible for the operation of physician practices...  ...subordinate personnel, preparing clinic(s) budget, ensuring data...  ...Works in conjunction with Regional Director and corporate Marketing Department...  ...and written communication skills to effectively convey ideas... 
    Full time

    CHRISTUS Health

    San Antonio, TX
    1 day ago
  • Overview Are you an experienced Director of Plant Operations and Environmental Services seeking a rewarding career that aligns with your lifestyle...  ...services through more than 80 locations, as well as wound clinics and outpatient physical therapy locations, in 17 states.... 
    Interim role
    Local area
    Flexible hours

    PAM Health Rehabilitation Hospital of Orange City

    San Antonio, TX
    3 days ago
  •  ...Senior Director Clinical Operations About the Company Fast-growing biotechnology (BioTech) organization Industry Biotechnology Type...  ...Extensive understanding of overseeing phase 1-4 BioTech clinical trials required Excellent problem-solving skills required... 

    Confidential

    San Antonio, TX
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Regional Director of Clinical Operations- Skilled Nursing. Be the first to apply!