Assistant Director of Health Services

Centered Care (Employer)
Centered Care is a health tech-enabled clinical services organization focused on delivering proactive, whole-person care within senior living communities. Through integrated care coordination, behavioral health support, and chronic care management, Centered Care partners with communities and providers to improve outcomes, reduce avoidable hospitalizations, and help residents age in place longer.

Integrated Senior Lifestyles (On-Site Manager)
Integrated Senior Lifestyles is committed to delivering exceptional senior living experiences through operational excellence, clinical quality, and resident-centered care. ISL communities prioritize safety, compliance, and high-quality outcomes while fostering environments where residents can thrive with dignity and support.

Together, ISL and Centered Care bring a fully integrated care model that combines strong clinical operations with proactive, data-driven care coordination

About the Job
We are seeking a compassionate and organized clinical lead to implement and operate our Signature Wellness program. The Assistant Director of Health Services (ADHS) - Wellness Nurse is a clinical leadership role employed by Centered Care and embedded within an Integrated Senior Lifestyles community. This role operationalizes Centered Care's Signature Wellness program while supporting key clinical leadership functions within the community. The ADHS-Wellness Nurse serves as a bridge between residents, families, providers, and community staff, ensuring proactive, coordinated, and high-quality care delivery.

The Centered Care Signature Wellness program delivers proactive clinical care coordination, behavioral health coaching, and resident care support to empower seniors to age in place longer and provide family support and education. The Wellness Nurse (or Coach however it sounds to you) will work closely with residents, families, healthcare providers, and community staff to ensure comprehensive care coordination and disease management for both chronic and mental health conditions (specifically dementia). This role is crucial in managing the care of residents with chronic conditions, improving resident outcomes, and ensuring continuity of care.

Unlike traditional roles, this position is focused on:

• Proactive care vs. reactive response
• Coordination across the full care continuum
• Driving outcomes, not just compliance

The role reports to Centered Care Operations Leadership with strong day-to-day partnership with the community Director of Health Services.

Key Responsibilities

• Care Concierge & Clinical Coordination (Primary Focus)
  • Coordinate care across primary care providers, specialists, behavioral health providers, and community staff
  • Serve as the primary point of contact for residents, families, and care teams
  • Identify, enroll, and manage residents within the Care Concierge program
  • Develop and implement individualized, whole-person care plans
  • Conduct routine follow-ups to monitor condition changes, adherence, and outcomes
  • Provide behavioral health support and coaching (e.g., depression, anxiety)
  • Support dementia care navigation for residents and families
  • Facilitate access to community and clinical resources
  • Lead interdisciplinary care meetings within the community
  • Monitor for early signs of deterioration and escalate appropriately
  • Manage transitions of care (hospital, SNF, return to community)

• Clinical Leadership & Community Integration (ISL-Aligned Responsibilities)
  • Partner with the Director of Health Services to support clinical operations and care quality
  • Participate in resident assessments, admissions, and care plan reviews
  • Support compliance with state, federal, and community regulatory standards
  • Assist in ensuring accurate documentation and clinical record integrity
  • Provide clinical guidance and collaboration with nursing staff
  • Support readiness for surveys and audits
  • Participate in on-call rotation and serve as Manager on Duty as needed

• Transitions, Outcomes & Resident Experience
  • Reduce avoidable hospitalizations through proactive intervention
  • Ensure seamless transitions between care settings
  • Educate residents and families on care plans and disease management
  • Promote aging-in-place through continuous engagement and support
  • Act as a trusted advocate for residents within the healthcare system

• Data, Technology & Program Execution
  • Ensure accurate and timely documentation across care coordination and EHR systems
  • Support quality tracking, reporting, and outcome measurement
  • Utilize Centered Care tools and platforms to manage resident care
  • Champion adoption of technology within the community

Education & Licensure

• Licensed LVN in good standing within the state of Texas required

Experience

• At least 3 years+ experience in senior living, assisted living, or skilled nursing
• Experience in care coordination, case management, or chronic care management preferred
• Strong familiarity with dementia care and behavioral health preferred

Skills & Competencies

• Strong nursing clinical judgment with a proactive care mindset
• Exceptional communication and relationship-building skills
• Ability to navigate complex care environments and multiple stakeholders
• Highly organized with strong follow-through
• Ability to work in a tech-enabled care model and utilize technology and applications to assist to provide care

Working Environment & Physical Requirements

• Ability to move throughout the community and respond to resident needs
• Frequent standing, walking, bending, and lifting (up to 50 lbs unassisted)
• Exposure to clinical environments including blood and bodily fluids (Category I)
• May include evenings, weekends, and on-call responsibilities

Location

• This person should be based within reasonable commutable distance to the senior living community within Texas with the ability to travel up to two hours from home to help cover other communities, attend regional meetings, or other business needs.
• This role is the majority of the time based on-site with potential for at home work as approved by leadership.

This job description is not intended to be an exhaustive list of all responsibilities. Duties may evolve based on program needs, regulatory requirements, and partnership goals.

Centered Care People Benefits

• Medical, dental, and vision insurance
• Life Insurance: Basic life insurance provided, with options to purchase addt'l coverage
• Disability Insurance: Short-term and long-term disability coverage
• PTO (~20 days annually) + paid holidays
• Toll incentive ($0.30 for every hour you work, additional $0.70 if you live onsite at one of the multi-family properties)

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