Director of Nursing

Director of Nursing (DON)Lead. Inspire. Transform Lives.Nexus Neurorecovery Center – San Antonio is seeking an experienced and compassionate Director of Nursing (DON) to lead nursing services at our specialized residential treatment center serving adolescent females with complex behavioral health and co-occurring medical needs.This is an exceptional opportunity for a nursing leader who is passionate about creating a culture of clinical excellence, developing high-performing teams, and ensuring the delivery of safe, evidence-based, patient-centered care. The Director of Nursing serves as a key member of the executive leadership team and plays a vital role in shaping the future of our organization and the lives of the patients we serve.About Nexus Neurorecovery Center – San AntonioNexus Neurorecovery Center – San Antonio is a specialized residential treatment program dedicated to supporting adolescent females with behavioral health challenges and complex medical needs. Our multidisciplinary team provides individualized treatment in a structured, therapeutic environment focused on recovery, growth, and successful community reintegration.Position SummaryUnder the general supervision of the Chief Executive Officer, the Director of Nursing (DON) is responsible for the overall leadership, administration, and strategic direction of the Nursing Department. The DON ensures the highest standards of patient care, regulatory compliance, staff development, quality improvement, and operational excellence.This executive leadership role requires independent judgment, strong clinical expertise, and the ability to lead nursing operations in a dynamic healthcare environment. The Director of Nursing is expected to maintain accountability for nursing services and be available for on-call responsibilities as needed.Key ResponsibilitiesClinical Leadership & Patient CareEstablish and maintain the highest standards of nursing practice and patient care.Lead clinical discussions with physicians, nurses, and interdisciplinary team members.Promote evidence-based practice and support clinical decision-making.Ensure safe, effective, and compassionate care delivery.Review patient satisfaction feedback and implement improvements based on identified trends.Support development and implementation of patient care programs and clinical initiatives.Participate in emergency preparedness planning, including fire, disaster, evacuation, security, and utility management programs.Nursing Operations & Staff DevelopmentProvide leadership, mentorship, and development for nursing leaders and staff.Conduct annual performance evaluations and support professional growth initiatives.Collaborate with Human Resources to recruit, retain, and develop top nursing talent.Ensure appropriate staffing levels to support patient care needs.Maintain oversight of staff competencies, certifications, licensure, and educational requirements.Communicate organizational priorities and strategic goals to nursing personnel.Participate in on-call leadership coverage and ensure appropriate departmental coverage when unavailable.Financial & Strategic ManagementDevelop and manage the annual Nursing Department budget.Monitor departmental financial performance and productivity metrics.Prepare and present monthly budget variance and operational reports.Evaluate the financial impact of clinical quality indicators and operational initiatives.Participate in strategic planning and organizational growth initiatives alongside executive leadership.Quality, Compliance & Patient SafetyEnsure compliance with all federal, state, regulatory, and accreditation standards.Lead quality improvement initiatives and promote a culture of continuous improvement.Collaborate with Quality and Compliance leadership on performance improvement projects.Review incident reports and identify trends requiring intervention.Support infection prevention, patient safety, risk management, and regulatory readiness efforts.Maintain nursing practices that support hospital licensure and accreditation requirements.Leadership & Community EngagementServe as a member of key hospital committees, including Quality, Infection Control, Pharmacy & Therapeutics, and Medical Staff Committees.Foster collaboration across departments to support organizational goals.Represent the facility with community organizations, healthcare partners, vendors, and regulatory agencies.Build positive relationships with patients, families, staff, physicians, and external stakeholders.QualificationsEducationBachelor of Science in Nursing (BSN) preferredExperienceMinimum of two (2) years of direct patient care experienceLeadership experience in nursing management or healthcare operations requiredBehavioral health, residential treatment, pediatric, adolescent, or specialty healthcare experience strongly preferredLicensure & CertificationsCurrent Registered Nurse (RN) license in the State of TexasCurrent AHA Basic Life Support (BLS) certificationCurrent AHA Advanced Cardiovascular Life Support (ACLS) certificationWhy Join Nexus?At Nexus, we believe exceptional patient outcomes begin with exceptional leaders. We are committed to creating an environment where our employees can grow professionally while making a meaningful difference in the lives of the patients and families we serve.We Offer:Competitive salaryComprehensive benefits packagePaid time offProfessional development opportunitiesCollaborative executive leadership environmentOpportunity to impact and shape a growing organizationIf you are a visionary nursing leader who thrives on building teams, improving patient outcomes, and leading with purpose, we encourage you to apply. Join Nexus Neurorecovery Center – San Antonio and help transform the future of care for adolescent females in need of specialized treatment and support.