Director of Nursing
- RN license
How this pay compares
This posting does not state an hourly rate. Directors of nursing employed in Texas earn a median of $54.88 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).
Directors of nursing in Texas: pay by town and employer
The Registered Nurses & LPNs job market: pay, applicant demand and hiring, researched nightly
What Texas law says about nurse staffing and overtime
- Nurse staffing committee or plan: Texas hospitals must keep a nurse staffing committee, at least 60 percent direct care nurses, that recommends the nurse staffing plan. Tex. Health & Safety Code § 257.004(a) (source: Tex. Health & Safety Code § 257.004(a))
- Limits on mandatory overtime: Hospitals may not require nurses to work mandatory overtime or use on-call time as a substitute, with exceptions for disasters, declared emergencies, unforeseen events and procedures in progress (covers registered and vocational nurses in hospitals). Tex. Health & Safety Code § 258.003 (source: Tex. Health & Safety Code § 258.003)
Registered nurse and LPN jobs in our research
- How long these jobs stay listed: Median days to removal 28.0 days · Still listed at 7 days 80.7%
- Applicant demand per open job on this site (1.00x is the average job): Index 0.45x · Clicks 136
- How often these jobs state their pay: Jobs stating any pay 54.8% · Stating an hourly rate 34.1%
From every open job we read and every apply click on this site, as of 11 Nov 2026. Every figure for Registered nurse and LPN jobs
About the job
Director of Nursing | Stone River Recovery Center | San Antonio, Texas
About the Job
PURPOSE STATEMENT:
The Director of Nursing is responsible and accountable for providing professional nursing care to clients. Directs, plans, coordinates, monitors and supervises the effective and efficient use of the operations of nursing and the safe delivery of behavioral health/nursing services with a positive, empathetic, and professional attitude. Ensures the development, implementation, and evaluation of policies, programs, and services consistent with the facility’s strategic goals and objectives.
Roles and Responsibilities
ESSENTIAL FUNCTIONS
- Sets the vision for nursing practice in the delivery of safe, timely, efficient, equitable and client centered care. Manages the daily operations of nursing services.
- Identifies and prioritizes issues of importance, including those priority issues as set by leadership. Collaborates with department leaders and corporate leaders, as needed.
- Communicates instructions, expectations and timelines clearly and concisely.
- Develops, maintains and implements nursing services, policies and procedures that conform to current standards of nursing practice and accrediting agencies, facility philosophy and operational policies while maintaining compliance with state, federal and local governmental agencies laws and regulations.
- Develops and interprets operational indicators to detect census and acuity changes and increases or decreases in volume that could impact staffing levels, revenues or expenses. Acts to correct undesirable trends. Allocates nursing resources based on measurement of client acuity/care needed.
- Leads a team of highly qualified and engaged department members thru hiring, orienting, performance assessment and management, motivating, training, scheduling, and coaching to meet department and facility goals. Ensures adequate staffing.
- Maintains productivity levels that are aligned with client census, curtailing unnecessary overtime and/or excessive staff work hours.
- Manages staff scheduling and maintains an updated plan for contingency staffing.
- Maintains accountability expectations for self and staff in all areas of job performance.
- Engages staff in quality and safety basics to ensure sustained, measurable compliance.
- Identifies staff educational needs and ensures they are addressed with education programs that are attended by staff.
- Holds staff accountable for non-compliance and client safety concerns, as well as attendance, following policies, behavior, and adherence to code of conduct.
- Oversees medication management for the facility. Orders and maintains adequate inventory of medication. Ensures compliance with medication management standards and record keeping. Implements corrective actions based on pharmacy consultant inspection of medication rooms and medication management processes. Reviews and reconciles medication reports in collaboration with the pharmacy vendor.
- Audits and organizes medication room to maintain compliance with regulatory requirements, best practices, and reduce the opportunity for medication errors or diversion.
- Makes nursing diagnosis of the medical and emotional status of clients and recommends treatment options. Consults with psychiatrists and other behavioral health staff in designing appropriate treatment plans for clients. Provides overall supervision of client assessments and care plans. Coordinates nursing services with all other departments.
- Participates in daily or weekly management team meetings to discuss client’s status, identify indicators for reassessment of client’s condition, reaction/responsiveness and involvement of other disciplines. Discusses census changes, client or staff complaints or concerns.
- Establishes, implements and oversees the infection control program and safety. Prepares or reviews infection control surveillance reports to identify trends and to develop effective actions to control and prevent infections.
- Collaborates with interdisciplinary treatment teams, other departments and administration to ensure that all client’s physical, biopsychosocial, age, developmental and cultural needs are met.
- Develops and implements health care related training that assures the best possible delivery of health-related supports and services.
- Assists the Chief Executive Officer (CEO) in the preparation and administration of the organization's budget. Manages budget and operates within approved budget while providing excellent quality of care. Actively participate in strategic planning and budget development.
- Maintains adequate and appropriate inventory of supplies and equipment for the provision of client services.
- Oversees the maintenance of client clinical records, statistics, reports and records for purposes of evaluation and reporting of organization activities.
- Stays informed about changes in the field of nursing and behavioral health care and uses information to stay compliant and improve performance.
- Assists CEO in preparing staff for inspection survey. Participates in the preparation and implementation of the Plan of Correction response to an inspection survey.
- Monitors unit/floor functioning by making frequent rounds. Intervenes in crisis situations and investigates incidents. Analyzes, reviews and completes follow up on incident reports related to nursing/client safety issues in conjunction with Risk Management.
- May be required to provide onsite coverage for other programs when needed, develops, and executes new programs according to market needs and may provide training, case consultation and Administrator On Call coverage during and after program hours as needed.
- Performs Leadership Rounds as assigned to include observation and immediate identification of environment of care, safety, and infection control concerns, as well as real time education of new facility processes.
- Assumes client care assignment in emergency situations as needed.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS
- Graduation from an accredited school of nursing required. Bachelor’s or master’s degree in psychiatric or mental health nursing preferred.
- If not MSN, you must enter into a nursing consultation agreement with a master’s level nurse for supervision per state requirement.
- Three or more years’ experience in nursing practice required. One or more years’ psychiatric or behavioral health experience required.
- Skills in assessment, considerable knowledge of nursing principles and practice, staffing, budgeting, employee management, regulatory requirements and documentation of care; ability to meet regulatory requirements.
LICENSES/DESIGNATIONS/CERTIFICATIONS
- Valid current RN license from the state or from a compact state, where applicable.
- Certified in Psychiatric Nursing preferred.
- CPR certification and de-escalation training required (training available upon hire and offered by facility).
- First aid may be required based on state or facility.
WORK LOCATION
This position is onsite at the facility and is not a remote position.
SUPERVISORY REQUIREMENTS
Two or more years progressive managerial experience required.
Why Stone River Recovery Center?Stone River Recovery Center offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. Stone River Recovery Center is an EOE.
Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.
From Summit BHC's job posting, checked 13 Nov 2026. The employer's own page is the final word on requirements and availability.
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