Director of Nursing (RN) – Med-Surg/Telemetry Services

Director of Nursing (RN) – Med-Surg/Telemetry Services

Mesquite, TX 

$125,000 – $140,000

Full Benefits: Comprehensive package including health, dental, vision, and retirement.

Relocation: Yes 

The Director of Nursing (RN) for Med-Surg and Telemetry Services is a high-impact leadership position designed for a clinical strategist who thrives on operational excellence and staff empowerment. Reporting directly to the Chief Nursing Officer (CNO), you will be the primary architect of care delivery for one of the hospital’s most active service lines. You will lead a multidisciplinary team to ensure that clinical standards are not just met, but exceeded through innovation and evidence-based practice.

Detailed Responsibilities

Strategic & Financial Stewardship

• Strategic Execution: Translate the organization’s high-level vision into actionable departmental goals. You will develop long-term plans for the Med-Surg/Tele units that align with the hospital’s broader growth and safety objectives.

• Fiscal Management: Establish and manage the departmental budget. You are responsible for monitoring variances and maintaining accountability for labor costs, including Hours Per Patient Day (HPPD) and productivity targets.

• Resource Optimization: Make critical decisions guided by resource availability and functional objectives to ensure the unit remains lean yet effective.

Clinical & Quality Leadership

• Clinical Competency: Act as the subject matter expert for the unit. Ensure staff are proficient in the nursing process, equipment usage, and the interpretation of hemodynamic results.

• Patient Safety: Lead the charge in reducing medical errors by promoting Evidence-Based Practice (EBP) and ensuring 100% compliance with all state, federal, and Joint Commission regulatory requirements.

• Performance Improvement (PI): Continuous oversight of PI activities, using data-driven insights to refine workflows and clinical protocols.

People & Culture Development

• Mentorship & Growth: Provide direct leadership to managers and frontline staff. You will oversee the entire lifecycle of employment, from interviewing and orientation to annual performance evaluations and professional development.

• Educational Advocacy: Collaborate with the education department to identify learning gaps and coordinate specialized in-services, including basic cardiac life support and emergency preparedness.

• Collaborative Care: Work closely with ancillary directors and physicians to ensure a seamless, multidisciplinary approach to patient care.

Key Performance Indicators (KPIs) for Success

• HCAHPS & Patient Experience: Achieve and maintain top-tier Press Ganey scores through proactive rounding and patient-family engagement.

• Staff Retention: Foster a supportive environment that reduces turnover and empowers staff to embrace the mission and values of the organization.

• Clinical Outcomes: Monitor and improve metrics related to falls, HAPIs (Hospital-Acquired Pressure Injuries), and CAUTIs.

Candidate Requirements

• Licensure: Current, unencumbered Registered Nurse (RN) license in the State of Texas.

• Education: Bachelor of Science in Nursing (BSN) required; Master’s degree (MSN, MHA, or MBA) strongly preferred.

• Experience: 3–5 years of progressive acute care leadership experience (Manager or Director level).

• Clinical Proficiency: Deep expertise in Medical-Surgical and Telemetry nursing is essential.

• Technical Skills: Proficiency in EMR systems, budget management software, and quality reporting tools.

The Ideal Candidate 

We are looking for a leader who is poised, credible, and confident. You should be a "leader of leaders" who can remain calm under the pressure of a high-acuity environment while commanding respect through clinical expertise and empathetic communication.