About the job Executive Director, Pediatric Home Health
Position SummaryThe Executive Director directs the business and clinical-operational functions of Sunshine Pediatric Day Center's Private Duty Nursing (PDN) program - skilled, in-home nursing care for medically and technologically dependent pediatric clients delivered under a Texas Home and Community Support Services Agency (HCSSA) license. The Administrator serves as the agency's designated administrator under 26 TAC §558.243 and ensures full, continuous compliance with Texas Health & Safety Code Chapter 142 and 26 TAC Chapter 558. This is an on-site role based at the agency's licensed place of business.
Essential Duties & Responsibilities- Serve as the agency's designated Administrator under 26 TAC §558.243, holding day-to-day management and administrative responsibility for the PDN program.
- Ensure ongoing compliance with Texas Health & Safety Code Chapter 142, 26 TAC Chapter 558, and all applicable federal, state, and payer requirements.
- Oversee client intake, physician plan-of-care authorization, and coordination of skilled private duty nursing for pediatric clients in the home.
- Direct scheduling, staffing, assignment, and competency validation of RNs and LVNs delivering in-home PDN, including trach/vent, G-tube, and suctioning care.
- Partner with the Supervising Nurse / Director of Nursing (per 26 TAC §558.244) on clinical oversight, supervisory visits, and plan-of-care compliance.
- Clinical judgment in pediatric high-acuity and technology-dependent home care
- Staff supervision, delegation, and coordination of a distributed in-home nursing workforce
- Family communication and trauma-informed care
- Operational, budget, and authorization/utilization management
- Data-driven decision-making and quality improvement
Required Qualifications (per 26 TAC §558.244)- At least one (1) year of management or supervisory experience in a health-related setting - such as a HCSSA, hospital, nursing facility, hospice, outpatient rehabilitation center, or comparable licensed health care delivery setting - satisfying 26 TAC §558.244(a)(1)(A).
- Pediatric clinical experience caring for medically or technologically dependent minors (e.g., tracheostomy, ventilator, G-tube, and suctioning care).
- Current CPR / BLS certification (Pediatric Advanced Life Support (PALS) preferred).
- Completion of HHSC initial administrator training under 26 TAC §558.259 within the required timeframe, plus 12 clock hours of continuing education annually under 26 TAC §558.260.
- On-site availability at the agency's licensed place of business during operating hours.
Preferred Qualifications- Active, unencumbered Texas RN license under Texas Occupations Code Chapter 301 (or a multistate/NLC privilege to practice in Texas), with no disciplinary action.
- Prior PDN, pediatric home health, or HCSSA administrator / alternate administrator experience
- Working knowledge of Texas Medicaid PDN and STAR Kids managed care authorization processes
- Experience leading HHSC surveys and corrective action plans
- BSN or higher
- Bilingual English/Spanish
Core Competencies- HCSSA regulatory knowledge, survey readiness, and documentation accuracy
- Clinical judgment in pediatric high-acuity and technology-dependent home care
- Staff supervision, delegation, and coordination of a distributed in-home nursing workforce
- Family communication and trauma-informed care
- Operational, budget, and authorization/utilization management
- Data-driven decision-making and quality improvement
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Professional development assistance
