Clinical Director Jobs in Texas
Clinical Director jobs in Texas are in strong demand, with openings concentrated in healthcare systems, behavioral health networks, and large outpatient clinic groups at levels from newly promoted managers through senior executive leaders. The busiest hiring markets are Houston, Dallas, and San Antonio, where established employers such as Texas Health Resources, HCA Healthcare, and UT Health operate large clinical programs that consistently seek directors to oversee care delivery and compliance. Behavioral health, home health, and multispecialty ambulatory care represent the most active specialties across the state. Find a role that fits below and apply directly.
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Description
CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 253-bed hospital serving the fastest-growing area of San Antonio. Specialized care includes orthopedic and surgical care with advanced spine surgery, Intensive Care, complex neurology for treating stroke and other neurovascular issues, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, women’s services, a newborn nursery, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, emergency services, and more. The campus also boasts an Outpatient Imaging Center, an Ambulatory Surgery Center, and four medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.
Summary
Manages the nursing services and staff for a department; ensures quality and full compliance with relevant policies and standards.
Responsibilities
- Implementing and monitoring programs and practices for the delivery of safe and efficient quality nursing care for patients and their families
- Ensuring consistent application of nursing services policies and standards throughout the organization
- Monitoring patient outcomes and quality and effectiveness of nursing care
- Overseeing performance of teams; identifying and addressing staff training and development needs
- Apprising medical staff, department heads, and administrators in matters related to nursing service and strategies
Financial Management
- Recognizes the impact of reimbursement on revenue
- Understands the relationship between values-based purchasing and quality outcomes with revenue and reimbursement
- Creates, monitors, and analyzes a budget, explaining variance
- Conducts ongoing evaluation of productivity, forecasting future revenue and expenses
- Documents capital appropriations and project authorizations
Human Resources Management
- Evaluates and specifies the critical resources required to accomplish the team's objectives
- Initiates requests for required resources based on staff competency with patient acuity
- Allocates team resources responsibly and equitably within the scope of labor laws
- Calculates resource usage to set a baseline for comparison
- Discovers opportunities to improve resource utilization
- Implements changes in role consistent with scope of practice
- Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow
- Resolves conflicts in a wide variety of situations, such as workload allocation, schedule overlap etc.
- Adjusts management and personal style to fit the needs of different people and different situations
- Explores motivational factors and tailors motivational efforts to individual needs and situations for the department
- Conducts evaluations on personnel performance at the work place and recommends improvement plans
- Coaches others on operating personnel management systems and their processes
Relationship Management and Influencing Behaviors
- Situation Management
- Identifies issues that require immediate attention
- Applies principles of crisis management to handle situations as necessary
- Manages conflict
- Promotes team dynamics
- Mentors and coaches staff
- Promotes Professional Management
- Promotes and encourages stress management
- Encourages participation in professional action
- Applies principles of self-awareness
- Fosters a healthy work environment
- Diversity
- Understands the components of cultural competence as they apply to the workforce
- Maintains an environment of fairness and processes to support it
- Capitalizes on differences to foster highly effective work groups
Performance Improvement/Safe Practice/Quality Care/Regulations
- Assesses customer and patient satisfaction while developing and implementing strategies to address satisfaction issues
- Provides direct service to internal or external customers
- Facilitates the resolution of customer problems, issues, or concerns
- Monitors and promotes workplace safety requirements resulting in positive patient outcomes
- Applies systems thinking knowledge as an approach to analysis and decision-making
- Demonstrates accountability for nursing research and quality improvement activities
- Provides evidence-based nursing care
- Promotes and communicates patient information effectively across the continuum of care
Leadership
- Serves as a leader of patient care
- Utilizes an appropriate style of leadership: autocratic, democratic, laissez-faire/free rein, etc.
- Demonstrates leadership qualities: intelligence, influence, determination, integrity, confidence
- Manages own behaviors during interactions, such as feedback giving, to shape workplace events
- Utilizes positive reinforcement to motivate and attain desired behaviors; increases productivity
- Employs leadership theories, such as contingency and transformational, and associated techniques
- Applies techniques of “action learning” to problem solve and personally reflect on decisions
Clinical Performance Improvement
- Shares experiences with process performance improvements across multiple areas
- Recognizes recurring and difficult problems and explores new or innovative solutions
- Leverages technology to facilitate the sharing of clinical performance or outcomes data
- Compares and contrasts different approaches for performance improvement; highlights pros and cons
- Creates a mechanism for ensuring quality and performance measures are understood and valued by nursing staff
- Consults on and coaches on developing business cases to justify improvement initiatives
Clinical Policies and Standards
- Monitors different types of clinical practice to ensure compliance with standards
- Evaluates existing and evolving standards and procedures and their impact on the organization
- Informs others on advanced clinical standards and policies across medical specialties
- Collaborates with other functions in establishing and documenting joint standards
- Participates in the development of clinical policies and practices
- Develops control and monitoring mechanisms for clinical policies adherence
Healthcare Policy and Ethics Compliance
- Shares experiences with addressing diverse problems in healthcare policy compliance
- Demonstrates best practices for dealing with complex compliance or non-compliance situations
- Guides others in making correct decisions when faced with ethical dilemmas
- Designs or revises organizational practices and procedures to ensure compliance with policies
- Supports and coaches on mechanisms that encourage attention to compliance issues; all clinical activities
- Participates in translating policy changes into operational programs and services
Healthcare Regulatory Environment
- Implements programs as needed to comply with diverse healthcare laws or regulations
- Monitors regulatory compliance of all healthcare practices to ensure no violations
- Evaluates key aspects of pending healthcare regulations and legislation that may impact the company
- Provides recommendations and implements solutions to existing and potential legal problems
- Shares main considerations and issues related to laws and regulations in the implementation of healthcare practices
- Collaborates and communicates with all departments of the healthcare organization for the preparation of external audits.
Requirements
Education
- Graduate of a Registered Nursing program, Bachelor of Science in Nursing required
- Master's degree in Nursing, Health Administration, Business Administration, Nursing, or related advanced degree in health related field preferred
Experience
- Minimum of 3-5 years of clinical patient care experience in a relevant setting
- Minimum of 2 years of healthcare leadership
Licenses, Registrations, or Certifications
- RN license in good standing in the state of employment or a compact state, if applicable
- Registered Nurse (RN) required
- American Heart Association Basic Life Support required
Work Schedule
8AM - 5PM Monday-Friday
Work Type:
Full Time
See All 46 Clinical Director Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Clinical Director JobsClinical Director Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Clinical Director Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- CHRISTUS Health12

- Optum4

- Dallas Independent School District3

- Baylor College of Medicine2

- Baylor Scott & White Health2

Top Industries Hiring
- Healthcare & Medical Services24
- Education13
- Consulting & Professional Services3
- Biotechnology & Pharmaceuticals2
- Manufacturing2
What Texas Employers Look For
The qualifications that appear most often in clinical director jobs across Texas.
- Active Texas clinical license or Texas-recognized credential relevant to the director's clinical discipline
- Master's degree in healthcare administration, nursing, social work, or a related clinical field
- Minimum five years of progressively responsible clinical experience with at least two in a supervisory role
- Working knowledge of Texas Health and Human Services regulations and CMS Conditions of Participation
- Demonstrated experience managing budgets, clinical staff performance, and quality improvement programs
- Strong background in electronic health record systems and outcome-based reporting frameworks
Clinical Director Jobs in Texas: Frequently Asked Questions
How do you become a clinical director in Texas?
Becoming a clinical director in Texas typically requires an active professional license in your clinical discipline issued or recognized by the relevant Texas state board, such as the Texas Board of Nursing or the Texas State Board of Examiners of Professional Counselors, plus a graduate degree. Most employers expect at least several years of direct clinical practice followed by supervisory experience, and familiarity with Texas Health and Human Services standards strengthens any application.
Which companies hire clinical directors in Texas?
Employers hiring clinical directors in Texas right now include CHRISTUS Health, Optum, and Dallas Independent School District, based on current listings on Migrate Mate as of June 2026. Texas's large integrated health systems and behavioral health networks generate consistent demand for directors who can manage both clinical quality and regulatory compliance across multiple sites.
Which Texas cities have the most clinical director jobs?
Houston, Dallas, and San Antonio account for the largest share of clinical director openings in Texas. Houston and Dallas lead because of their dense concentrations of hospital systems, academic medical centers, and specialty clinic networks, while San Antonio's large military-affiliated healthcare infrastructure and growing community health sector keep demand steady there as well.
Are there remote clinical director jobs in Texas?
Yes, but they're rare. About 9% of clinical director openings tied to Texas are remote or hybrid as of June 2026, reflecting the fundamentally on-site nature of most clinical oversight roles. The portions most likely to shift toward remote work include quality assurance review, telehealth program management, and utilization review, where direct patient contact is not required.
How can I get hired as a clinical director in Texas with little or no experience?
The most realistic entry path is moving into a clinical supervisor or team lead role first, because most Texas employers treat that position as the proving ground for director candidates. Large systems such as UT Health and Baylor Scott and White run internal leadership development programs where charge nurses, senior therapists, or case management leads are promoted into director tracks. Obtaining a Texas state license in your discipline and completing a graduate certificate in healthcare management gives candidates a concrete edge when applying for that first supervisory step.
Where can I find and apply to clinical director jobs in Texas?
You can find and apply to clinical director jobs in Texas on Migrate Mate, which lists current openings from Texas employers. Search the listings to find roles that match your clinical background, location preference, and seniority level, then apply directly to the ones that fit.
See All 46 Clinical Director Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Clinical Director Jobs