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McLennan County

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Director of Nursing

Job ID: 53870
Job Views: 6443
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Job Description:

Position Summary

The Director of Nursing assumes authority, responsibility, and accountability for the delivery of nursing services in the facility. In collaboration with facility Doctor, Office Manager and Chief Deputy, allocates department resources in an efficient and economic manner to enable each inmate to attain or maintain the highest practical physical, mental, and psychosocial well-being. Collaborates with other departments, medical professionals, consultants, and organizations, including government agencies and advocacy groups, to develop, support and coordinate inmate care, related administrative functions, and to represent the interests of the facility.


Job Description



  • Provides advanced nursing assessments for the seriously ill or injured inmates by providing treatments and making appropriate treatment plans, referrals, and necessary consultations with medical authorities on routine basis
  • Collaborates with physicians, consultants, community agencies, and institutions to improve the quality of services and to resolve identified problems
  • Maintains adequate inventory of supplies and equipment, quality control by ordering supplies, repairs and purchasing equipment, and adhering to cost control measures
  • Develops, maintains, and implements nursing policies and procedures that conform to current standards of nursing practice, facility philosophy, and operational policies while maintaining compliance with state and federal laws and regulations
  • Communicates and interprets policies and procedures to nursing staff, and monitors staff practices and implementation
  • Supervises and evaluates work performance of the nursing staff and counsels employees found in violation of established policies, procedures, and practices
  • Oversees and supervises development and delivery of in-service education to equip nursing staff with sufficient knowledge and skills to provide compassionate, quality care and respect for inmates rights
  • Establishes, implements, and monitors the infection control program designed to provide a safe, sanitary, and comfortable environment designed to prevent the devilment and transmission of disease and infection
  • Prepares or reviews infection control surveillance reports to identify trends and to develop effective actions to control and prevent infections
  • Participates in daily or weekly management team meetings to discuss inmate status, census changes, personnel, or inmate complaints or concerns
  • Ensures adequate staff coverage for the Medical Staff Division 24/7; maintains inmate flow throughout the compound to assure maximum output with positive inmate outcomes
  • Monitors the cost containment efforts of the vendors providing the care to insure effectiveness without negative affecting the quality of said care
  • Exercises overall supervision of inmate assessments and care plans
  • Communicates directly with inmates, families, medical staff, nursing staff, interdisciplinary team members, and Department Heads to coordinate care and services, promote participation in care plans, and maintain a high quality of care and life for inmates
  • Reviews 24-hour report from every unit daily to monitor and ensure timely, effective responses to significant changes in condition, transfers, discharges, use of restraints, unexplained injuries, falls, behavioral episodes, and medication errors
  • Participates in budget development for the nursing department, and for medical, nursing, and central supplies
  • Regular attendance and timeliness is required


ADDITIONAL RESPONSIBILITIES: Other duties as assigned.




  • Bachelor of Science in Nursing degree, in lieu of degree 5 years’ experience in nursing and 5 years’ experience in nursing administration or a comparable management position
  • Current Texas license as a Registered Nurse
  • Current BLS/CPR Certification


SKILLS ~ EXPERIENCE:                   


  • Current and valid Texas driver’s license and a safe driving record
  • 5 years’ experience in a correctional setting or comparable clinical environment such as public health, urgent care, acute care, or long term rehabilitation setting
  • 3 years’ experience in nursing administration or a comparable management position
  • Must maintain personal loyalty to the Sheriff
  • Knowledge of current federal and state laws and regulations that apply to the practice of nursing in a correctional setting or comparable clinical environment
  • Exceptional skill in establishing and maintaining effective working relationships with County staff, inmates, police departments and the public
  • Has strong organizational and time management skills and the ability to prioritize responsibilities
  • General knowledge of basic hardware and software and uses of a variety of different computer operating systemssuch as Microsoft Office Work, Excel, Outlook
  • Ability to define problems, collect data, establish facts, and draw valid conclusions
  • Some knowledge of behavior patterns, legal rights, discipline protocols, and grievance procedures of inmates
  • Knowledge, skill, and experience in management as required for the day to day effective management of the fiscal, human resource, and quality of service needs for the division
  • Possess excellent communication skills in expressing oneself clearly and concisely, both orally and in writing
  • Ability to work in a hostile environment of inmates and their visitors without reacting in a negative manner and project a professional image at all times
  • Maintain appropriate, unrestricted credentials according to the licensure, certification, and registration requirements of the jurisdiction
  • Ability to competently perform the following services: crisis intervention, medical emergencies, physical assessment, medical nursing care, and psychiatric nursing care
  • Working knowledge of medications, drugs, and narcotics and their effects


  • Knowledge and experience in correctional healthcare operations to include NCCHC, ACA, and FMJS accreditation standards


All Employees

o      Must be committed to achieving excellence in assigned duties, always in service of the county and community

o      Must have ability to earn and keep the trust of fellow employees and the community at large

o      Must be approachable and ready to help fellow employees and the general public


Manager Role (Inclusive of all upper management positions)

o      Must be a visionary that can conceptualize large scale ideas and bring them to fruition by rallying the support of an                 organization

o      Must be a delegator that can challenge individuals to reach their potential

o      Must be strategic in using time, effort and resources to achieve goals

o      Must have an entrepreneurial sense of determination and be able to use this trait in seizing new opportunities



  • Contact with “at risk” clients and persons accursed or adjudicated of misdemeanor and felony offenses, visitors and general public
  • Work is performed mostly indoors in a 24-hour/7-day confined, security facility
  • Climate-controlled environment. Significant contact with the public, elected officials, department heads, and other County employees
  • Risk of exposure to infectious diseases, but receives training in handwashing practices and Universal Precautions and has access to personal protective equipment if direct exposure is anticipated


  • While performing the duties of this job, the employee is regularly required to talk or hear
  • The employee frequently is required to stand. The employee is occasionally required to walk; sit; use hands to find, handle, or feel objects, reach with hands and arms; stoop and kneel
  • Must be able to safely lift 20 lbs.
  • Although directed not to engage in physical contact with inmates, individual must be able to physically avoid combative or aggressive inmates and may occasionally become involuntarily engaged with combative inmates


HOURS / SPECIAL CONDITIONS:  Must be willing to work overtime, weekends, holidays, rotating shifts, evenings and nights.  




The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required for the position.

McLennan County will conduct background checks on new hires that will include a criminal background check related to convictions and deferred adjudications in the past seven years and may include credit reports, motor vehicle records, employment records, and educational attainment.   A conviction or deferred adjudication is not an automatic bar to employment.  Each case is considered individually.


  • Undesirable character or reputation
  • A felony conviction or felony deferred adjudication against the laws of this state, another state, or the United States
  • Conviction including court-ordered community supervision or probation for any criminal offense above the grade of Class B Misdemeanor, or a Class B Misdemeanor within the last ten (10) years
  • Arrested for DWI or DUI in the past ten (10) years
  • Currently under indictment for any criminal offense
  • Sold or manufactured any illegal drugs
  • Conviction, guilty plea, or probation for any family violence offense
  • Discharge from any military service under less than honorable conditions, or any other characterizations of service indicating bad character


Retirement, Medical, Vision, Dental, Life Insurance

Amount of Pay:


Frequency of Pay:

per year

Minimum Education:


Total Years of Relevant Experience:



Medical, Dental and Mental Health Services






Jails & Detention