Program Director - Nexus Neurorecovery Center - Conroe, TX


The Program Director is responsible for maintaining a safe home-like environment and optimum quality of care for the residents by providing assignments, supervision and assistance for all activities of the program. Activities include encouraging appropriate use of health care services, as well as striving to improve quality of care and maintaining cost effectiveness on a case-by-case basis. Additionally, the Program Director is responsible for compliance with all applicable licensing standards for the program. The Program Director is responsible for directing and coordinating the functions and activities of health care services delivery and discharge planning with the multidisciplinary team, communication and coordination between members of the health care team involving both the resident and family in the decision making process, and establishing a positive relationship with payer sources and initiating necessary documentation for re-authorization of the resident’s continued stay. This position is considered to be an essential staff member. An essential staff member is defined as a staff member who is required to be on duty to provide services to Nexus Neurorecovery during an emergency situation and/or disaster situation, as defined by the facility’s emergency and disaster response plan.

Job Specific Responsibilities:

  • Takes active role in ensuring quality programming is followed as outlined in terms of content and schedule.
  • Adequately addresses and/or resolves residents’ grievances.
  • Provides direction to staff regarding management of difficult clients/cases.
  • Complies with and ensures staff follow Special Supervision policies and procedures including appropriate documentation of same.
  • Manages departmental purchasing of supplies and equipment.
  • Manages purchasing of resident supplies.
  • Ensures maintenance of and ensuring staff is knowledgeable of licensing standards and regulations.
  • Ensures that program meets licensing standards at all times.
  • Ensures appropriate documentation and other follow-up is provided as required by regulatory agencies.
  • Demonstrates knowledge of individual residents’ histories, current progress and personal issues or difficulties and ensures staff is knowledgeable of them.
  • Requests individual behavioral protocols, as needed, in a timely fashion and ensures staff implementation.
  • Demonstrates both problem solving and problem prevention skills.
  • Submits reports in a timely fashion as requested.
  • Communicates residents program participation, progress, incidents, and needs with stakeholders and families with coordination from the clinical team.
  • Ensures completion of comprehensive master treatment plans in a timely fashion by team.
  • Ensures residents receive all medical and/or therapeutic consultations ordered by the attending physicians as soon as possible.
  • Exhibits knowledge of and ensures daily documentation of residents’ progress is completed accordingly to facility policies and procedures.
  • Meets all deadlines to ensure compliance with administrative requests not addressed elsewhere.
  • Follows up with nursing staff to ensure residents’ basic medical/nursing care (i.e., vital signs, weights) is provided.
  • Ensures resident budgeting, banking, shopping and personal outings are provided according to the individual goals for each resident.
  • Responsible for ensuring transports of residents are performed as needed.
  • Ensures that facility policies and procedures are followed regarding scheduling of vans and/or other transportation for clients.
  • Ensures routine maintenance checks, repairs of appliances, house equipment and physical plant are completed in a timely fashion and documented.
  • Ensures that program house is neat, clean and presentable at all times.
  • Ensures the completion and follow up of work orders as per company policy. Follows up with Director of Plant Operations when maintenance is not completed.
  • Ensures that program is in compliance with scheduled safety drills and tests as per facility Safety Plan.
  • Maintains a working knowledge of program house fire alarm system and ensures appropriate staff is trained in same.
  • Maintains accurate records for monthly program “petty cash” expenditures and ensures that facility policies and procedures are followed regarding same.
  • Assembles treatment team to conduct admissions conference with patient/resident and/or support persons.
  • Assures a secure and comforting welcome to patient/residents support person upon admission.
  • Contacts external payor source case manager/representative of the patient’s/resident’s actual admission and reviews schedule for clinical updates, upon resident’s admission,
  • Completes Case Management Assessment of resident within 24 hours of admission or by the next business day.
  • Liaison’s with the patient’s/resident’s attending physician and medical staff to ensure resident’s medical needs are met.
  • Liaison’s treatment team members and direct care staff to ensure patient’s/resident’s program and services of treatment accurately focused on resident’s deficits.
  • Coordinates with the multidisciplinary team to develop patient’s/resident’s initial plan of care (master treatment plan) within 10 days of resident’s admission.
  • Communicates with clinical team to receive medical updates and arrange for diagnostics, equipment, supplies or medical services as ordered.
  • Presents a positive and helpful working relationship with all external case managers/representatives and community agencies which demonstrates effective case management.
  • Acquires appropriate information to address payor denials necessary to receive payment due.
  • Maintains initial and ongoing documentation in the contact notes regarding patient’s/resident’s status, treatment progress, family issues, estimated length of stay and discharge needs.
  • Utilizes MediTech for “clinical notes” for billing documentation as needed.
  • Arranges proper and timely discharge planning for patients/residents in coordination with family or support persons.
  • Coordinates input and feedback from the multidisciplinary team, patient’s/resident’s family, or support persons for discharge needs from admission to actual discharge.
  • Identifies necessary community resources and verifies services are arranged to meet the patient’s/residents’ needs prior to discharge.
  • Coordinates actual discharge with patients or resident’s family/support persons, payor sources and community services to ensure a safe, timely and effective discharge is achieved.
  • Resolves patient’s/resident’s family or support person’s complaints or concerns to appropriate team member and follows up to ensure resolutions are acceptable to all parties.
  • Exhibits professional positive demeanor to residents and relevant parties offering constructive communication, cooperation and assistance to ensure a satisfactory outcome of the patient’s treatment.
  • Provides effective assistance and promotes positive relations with co-workers to achieve a collaborative team approach.
  • Provides timely information/feedback to the designated supervisor on any patient or resident/family/support person/payor source issues that could jeopardize the resident’s treatment, positive outcomes or discharge planning issues.
  • Performs other duties as assigned.



  • Minimum Bachelor’s Degree in a Human Services field, preferably a Master’s Degree with/and certification in  Recreational Therapy, Occupational Therapy, Speech Therapy, etc., or


  • Minimum two years experience in assisted living setting, or rehabilitation setting.
  • Minimum two years management and/or supervisory experience.


  • Must be certified in CPR, First Aid and preventive management of aggressive behavior.
  • Must have a valid Texas Driver’s License and good driving record.
  • Must be knowledgeable of and practice Infection control and Universal Precautions at all times.
  • Must obtain a tuberculosis test with the first 14 days of employment and on an annual basis thereafter.
  • Must pass a criminal background test at time of hire and annually thereafter.
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