Director of Health Services

Innovation Through Integration.

Integrated Real Estate Group (IREG) is a vertically integrated real estate company with more than 1,200 employees across 46+ communities - and growing.

For over 20 years, we’ve developed and operated multifamily and senior living communities across Texas and Oklahoma, delivering more than 15,000 units and $2 billion in total development.

What sets IREG apart is our integrated approach, bringing together development, construction, and operations to create high-performing communities across affordable housing, workforce housing, and market-rate living, including multifamily, active adult, independent living, assisted living, and memory care.

At IREG, innovation isn’t just what we build - it’s how we operate, grow, and develop our people.

We build communities and develop the people who lead them.

We’re looking for a compassionate and operationally strong Director of Health Services to oversee nursing and wellness services within our Assisted Living community - ensuring residents receive exceptional care while leading and developing a high-performing clinical team.

This role is ideal for a hands-on nursing leader who thrives in senior living, values resident relationships, and can balance clinical excellence with team leadership and operational accountability.

As the Director of Health Services, you will oversee the daily clinical operations of the community, including resident assessments, medication management, care planning, staffing, compliance, and team development.

You’ll partner closely with community leadership, residents, families, physicians, and outside healthcare providers to ensure residents receive high-quality, dignified care in a safe and supportive environment.

This role plays a critical leadership function within the community and directly impacts resident wellness, family satisfaction, regulatory compliance, and overall care quality.

• Lead and oversee all nursing and supportive care services within the Assisted Living community
• Ensure residents receive compassionate, resident-centered care that promotes dignity, safety, and overall wellness
• Conduct and oversee resident assessments, service plans, and ongoing wellness monitoring
• Monitor resident condition changes and ensure appropriate interventions, communication, and documentation
• Oversee medication management processes, physician orders, treatments, and clinical documentation
• Recruit, train, coach, supervise, and develop nursing and care staff
• Build staffing schedules and maintain appropriate clinical coverage to meet resident and regulatory needs
• Coordinate resident care conferences with families, physicians, and healthcare providers
• Maintain compliance with all state regulations, OSHA standards, company policies, and clinical best practices
• Develop systems and processes that support quality care, operational efficiency, and positive resident outcomes
• Manage clinical supplies, healthcare inventory, and departmental purchasing within budget guidelines
• Support move-ins, resident transitions, and family communication throughout the resident journey

• Residents receive high-quality care in a safe, supportive, and respectful environment
• Clinical documentation, medication management, and compliance standards are consistently maintained
• Nursing and care teams are properly staffed, trained, and engaged
• Families feel informed, supported, and confident in the care being provided
• Resident care concerns are addressed proactively and professionally
• The community maintains strong survey readiness and operational compliance

• Licensed Vocational Nurse (LVN/LPN) or Registered Nurse (RN) with a current Texas license in good standing REQUIRED
• Minimum of 2 years of geriatric nursing experience required
• Minimum of 2 years of nursing leadership, supervisory, or healthcare management experience required
• Senior living, Assisted Living, Memory Care, or long-term care experience strongly preferred
• Experience leading and developing direct care staff in a healthcare environment
• Strong clinical assessment, documentation, and medication management experience
• Strong systems, staffing, and process management skills
• Comfortable utilizing technology systems daily to manage resident care, medications, and clinical tracking
• Strong interpersonal, communication, and organizational skills
• Ability to communicate effectively with residents, families, physicians, leadership, and team members

• You lead with empathy, accountability, and professionalism
• You stay calm and solution-focused in fast-paced situations
• You build trust quickly with residents, families, and staff
• You combine strong clinical judgment with operational organization
• You are passionate about serving seniors and developing strong care teams

Integrated Real Estate Group is a leader in senior living and multifamily housing, focused on building high-performing communities through strong leadership, operational excellence, and a commitment to resident experience.

We’re growing - and we’re looking for people who want to grow with us.

Integrated Real Estate Group is an Equal Opportunity Employer and participates in E-Verify for employment authorization verification.

If you’re ready to lead clinical operations that directly impact resident wellness and quality of life, we want to hear from you.

Apply today.

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