The Opportunity
A Director of Nursing - Labor and Delivery position is open in San Antonio, Texas. This is a full-scope leadership role carrying 24-hour operational accountability across one to two departments inside a large, well-resourced health system. If you are a senior RN leader ready to own the outcomes of a high-volume L&D unit — budget, staffing, quality performance, and regulatory compliance — this opportunity is worth your attention.
This is a permanent, full-time placement. As director, you hold 24-hour departmental responsibility, not a shift assignment. Daily expectations include directing unit operations, managing and developing staff, sustaining regulatory compliance, leading performance improvement initiatives, and maintaining consistent working relationships with medical staff and system leadership across the organization.
Relocation assistance is available for the right candidate. Interview travel is reimbursed. Full benefits are included. Compensation is Competitive Based on Experience.
Active Texas RN licensure is required. A BSN is the minimum education requirement; an MSN in Nursing, Business, or a related field is preferred. A minimum of five years of Labor and Delivery clinical experience is required, with three to five years of progressively responsible management experience preferred. Current BLS is required on hire, with AHA Healthcare Provider BLS required within 60 days. Clinical system proficiency in HED, HPF, STAR, HEV, and Accudose is required, along with competency in Microsoft Word, Excel, and PowerPoint. Management experience is required. Visa sponsorship is not available for this position.
Ready to learn more? Apply directly through this page or book a brief confidential call. Our team will walk you through the full details and answer any questions you have.
What You'll Own
- 24-hour operational accountability across one to two Labor and Delivery departments
- Direct unit operations including budget, staffing, quality performance, and regulatory compliance
- Manage and develop nursing staff across the L&D service line
- Lead performance improvement initiatives and sustain regulatory compliance
- Maintain working relationships with medical staff and system leadership
What You'll Need
- Active Texas RN licensure required
- BSN minimum; MSN in Nursing, Business, or related field preferred
- Minimum 5 years of Labor and Delivery clinical experience required
- 3–5 years of progressively responsible management experience preferred
- Current BLS on hire; AHA Healthcare Provider BLS within 60 days
- Clinical system proficiency in HED, HPF, STAR, HEV, and Accudose
- Competency in Microsoft Word, Excel, and PowerPoint
- Visa sponsorship not available
The Package
Why San Antonio?
San Antonio is one of the most livable large cities in Texas. The metro offers a cost of living well below the national average, no state income tax, and an average commute that keeps daily life manageable. Neighborhoods range from established suburban communities with highly rated school districts to walkable urban corridors close to the city's cultural core. For families and individuals alike, the quality-of-life foundation here is solid and accessible from the day you arrive.
Beyond the practical advantages, San Antonio has genuine character. The River Walk anchors the city's social and dining scene, while the Texas Hill Country begins just outside the metro — offering hiking, wineries, and weekend escapes that are difficult to match anywhere in the Sun Belt. The food scene carries national recognition, rooted in Tex-Mex tradition and expanding into a broader culinary landscape. Warm weather year-round supports an outdoor lifestyle, and the city's deep military history and cultural heritage give it an identity and depth that newer markets often lack. People come here for a job and tend to stay for the life.
Christine Eubank
VP of Recruitment — Women's/Children's/NICU/Pediatrics
Your dedicated Women's & Children's nurse recruiter. Christine personally reviews every application and will help you find your dream role — confidentially and at no cost to you. In every conversation, she discusses your experience on physician satisfaction, service lines and inpatient/outpatient volume, employee satisfaction and turnover (travelers versus full-timers), and any construction or new service line build-out you've led — so the right opportunity finds you.
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Your inquiry is never shared
Specialized Recruiter
Healthcare-only placement firm
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Immediate Review
Applications reviewed daily
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Simple 4-Step Process
How Christine Gets You Hired
No black holes. No ATS portals. No waiting weeks for a response. Here's exactly what happens when you apply.
Submit Your Info
Fill out the quick application or upload your resume. It takes less than 2 minutes — no lengthy forms, no portal logins.
Book a Strategy Call
Pick a time on Christine's calendar for a confidential 15-minute call. She'll review your background, answer questions, and share opportunities.
Get Interviewed & Hired
Christine submits you directly to hiring directors — bypassing HR gatekeepers. Most candidates get interview requests within 72 hours.
Christine Stays With You
From first call to your first day, Christine is in your corner — getting you timely answers, prepping you for interviews, and keeping the process moving so nothing stalls.
Ready to Make Your Move?
DM us directly or book a confidential 5-minute call. Skip the ATS portal — let's have a real conversation.