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Assistant Director, Detention Health Care Services at University Health

University Health No longer available $33 - $79/year

Job Description

POSITION SUMMARY/RESPONSIBILITIES

Primary responsibility is acting as a clinical leader and resource within the Detention Health Care Services Adult division. Responsible for oversight of day-to-day operations within assigned areas to ensure high quality, efficient patient care. Serves as a nursing liaison and primary information resource and contact. Uses the quality processes and best practice to improve clinical operations. Provides support and direction for quality improvement, personnel, and general operations by working towards departmental goals. Serves as a liaison between physicians, nursing staff, ancillary departments and the Bexar County Sheriff's Office for the coordination of patient care. Must be clinically competent in caring for assigned patient population. Must work collaboratively with all members of the healthcare team.

EDUCATION/EXPERIENCE

Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Must have current American Heart Association, and Health Care Provider card. National certification (e.g. CCHP) in related field is preferred. Three or more years nursing experience within the correctional setting. The employee must also be fully clinically competent and maintain at least an above standard score on annual evaluations, achieve and maintain all required unit competencies and demonstrate customer relations and organizational commitment. External applicants must have at least one (1) year in an equivalent management capacity.

LICENSURE

Current license from the Board of Nurse Examiners of the State of Texas to practice as a Registered Nurse is required.

$69k - $164k exceeds typical entry-level pay for Home Health and Personal Care Aides nationally

National salary averages

Entry role paying above senior rates

$69k - $164k
↑ 284% vs typical entry-level
Entry
Mid
Senior
This job
$26k Market range (10th-90th percentile) $44k

Pay increases slowly with experience in this field.

Raises may be modest; negotiate well upfront.

Hot hiring, constrained wages

Employers are hiring actively, but pay hasn't caught up with demand. Focus on competing offers and non-salary benefits.

Hiring leverage
Candidate-favored
Wage leverage âš  Disconnect
Limited
Mobility
High mobility
Durability
Somewhat fragile

Who this leverage applies to

Stronger for: Senior candidates with options
Weaker for: Entry-level candidates, Career switchers

Where to negotiate

Base salary
Sign-on bonus
Title / level
Remote flexibility
Scope & responsibility
Start date / PTO

Likely Possible Unlikely

Watch out for

Wage disconnect: Hiring is active but pay hasn't responded—negotiate on other terms.

Use competing offers and timing to your advantage.

Does this path compound?

Job Growth →
High churn
Growth, flat pay
🚀 Compound
Growth + pay upside
⚠️ Plateau
Limited growth
Specialize
Experts earn more
Pay Upside →
High turnover market

Many openings, but pay doesn't scale as much with experience.

+17%
10yr growth
765,800 openings projected annually—mostly replacing retirees and turnover.
Typical: High school diploma or equivalent

Good time to build expertise—demand will chase supply.

Labor data: BLS 2024