Job Description

HR Services

Job Title District Lead Nurse Exemption Status/Test
Reports to Date Revised
Dept./School Health Services or Assigned Campus
Primary Purpose:
Responsible for program administration, implementation, coordination, and evaluation of a
comprehensive program of health services for district.
Valid registered nurse (RN) or advance practice RN license from the Texas Board of Nursing

Special Knowledge/Skills:
Ability to organize, direct, coordinate, and evaluate health services delivery system
Ability to implement policies and procedures
Ability to manage budget and personnel
Knowledge of school health and nursing administration
Knowledge of community medical and healthcare services
Strong organizational, communication, and interpersonal skills

8 years experience in school health, community health, pediatric/adolescent healthcare, or nursing
5 years supervisory experience
Major Responsibilities and Duties:
Program Management
1. Determine the goals, objectives, and priorities of the health services program in conjunction with nurses
and other staff and within the goals and strategic plan established by the district.
2. Identify, analyze, and apply current nursing and medical research findings to plan and provide health
care delivery for all students. Evaluate and improve school health practices and make changes based on
3. Develop programs and recommend policies related to health and safety. Provide expert advice to
district administration and other departments regarding policies, procedures, nursing, and healthcare
standards on matters impacting student, staff, and the community.

4. Collaborate with district level administration to integrate and implement health policies and practices
with priorities of the district.
5. Manage the delivery of all campus health services and ensure consistent implementation of school
health policies regarding immunizations, communicable diseases, medication, and emergency care of ill
and injured.
6. Coordinate activities of the health services program with outside agencies and members of medical and
health care community to ensure that students have access to adequate health care services. Represent
the district in collaborative community programs related to student health.
7. Serve as permanent member of district’s school health advisory committee. Participate in the
development of health education curriculum and contribute to other committees related to health and
safety issues of students and staff.
8. Coordinate department and district staff development, orientation, training, and certification as related
to health needs of students.
9. May perform duties of school nurse at assigned campus.**
10. Develop and administer health services budget based on documented needs and ensure that operations
are cost effective and funds are managed wisely.
11. Ensure that all campuses have needed healthcare supplies and resources and recommend purchase,
replacement, and repair of equipment when needed.
12. Compile, maintain, and file all reports, records, and other documents required, including accurate,
updated records of health information for all students.
13. Implement and comply with policies established by federal and state law, Texas Department of Health
rule, State Board of Education rule, and board policy.
14. Work cooperatively with principals to recruit, interview, select, train, supervise, and evaluate all health
services personnel and make recommendations about assignment, retention, discipline, and dismissal.
15. Prepare, review, and revise department job descriptions.
16. Share responsibility with principals to evaluate performance of school health services personnel to
ensure effectiveness and develop training options and improvement plans to ensure exemplary
operation in the health services area.
17. Plan and conduct professional development, orientation, training, and certification programs for nurses
and nurse assistants.


Supervisory Responsibilities:
Supervise, evaluate, and recommend the hiring and firing of school nurses and nurse aides at campuses
throughout district.
Mental Demands/Physical Demands/Environmental Factors:
Tools/Equipment Used: Standard office equipment including computer and peripherals; may use standard
medical clinic equipment including automated external defibrillator (AED)
Posture: Prolonged sitting; occasional kneeling/squatting, bending/stooping, pushing pulling, and twisting
Motion: Repetitive hand motions; frequent keyboarding and use of mouse; occasional reaching
Lifting: Occasional light lifting and carrying (less than 15 pounds)
Environment: Exposure to biological hazards, bacteria, and communicable diseases; may work prolonged or
irregular hours; frequent districtwide travel
Mental Demands: Work with frequent interruptions; maintain emotional control under stress

This document describes the general purpose and responsibilities assigned to this job and is not an exhaustive list of all
responsibilities and duties that may be assigned or skills that may be required.

Reviewed by Date

Received by Date

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