Clinical - Area Director of Nursing
Listed compensation
$118k-$126k
The week · per this posting · weekdays assumed
Ask the employer about the work setting, call expectations and nights and shift pattern.
Job Description
Area Director of Nursing
Position Summary
The Area Director of Nursing Services helps create a joyful and vibrant community by supporting the nursing function across assigned Fieldstone Communities.
This position requires frequent travel and assignment flexibility.
Essential Job Functions
Fosters a resident-centered approach to the planning and delivery of services to residents, supporting residents’ rights to participate in decision-making and treating residents with dignity and respect.
Provides interim nursing leadership and operational support to assigned communities during vacancies, leaves of absence, transitions, surveys, and other periods of clinical need.
Assists with Quality Assurance in collaboration with the Executive Director
Assesses health, functional and psychosocial status of residents, initiating individualized service plans, proactively managing care and services for each resident, and maximizing the resident’s opportunity to remain in the assisted living or memory care environment.
Ensures that residents’ care needs are met by coordinating with other community professionals, including physicians, discharge planners, nurses, home health agency staff, case managers, and state agency personnel. Arranges ancillary services, such as pharmacy, podiatry, lab, and x-ray as needed. Provides or arranges intermittent or temporary nursing services for the residents.
Delegates nursing tasks as allowed under applicable nursing laws and practice acts, communicating regularly with residents, their families, and their health care practitioners.
Seeks out additional expertise and advice when needed to assure residents’ needs are met and proper practices followed.
Provides training, supervision, monitoring of staff as they provide personal care, medication management, and other health related services, assuring philosophy of care is practiced.
Communicates regularly with residents’ families regarding health care needs. Provides instruction and reassurance for residents and families in maintaining health and managing medical conditions.
Problem-solves with Executive Director to manage residents with challenging needs. Assists in assessing urgent problems and advises, supports and problem-solves with the Executive Director in actions to take when health concerns arise.
Sees that all resident care is properly documented, that resident records are completed in a timely manner and maintained according to company policies.
Provides support, training, and oversight related to electronic health records (EHR), electronic medication administration records (eMAR), clinical documentation systems, healthcare technology platforms, and related reporting tools to promote regulatory compliance, operational efficiency, and quality resident care.
Maintains up-to-date knowledge of all rules and regulations pertaining to resident care. Applies new knowledge to meet the changing needs of residents.
Attends and participates in required meetings and trainings. Stays current on all system assigned tasks and duties.
Performs other tasks/duties as assigned.
Cascadia Senior Living is committed to providing a safe, inclusive, and supportive environment for our residents and team members.
Experience, Qualifications & Skills
Bachelor of Science in Nursing, Associate Degree in Nursing, or a Diploma in Nursing from an accredited nursing program. RN or LPN license must be in good standing.
Minimum of 2 years working in geriatric nursing, including experience with medication administration, delivery systems and pharmacies.
Demonstrated knowledge of assisted living, memory care, and applicable state regulations. Experience with regulatory surveys, survey readiness, Plans of Correction, and quality assurance processes preferred.
One year of leadership, supervisory, or management experience in senior living or healthcare settings, with experience in staff development, training, scheduling, and clinical operations preferred.
General computer literacy and good knowledge of Microsoft Outlook, Excel, and Word. Working knowledge of office machines (copier, fax, phone system, etc.).
- Demonstrates basic computer knowledge and ability with an aptitude to learn company applications.
- Ability to creatively problem-solve in resident care and healthcare operations.
- Maintains a current First Aid and CPR.
- Pass a Criminal Background and fingerprint check.
- Has compassion and a special interest in working with the senior population.
Ability to work a flexible schedule, including weekends, holidays and overtime, to meet the requirements of the position.
Ability to relate positively and communicate appropriately with residents, families, community members, volunteers and other employees.
- Maintains clean, neat, comfortable, safe environment for residents, staff, and visitors.
- Ability to read, write, speak and understand English
- Meets all mandatory health requirements by State regulations.
- Ability to work independently (with minimum supervision)
- Maintains current Food Handlers Card.
Physical Demands
The physical demands described here are representatives of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee frequently is required to use hand to finger, handle, or feel, and reach with hands and arms. The employee is occasionally required to stand and walk.
The employee must occasionally lift and/or move residents. Lifting 25-50 pounds occasionally. Reaching below shoulder height frequently. Kneel; stoop and squat are required occasionally. Standing long periods of time.
What We Offer
Competitive Compensation Program - Actual pay rate will be calculated based on relevant years of experience and education/certification requirements.
- Health Care
- Medical, Dental and Vision plans
- Savings and Spending accounts to set money aside tax-free for health care and dependent care expenses. HSA account includes employer contribution
Extra Benefits
- Sick time accrues at 2.17 hours every pay period (24/year), available for use after 90-days
- Paid time off accrues at 2.85 hours every pay period (24/year), available for use after 90-days
- Floating Holiday: 3.47 hours accrues every pay period (24/year), up to 56 hours annually
- Seven paid holidays: New Year's Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Thanksgiving Day and Christmas
- Up to 3 days Bereavement Leave
Employer Paid Life Insurance
- Traditional and Roth 401(k) with annual employer discretionary contribution after 12 months and 1000 hours worked, semi-annual enrollment
- Cascadia Assistance Fund to provide financial help with hardships or continuing education
- Employee Assistance Program
Key Responsibilities
The Area Director of Nursing provides interim leadership and operational support across assigned communities to ensure high-quality resident care and regulatory compliance. They oversee clinical documentation, staff training, and the implementation of individualized service plans while managing health-related services.
Requirements
Candidates must hold a degree in nursing (BSN, ADN, or Diploma) and possess a valid RN or LPN license. A minimum of two years in geriatric nursing and one year of leadership experience in a healthcare setting is required.
Qualifications
- Education
- Bachelor degree
- Experience
- 2+ years of experience
Key Skills
Ambulatory Care Nursing — Registered Nurse Career Context
Of the 46 active Nursing Leadership listings this role was benchmarked against, 28% are remote, 59% have no call, 63% require no weekends.
The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$122k midpoint carries the purchasing power of roughly $114k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 3.0 / 10 · above average in nursing leadership | ranked against 1,187 Nursing Leadership listingslisting-based score, 0–10 |
| Cost-of-living adjusted pay | ~$114k in purchasing power | Washington index 107.0 (US = 100)BEA Regional Price Parities (2024) |
| Nursing Leadership listings in Washington | 108 active | 5,864 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 28% remote · 59% no call · 63% no weekends46 benchmarked listings |
| Sign-on & loan repayment | not stated | Washington Registered Nurse listings: 12% state a sign-on bonus · 9% offer loan repayment108 active listings, Nov 2026 |
| New Ambulatory Care Nursing listings | 187 in the last 30 days | 69 the 30 days before (+171%)U.S., first seen on WeekdayDoc, Nov 2026 |
Location & Logistics
Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$122k midpoint, that is roughly $5k–$9k a year versus a typical 4–7% state rate.
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