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Campbell Street
Shenandoah, Iowa

$10,000 RETENTION BONUS - Director of Nursing

Registered NurseFull-Time

Compensation

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Job Description

Job Details:

Job Location: Shenandoah GardenView - Shenandoah, IA, Position Type: Full Time, Salary Range: Undisclosed, $10,000 RETENTION BONUS | Full-Time Leadership Opportunity Lead with Purpose. Inspire Your Team. Make a Lasting Impact.

Are you an experienced nursing leader who is passionate about resident care, clinical excellence, and building strong teams? Campbell Street is seeking a dedicated Director of Nursing (DON) to lead our nursing department in Shenandoah, Iowa.

This is an opportunity for a seasoned clinical professional who understands the complexities of long-term care and skilled nursing and is ready to make a meaningful difference for residents, families, and staff.

We are looking for a hands-on, solutions-oriented leader with extensive LTC/SNF experience, strong clinical judgment, and the ability to develop a dependable, accountable nursing team.

If you thrive in a leadership role where quality of care, regulatory compliance, and employee engagement are equally important, we would love to connect with you. Join our team full-time and receive a $10,000 retention bonus!

ABOUT CAMPBELL STREET At Campbell Street, our mission is simple: Developing Exceptional People Who Drive Extraordinary Care. We are proud to be Great Place to Work® certified and committed to creating an environment where employees feel supported, valued, and empowered to succeed.

We understand that providing extraordinary care starts with investing in the people who deliver it. Our leaders have access to support from clinical, operations, human resources, business development, business office, and talent acquisition teams to help drive success within their communities.

Guided by our SMART Values — Servant Leadership, Mirror First, Always Do the Right Thing, Resilience, and Transparency — we strive to build strong teams, foster accountability, and create a lasting, positive impact on the residents and communities we serve.

We offer a comprehensive benefits package, professional development opportunities, and resources to support your success as a clinical leader.

POSITION SUMMARY The Director of Nursing is responsible for the overall leadership, management, and clinical oversight of the nursing department, ensuring residents receive safe, compassionate, person-centered care that meets established clinical standards and applicable state and federal regulations.

This role provides strategic and hands-on leadership across nursing services, including staffing, recruitment and retention, clinical outcomes, infection prevention, quality assurance, care planning, and staff development.

The DON partners closely with the Administrator and Campbell Street's clinical and operational leadership to strengthen department performance, promote regulatory readiness, and maintain a culture of accountability and continuous improvement.

The ideal candidate brings extensive long-term care or skilled nursing experience, a strong understanding of regulatory expectations, and the leadership skills necessary to build trust, develop staff, and navigate the daily operational challenges of a skilled nursing environment.

KEY RESPONSIBILITIES Clinical Leadership & Quality of Care Provide oversight of nursing services to ensure residents receive high-quality, individualized care that promotes safety, dignity, and the highest possible quality of life.

Monitor clinical outcomes, resident assessments, care plans, documentation, and changes in condition to ensure appropriate and timely interventions. Oversee infection prevention and control, medication management, restorative nursing, dementia care, and other clinical programs as applicable.

Lead quality assurance and performance improvement (QAPI) initiatives, identify opportunities for improvement, and implement sustainable corrective actions. Ensure compliance with applicable federal and Iowa state regulations, licensing requirements, and established clinical policies and procedures.

Support survey readiness, respond to identified deficiencies, and oversee the development and implementation of corrective action plans. Nursing Team Leadership & Retention Lead recruitment, selection, onboarding, training, coaching, and retention efforts for licensed and non-licensed nursing personnel.

Establish clear expectations, promote accountability, and foster a positive, collaborative work environment. Evaluate employee performance, provide constructive feedback, recognize achievements, and address performance concerns appropriately.

Monitor staffing levels and resident acuity to ensure appropriate nursing coverage and continuity of care. Develop staffing strategies that reduce turnover, minimize reliance on overtime and agency staffing, and support long-term workforce stability.

Identify staff development opportunities and ensure nursing personnel receive appropriate education, competencies, and ongoing training. Provide hands-on clinical support when necessary to maintain resident care and department operations.

Operational & Regulatory Management Partner with the Administrator and organizational leadership to establish departmental goals, monitor performance, and align nursing operations with community objectives.

Oversee nursing department budgets, staffing resources, supplies, and equipment to support efficient operations and responsible resource management. Maintain accurate clinical documentation, resident assessments, care plans, and required reports.

Oversee appropriate reporting, investigation, and documentation of incidents, accidents, medication errors, and changes in resident condition. Coordinate with physicians, residents, families, ancillary service providers, and other departments to support continuity of care and effective communication.

Participate in interdisciplinary meetings, care conferences, and organizational initiatives that support resident outcomes and community performance. Maintain emergency preparedness and ensure nursing staff understand and follow established emergency procedures.

Resident & Family Relationships Promote a resident-centered culture that respects each individual's rights, preferences, and dignity. Serve as a clinical resource for residents, families, and staff, addressing concerns professionally and promptly.

Build strong working relationships with physicians, department leaders, and external healthcare partners. Support a culture of transparency, compassion, and continuous improvement throughout the community.

WHAT WE'RE LOOKING FOR We are seeking an experienced clinical leader who understands the unique demands of long-term care and skilled nursing and can confidently lead a nursing department through both day-to-day challenges and long-term improvement initiatives.

COMPENSATION & BENEFITS Receive a $10,000 Retention Bonus! Campbell Street recognizes the importance of strong clinical leadership and is excited to offer a $10,000 retention bonus for this full-time Director of Nursing opportunity.

Bonus eligibility, payment timing, and applicable retention requirements will be provided during the hiring process.

Our benefits package includes: Medical, dental, and vision insurance Long-term and short-term disability coverage Company-paid life insurance, with additional voluntary coverage available Accident and critical illness insurance Matching 401(k) retirement plan Same-day pay Generous paid time off (PTO) Employee Assistance Program (EAP) Continuing education and license renewal support Certification reimbursement and professional development opportunities At Campbell Street, we believe strong clinical leadership makes a difference.

We are committed to supporting our leaders as they build strong teams, strengthen clinical outcomes, and provide extraordinary care. READY TO MAKE A DIFFERENCE?

If you are an experienced nursing professional ready to lead with purpose, strengthen a clinical team, and make a lasting impact on the lives of residents, we encourage you to apply. Join Campbell Street and help us develop exceptional people who drive extraordinary care.

Important Notice: Campbell Street will never ask candidates to pay for job placement or training, or to provide banking or financial information during the hiring process. If you receive a suspicious offer or interview request, please contact kgarrett@campbellstreetsl.com to verify its legitimacy.

Qualifications: Required

Qualifications

Graduation from an accredited school of nursing. Current, active Registered Nurse (RN) license in the state of Iowa, in good standing. Extensive experience in long-term care (LTC), skilled nursing facility (SNF), or a comparable post-acute care environment.

Strong knowledge of clinical standards, resident rights, care planning, infection prevention, and applicable state and federal regulations. Demonstrated ability to lead, coach, develop, and retain nursing personnel. Strong critical-thinking, problem-solving, organizational, and communication skills.

Ability to manage competing priorities while maintaining a focus on resident safety and quality of care. Current CPR certification or the ability to obtain and maintain required certification.

Preferred

Qualifications

Previous experience as a Director of Nursing, Assistant Director of Nursing, or other clinical leadership role in a skilled nursing environment. Experience with survey preparation, regulatory compliance, QAPI, and clinical performance improvement.

Specialized clinical experience in areas such as dementia care, wound care, infection prevention, restorative nursing, or complex resident care. Experience improving staffing stability, reducing turnover, and strengthening clinical outcomes.

Experience managing nursing department budgets, staffing plans, and operational performance. LEADERSHIP QUALITIES THAT MATTER Servant Leadership: Leads by example, supports the team, and prioritizes resident well-being.

Accountability: Sets clear expectations, follows through on commitments, and addresses challenges directly. Emotional Intell

Key Responsibilities

The Director of Nursing is responsible for the overall clinical oversight, management, and leadership of the nursing department to ensure high-quality, person-centered care. This role involves managing staffing, regulatory compliance, quality assurance initiatives, and fostering a culture of accountability and professional development.

Requirements

Candidates must hold a current, active Registered Nurse (RN) license in the state of Iowa and possess extensive experience in long-term care or skilled nursing environments. Strong leadership, clinical judgment, and a deep understanding of federal and state healthcare regulations are required.

Qualifications

Experience
5+ years of experience

Key Skills

Long-term care managementNursing administrationResident care planningStaff recruitmentBudget managementCrisis managementInterdisciplinary collaboration

Long Term Care — Registered Nurse Career Context

Of the 50 active Registered Nurse listings this role was benchmarked against, 26% are remote, 72% have no call, 78% require no weekends.

The cost-of-living index for Iowa is 87.8 (US average = 100; BEA Regional Price Parities (2024)). 59.8% of Iowa clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Registered Nurse pay on WeekdayDoc is up 6.4% vs. the prior quarter (through Sep 2026).

Top Registered Nurse Jobs

35 matches · ranked by pay

Salary Distribution29 jobs · 28 employers

7
<$85k
10
$85k-110k
7
$110k-135k
4
$135k-160k
1
$165k

Annual compensation range

Benefits & Perks25 jobs

401k / retirement match
92% this job
CME allowance
20% this job
Sign-on bonus
16% this job
Loan repayment
12%
PSLF eligible
4%

Share of similar jobs offering each benefit

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Work-life snapshot

median 1.5this job 1.5
Better work-life than 30% of Nursing Leadership listings

Listing-based score, 0–10, across 1,187 comparable listings. Shaded area = the share scoring below this one.

Living in Shenandoah

Typical 3-bedroom home value
$166k
Median resident rent
$774/mo
Residents’ average commute
15 min
State income tax
Up to 6%
Sources & methodology

Sources: Zillow home values (Aug 2026), U.S. Census ACS 2024 five-year.

City-level figures. Not a cost-of-living guarantee.

Campbell Street logo

About Campbell Street

Hospitals and Health Care
Des Moines, IA
51-200 employees

Benefits & Perks

$10,000 Retention Bonus
Medical Insurance
Dental Insurance
Vision Insurance
Long-term Disability
Short-term Disability
Company-paid Life Insurance
Voluntary Life Insurance