Pivotal Health Care logo
Pivotal Health Care
West Des Moines, Iowa

Director of Nursing

Registered NurseIncludes callNo weekendsFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, nights and shift pattern and time off.

Posted 31m ago · Verified live

Job Description

  • Job Location: Cedar Ridge Village - West Des Moines, IA
  • Position Type: Full Time
  • Salary Range: Undisclosed
  • Job Category: Health Care, Cedar Ridge Village is an innovative, beautiful, 5 star, boutique style senior living community. Our mission is simple: to enrich the lives of our residents through purpose, passion & joy in life! Our Community offers several levels of living including: independent living, assisted living, short-term rehab, and long-term care. In addition to our commitment to provide quality care to our residents, we are also committed to providing a great work environment for our Team Members. Check out our google reviews!
  • Schedule: This position is part of a strong nurse management team, utilizing a very high ratio of nurse managers to residents to oversee a small skilled nursing unit within a continuing care retirement community

The role is primarily weekdays, with a predictable on-call rotation, and flexibility to balance hours during the week.

Benefits

We value and are grateful for our Team Members.

Below is a snapshot of our benefits to foster health and happiness for our team: Health, Dental, & Vision Care Plans with company cost share (full-time only) Company paid Employee Assistance Program (EAP) that includes counseling sessions for Team Members and their Family.

401(k) with company match PTO Holiday Premium Pay Volunteer Time Off Competitive Wages & Shift Differentials Referral Bonus Service Award Bonus Career Path Development Tuition Assistance & Certification Course Payment Fun & engaging team environment If you're in search of a family based organization with a culture of care and you have a passion for seniors - keep reading!

Role: We are seeking a dedicated Director of Nursing to join our team! The Director of Nursing is responsible for planning, coordinating and managing the nursing function in the Continuing Care Retirement Community.

Responsibilities

Supervising all nursing staff and ensuring staff provides quality resident care that meets or exceeds regulatory standards. Oversees nursing department budget. Oversees and manages nurse leadership positions in the community. May assist with duties of other nurse leadership positions as needed.

Assists with hiring and onboarding, training, development and retention of nursing staff. May be designated to assume responsibilities of daily operations of the facility in the Executive Director's absence. Communicates with physicians, residents, and family members regarding resident health and plan of care.

Ensures nursing staff are trained on new policies and procedures. Participates in daily, weekly, and monthly meetings. Completes reports and audits in a timely manner. Ensures nursing documentation and assessments are completed in a timely manner and in accordance with community policies.

Reviews restorative nursing procedures for each resident so as to achieve the highest possible degree of function, self-care, and independence based on resident choice, where practical, in collaboration with the MDS Coordinator. Oversees and participates in nursing on-call rotation. Promotes positive public relations with residents, family members and guests.

Qualifications

Qualifications: The Director of Nursing Services (DON) must be a Registered Nurse from an accredited college, be currently licensed without encumbrance in the state* and be responsible for maintaining professional licensure and CEU requirements.

Must have at least 3-5 of supervisory experience, preferably in a geriatric setting. Current CPR certification required.

Our Community is a part of a family of Retirement Communities which include: Colonial Village, Overland Park, KS Maggie’s Place of Colonial Village, Overland Park, KS Westchester Village, Lenexa, KS Linden Woods Village, Gladstone, MO Raintree Village, Lee's Summit, MO Prairie Vista Village, Altoona, IA Terrace Glen Village, Marion, IA Cedar Ridge Village, West Des Moines, IA Northridge Village, Ames, IA Kennybrook Village, Grimes, IA We are an equal opportunity employer and will consider all applications without regard to race, marital status, sex, age, color, religion, national origin, veteran status, disability of any other characteristic protected by law.

Our family of retirement communities are proud to be a tobacco-free campus, including but not limited to electronic cigarettes. We follow CMS and CDC protocols and guidelines. #RN #crv2024

Key Responsibilities

The Director of Nursing is responsible for planning, coordinating, and managing the nursing department to ensure high-quality resident care. This role involves supervising nursing staff, managing budgets, and ensuring compliance with regulatory standards and facility policies.

Requirements

Candidates must be a Registered Nurse with a current, unencumbered license and at least 3-5 years of supervisory experience, preferably in a geriatric setting. A current CPR certification is also required.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Nursing managementStaff supervisionRegulatory complianceBudget managementGeriatric careClinical documentationStaff trainingOn-call managementResident assessmentInterdisciplinary communicationQuality assurance

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Director of Nursing at Pivotal Health Care a 6.5 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Nursing Leadership — ranked against 1,187 active Nursing Leadership listings on WeekdayDoc. Contributing factors include no weekend requirements.

Geriatrics — Registered Nurse Career Context

Of the 50 active Registered Nurse listings this role was benchmarked against, 28% are remote, 50% have no call, 80% require no weekends.

Registered Nurse pay on WeekdayDoc is up 5.9% vs. the prior quarter (through Oct 2026).

Registered Nurse by the numbers
MeasureThis jobMarket
Work-life score6.5 / 10 · top 25% in nursing leadershipranked against 1,187 Nursing Leadership listingslisting-based score, 0–10
Listed paynot listedRegistered Nurse median $118k (middle half $99k–$135k)119 comparable listings, Nov 2026
Cost of livingIowa index 87.8US average = 100BEA Regional Price Parities (2024)
All registered nurse listings in Iowa125 active5,793 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 28% remote · 50% no call · 80% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedIowa registered nurse listings (all specialties): 18% state a sign-on bonus (median $10k) · <1% offer loan repayment125 active listings, Nov 2026
New Geriatrics listings (all professions)216 in the last 30 days175 the 30 days before (+23%)U.S., first seen on WeekdayDoc, Nov 2026
Registered Nurse pay trend (all specialties)+5.9% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index (1,187 Nursing Leadership listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. Iowa figures use all registered nurses: too few Iowa Geriatrics postings state pay.

Top Registered Nurse Jobs

31 matches · ranked by pay

Salary Distribution

26 jobs · 24 employers
9
<$100k
8
$100k-120k
6
$120k-140k
2
$140k-160k
1
$162k

Annual compensation range

Benefits & Perks

14 jobs
401k / retirement match
100% this job
Sign-on bonus
36%
CME allowance
29%

Share of similar jobs offering each benefit

#1

Case Manager, RN

Welbe Health · San Jose, California

$61.21-$78/hr
#2

Registered Nurse - Case Manager w/sign-on bonus - 5403

Vantage Search Group · Twentynine Palms, California

$125k-$156k
#3

Assistant Director of Nursing - Mental Health 616

$125k-$155k
#4

Registered Nurse - Case Manager

$60-$67/hr
+ 29 more · ranked by pay

Work-life snapshot

median 1.5this job 6.5
Better work-life than 90% of Nursing Leadership listings

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

  • No weekends
  • Includes call
Pivotal Health Care logo

About Pivotal Health Care

Hospitals and Health Care
Overland Park, Kansas
11-50 employees

Benefits & Perks

Health, Dental, & Vision Care Plans
Company paid Employee Assistance Program (EAP)
401(k) with company match
PTO
Holiday Premium Pay
Volunteer Time Off
Competitive Wages & Shift Differentials
Referral Bonus

Living in West Des Moines

Typical 3-bedroom home value
$316k
Typical market rent
$1,353/mo
Residents’ average commute
18 min
Metro price indexU.S. average = 100
91.7
State income tax
Up to 6%
Sources & methodology

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

BEA 2024 · Des Moines-West Des Moines, IA metro prices. Housing figures are city-level.

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