Chief Nursing Officer - Skilled Nursing Facility

• Chief Nursing Officer - Registered Nurse
• Full-Time | $135,000 - $160,000 Annually DOE |
• Sandy River Post Acute - 405 NE 5th Street, Gresham, OR 97030

We are seeking an experienced Chief Nursing Officer - Registered Nurse to lead our 78-bed skilled nursing facility in Gresham, Oregon.

We are looking for a dynamic, compassionate clinical leader who leads with integrity, drives excellence in clinical outcomes, and fosters a culture of accountability, collaboration, and empowerment.

The ideal candidate will inspire and develop our nursing team while ensuring exceptional, resident-centered care and the highest standards of clinical quality.

We’re committed to supporting our team’s well-being, professional growth, and work-life balance. Our comprehensive benefits package includes:

• Base Salary of $135,000-$160,000 Annually
• Relocation assistance to help make your transition seamless.
• Comprehensive health coverage, including medical, dental, and vision insurance.
• Paid time off, holidays, and sick leave.
• Financial protection, including life insurance and short- and long-term disability coverage.
• Retirement savings through a 401(k) plan.
• Mileage reimbursement for eligible work-related travel.
• Career growth & development with opportunities to expand your skills and advance professionally.

Meaningful, mission-driven work in a supportive environment that prioritizes exceptional patient care, teamwork, and collaboration.

Position Summary

The Chief Nursing Officer (CNO) is responsible for oversight of the daily clinical and administrative operations of the nursing department to ensure that each resident receives the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with their comprehensive plan of care.

Ensures that the nursing department’s philosophy and objectives incorporate evidence-based practice in providing high-quality care and quality of life to each resident. Serves as an advocate for the residents and staff under his/her direction.

Fosters high standards of resident care through the provision and promotion of diligent orientation and continuing education efforts, adequate levels of nursing personnel, properly prepared nursing supervisors and managers, and current policies and procedures. Works collaboratively with CEO, working as the CEO’s clinical partner.

Job Responsibilities

Lead nursing supervisors, charge nurses, and frontline staff through mentoring, coaching, supervision, and succession planning.

Establish and implement nursing policies, procedures, clinical protocols, and standards of practice.

Ensure adequate nursing coverage and appropriate staffing assignments based on resident acuity, census, and facility needs.

Oversee the delivery of safe, timely, individualized, person-centered nursing care in accordance with physician orders, resident care plans, and applicable standards.

Ensure completion and accuracy of resident assessments, care plans, clinical documentation, and required reassessments.

• Monitor clinical outcomes, implement appropriate interventions, and ensure appropriate follow-up.
• Coordinate with physicians, nurse practitioners, pharmacists, rehabilitation services, and the interdisciplinary team to promote optimal resident outcomes.
• Promote and protect resident rights, dignity, privacy, choice, and participation in care decisions.

Ensure compliance with applicable CMS requirements, state regulations, facility policies, and nursing practice standards while maintaining survey readiness.

Oversee clinical audits, regulatory investigations, incident reporting, and corrective action plans, ensuring timely reporting and follow-up of allegations of abuse, neglect, exploitation, and other reportable incidents.

Hire, train, supervise, and evaluate nursing personnel while maintaining staff competencies, required credentials, and professional accountability.

Collaborate with the Infection Preventionist to oversee infection prevention and control practices, monitor infection trends, and support outbreak prevention and response.

Participate in QAPI initiatives, interdisciplinary meetings, and care planning activities to improve quality of care and resident satisfaction.

Oversee medication administration and treatments to ensure they are provided safely and according to physician orders.

Collaborate with the Administrator and other department leaders on staffing budgets, daily operations, resident and family concerns, discharge planning, and emergency preparedness.

Perform other duties as assigned.

Requirements

• Graduate of accredited school of nursing, BSN or MSN preferred.
• An active Registered Nurse license in this state
• Three or more years of nursing experience in skilled nursing or long-term care.

Valid CPR/BLS Certification

• Knowledge of CMS regulations, state licensing requirements, resident rights, and long-term care standards.
• Strong leadership, communication, organizational, and staff management skills.

Note: All employees of Cascadia Healthcare are required to submit and be cleared to work in the facility per each state’s specific background check requirements prior to contact with patients/residents.

Ready to Make a Difference?

Cascadia Healthcare is a network of skilled nursing and rehabilitation facilities focused on delivering compassionate, outcome-driven care across the region.

Join a team where your work truly changes lives. Apply today and help patients regain independence, confidence, and quality of life.