DIRECTOR OF NURSING
Listed compensation
$160k-$170k
The week · per this posting · weekdays assumed
Ask the employer about the work setting, call expectations, weekend coverage and time off.
Job Description
- Position Title: Director of Nursing
- Department: Nursing Administration
- Reports To: Chief Nursing Officer
- FLSA Status: Exempt
Job Summary
Responsible for daily operations including budget, program development and nursing services of the Long Term Acute Unit and its clinical partners at Sonoma Specialty Hospital.
Job Duties and Responsibilities
- Direct and coordinate the daily clinical and administrative operations of the nursing department to ensure the delivery of high-quality, evidence-based patient care for the facility's 58 medically complex patients.
- Provide strategic leadership and oversight for specialty nursing departments, including but not limited to Wound Care and Dialysis, ensuring they meet clinical, regulatory, and quality standards.
- Develop, implement, and evaluate nursing and clinical department goals, objectives, standards of performance, policies, and procedures in alignment with the hospital's mission and strategic plan.
- Ensure compliance with all federal, state, local, and accrediting body regulations and standards (DNV, CMS, CDPH), maintaining survey readiness at all times.
- Lead quality improvement initiatives, including the facility’s QAPI program, by setting unit-specific goals, monitoring quality metrics, and reporting progress to senior leadership and quality councils.
- Conduct thorough investigations of adverse events and patient grievances, analyzing data to discern trends and identify opportunities for clinical advancement and risk mitigation.
- Foster a culture of safety and continuous learning by promoting evidence-based practice and providing ongoing education and professional development for nursing staff.
- Collaborate with the Hospital Administrator to identify resource requirements, develop the nursing department's budget, and establish overall standards of nursing productivity.
- Oversee staffing plans and patient classification systems daily to ensure the appropriate number and skill level of nursing personnel are available to meet the immediate and complex needs of the patient population.
- Manage cost controls effectively to ensure the maximum effectiveness of funds expended, responding to budget variances with justifications and corrective measures as needed.
- Provide guidance, counsel, and mentorship to nursing leadership, managers, and staff to promote a professional environment that supports accountability, autonomy, and high morale.
- Assist in recruitment and retention efforts by planning and implementing creative initiatives to attract and retain key nursing talent.
- Oversee the orientation, competency assessment, and evaluation of all nursing personnel, ensuring they meet the qualifications and experience required for their roles.
- Work closely with managers from other disciplines (Case Management, Respiratory Therapy, Rehabilitation) to coordinate patient care and streamline processes to enhance patient satisfaction and outcomes.
- Facilitate and participate in multidisciplinary team meetings to develop and implement patient-specific care plans and discharge plans.
- Serve as a visible advocate for the hospital in the community and collaborate with area nursing programs, other healthcare institutions, and medical staff to plan and implement clinical services and programs.
- Be well versed in all aspects of the nursing floor operations, being able to step into any role if needed.
Key Responsibilities
The Director of Nursing is responsible for the daily clinical and administrative operations of the nursing department, including budget management and program development. They provide strategic leadership to ensure high-quality patient care and regulatory compliance across specialty units.
Requirements
The candidate must possess extensive experience in nursing leadership and clinical operations management. They are expected to be well-versed in federal and state healthcare regulations and capable of overseeing complex staffing and quality improvement initiatives.
Qualifications
- Experience
- 10+ years of experience
Key Skills
Nursing Administration — Registered Nurse Career Context
Of the 50 active Nursing Leadership listings this role was benchmarked against, 38% are remote, 56% have no call, 76% require no weekends.
The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$165k midpoint carries the purchasing power of roughly $149k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Top Registered Nurse Jobs
32 matches · ranked by paySalary Distribution32 jobs · 25 employers
Annual compensation range
Benefits & Perks22 jobs
Share of similar jobs offering each benefit
Clinical Nurse Educator, MBC and Davies ICU
Sutter Health · San Francisco, California
Oncology Nurse Educator - Los Angeles N, CA
Abb Vie · Los Angeles, California
Oncology Nurse Educator - San Francisco, CA
$132k-$238kDirector of Nursing (Remote)
$127k-$211k