Director of Nursing
Compensation
Pay not listed
The week · per this posting · weekdays assumed
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Job Description
Job DetailsJob Location: Lenox, IA 50851Position Type: Full TimeAt Campbell Street, you’ll find purpose, growth, and a team that has your back. We’re committed to creating a workplace where you can thrive – personally and professionally, while making a real difference in the lives of others. If you’re ready to be part of a team that truly cares – we’re ready for you.
ABOUT CAMPBELL STREET Great Place to Work® Certified Same-Day Pay + Flexible Scheduling 401(k) Match + Certification Reimbursement Mission: Developing Exceptional People Who Drive Extraordinary Care SMART Values: Servant Leadership, Mirror First, Always Do the Right Thing, Resilience, and Transparency Extra Perks Referral Bonus opportunities for ALL positions Succession planning – true career growth planning & opportunities Annual leadership development summits Scholarship opportunities POSITION SUMMARY The DON leads and manages the nursing department and is ultimately accountable to ensure the highest quality nursing care is received by residents.
The DON interprets nursing policies and procedures in collaboration with the Director of Clinical Services to support the provision of nursing care and delegated medical care.
All work is performed and guided by the Residents’ Bill of Rights and abides by the facility Quality Assurance and Performance Improvement (QAPI) program. The major challenges of this position are the recruitment and retention of qualified licensed and non-licensed personnel.
ESSENTIAL RESPONSIBILITIES AND DUTIES Oversee hiring, terminating and development of nursing staff.
Monitors job performance and performance evaluations of nursing staff, completes performance evaluations of Assistant Director of Nursing Services, Restorative Care Coordinator, Care Plan Coordinator, Medical Records Clerk, Nurse Supervisors, all Nursing Direct Care Partners and recommends employee promotions and terminations to the Administrator.
Monitors ongoing staff development programs for all nursing personnel. Monitors the staffing levels of various nursing sections; directs staff rotations and reschedules personnel to meet increased or decreased nursing service demands.
Develops nursing service objectives, policies and procedures and directs their implementation. Continuously monitors Federal and State guidelines and requirements; revises departmental procedures accordingly. Recommends in-service educational programs geared to the specialized needs of geriatric patients.
Functions as a liaison between the elders, their families, staff, and the public - responding to inquiries and providing information on nursing care and services and may screen prospective elders to assure that staff has the ability to provide the care needed.
Assures that there is compliance with the regulations pertaining to care plans and elder assessments. monitors the quality of care provided to elders with dementia and assists in the assessment process for admission to and exit from the unit.
This position also monitors the success of the Restorative Care Program in providing restorative nursing that maximizes each elder’s existing abilities. This position collaborates with contract therapy companies to enhance the quality of care for the elderly.
This position assists with the preparation of the Departmental annual budget and maintains the operating budgets for personnel and medical equipment and makes budget recommendations to the purchase of such equipment.
The Director of Nursing Services is responsible for overseeing and implementing infection control, pharmaceutical and physical/chemical restraint policies, and procedures, and assures that committee recommendations are carried out.
SUPERVISION AND MANAGEMENT Manages, supervises, and evaluates nursing practices, articulates expectations, and provides corrective guidance as needed. Prioritizes work assignments consistent with level of staff available and resident care acuity. Ensures proper staffing level, working as staff nurse if needed.
Ensures duties re complete, following up with delegated tasks and reviews departing staff reports. Provides nursing reports to staff regarding daily resident care needs and significant changes in condition. Maintains knowledge of disaster procedures and implements if needed.
Promptly reports and documents incidents and errors involving residents, staff, visitors, or self.
Include: Medical, Dental, and Vision Insurance Long-Term & Short-Term Disability Paid Life Insurance Policy + Additional Voluntary Life Insurance Accident & Critical Illness Insurance Matching 401(k) Retirement Plan Same-Day Pay Generous Paid Time Off (PTO) Employee Assistance Program (EAP) At Campbell Street, your well-being, growth, and financial future matter—join us and experience the support you deserve!
Important Notice: Campbell Street will never ask candidates to pay for job placement, training, or provide banking or financial information during the hiring process.
If you receive an unsolicited offer or interview request that seems suspicious, please contact us directly at adekkers@campbellstreetsl.com to verify its legitimacy.
Campbell Street provides equal employment opportunities (EEO) to all employees and applicants in accordance with applicable federal, state, and local laws. We prohibit discrimination and harassment of any type and make all employment decisions based on qualifications, merit, and business needs.
Qualifications
QUALIFICATIONS Education and Experience Graduation from an accredited School of Nursing. Current Registration as a Registered Nurse for the state in which the facility is located.
Current Certification in Cardiopulmonary Resuscitation (CPR) and emergency care Preferred Three years of experience in skilled nursing and/or assisted living community.
Significant critical care and operations management experience Required Skills and Abilities Strong understanding of skilled nursing standards of care Strong understanding of federal and state regulations including Medicare, Medicaid, and Managed Care reimbursement rules Very high level of professionalism Excellent communication skills Compassionate leadership qualities Strong critical thinking skills and adaptability Leadership; achieves established goals through inspiration and loyalty of staff.
Resilience: ability to welcome constructive feedback, course correct and not take it personally Personability; ability to get along with all personality types and inspire trust with residents, staff, family High emotional intelligence (EQ) Ability to actively listen, with the goal of understanding. Ability to clearly speak and proficiently read, write, and understand English.
Key Responsibilities
The Director of Nursing leads and manages the nursing department to ensure high-quality care for residents while overseeing staff hiring, training, and performance. They are responsible for maintaining compliance with federal and state regulations, managing departmental budgets, and implementing clinical policies.
Requirements
Candidates must be a Registered Nurse with graduation from an accredited School of Nursing and current CPR certification. At least three years of experience in skilled nursing or assisted living, along with strong operations management skills, is preferred.
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 2+ years of experience
Certifications
Key Skills
Nursing Administration — Registered Nurse Career Context
Of the 50 active Registered Nurse listings this role was benchmarked against, 16% are remote, 48% have no call, 76% require no weekends.
Registered Nurse pay on WeekdayDoc is up 4.2% vs. the prior quarter (through Oct 2026).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 2.8 / 10 · above average in nursing leadership | ranked against 1,187 Nursing Leadership listingslisting-based score, 0–10 |
| Listed pay | not listed | Registered Nurse median $113k (middle half $97k–$133k)110 comparable listings, Nov 2026 |
| Cost of living | Iowa index 87.8 | US average = 100BEA Regional Price Parities (2024) |
| Nursing Administration listings in Iowa | 7 active | —live on WeekdayDoc, Nov 2026 |
| All registered nurse listings in Iowa | 126 active | 5,753 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 16% remote · 48% no call · 76% no weekends50 benchmarked listings |
| Sign-on & loan repayment | sign-on bonus | Iowa registered nurse listings (all specialties): 17% state a sign-on bonus (median $10k) · <1% offer loan repayment126 active listings, Nov 2026 |
| New Nursing Administration RN listings | 115 in the last 30 days | 129 the 30 days before (−11%)U.S., first seen on WeekdayDoc, Nov 2026 |
| Registered Nurse pay trend (all specialties) | +4.2% vs prior quarter | —through Oct 2026 |
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