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Ensign Services
El Cajon, California

Director of Nursing

Registered Nurse Above average in Nursing Administration (RN)Full-Time

Listed compensation

$110K - $170K

Listing transparency4 of 6 stated

Ask the employer about weekend coverage and nights and shift pattern.

Employment & setting
Full-Time · on-site
Call expectations
Includes call
Weekends
Not specified
Posted 1mo ago

Job Description

Magnolia Post Acute Care

Come join our team and start making a difference!

Pay: $110,000.00 - $170,000.00 per year

*

MUST HAVE EXPERIENCE WORKING AS A DON or ADON in a licensed Skilled Nursing

Facility

*

The primary purpose of this position is to plan, organize, develop and direct
the overall operation of our Nursing Service Department in accordance with
current federal, state, and local standards, guidelines, and regulations that
govern our facility, and as may be directed by the Administrator and the Medical
Director, to ensure that the highest degree of quality care is maintained at all
times.

Duties and Responsibilities

* Develop, implement, and maintain an ongoing quality assurance program for the
nursing service department.
* Participate in facility surveys (inspections) made by authorized government
agencies.
* Assist the Quality Assessment & Assurance Committee in developing and
implementing appropriate plans of action to correct identified deficiencies.
* Assist the Discharge Planning Coordinator in developing, implementing, and
periodically updating the written procedures for the Discharge Planning
Program.
* Perform administrative duties such as completing medical forms, reports,
evaluations, studies, charting, etc., as necessary.
* Serve on, participate in, and attend various committees of the facility as
required, and as appointed by the Administrator.
* Schedule, attend, and participate in developing the agenda for Care Plan
Committee meetings as necessary.

Personnel Functions

* Assign a sufficient number of licensed practical and/or registered nurses for
each tour of duty to ensure that quality care is maintained.
* Ensure that a sufficient number of certified nursing assistants are assigned
for each tour of duty to ensure that routine nursing care is provided to meet
the daily nursing care needs of each resident.
* Make daily rounds of the nursing service department to ensure that all
nursing service personnel are performing their work assignments in accordance
with acceptable nursing standards.
* Monitor absenteeism to ensure that an adequate number of nursing care
personnel are on duty at all times.

Nursing Care Functions

* Participate in the interviewing/screening and selection of residents for
admission to the facility.
* Provide the Administrator with information relative to the nursing needs of
the resident and the nursing service department's ability to meet those
needs.
* Inform nursing service personnel of new admissions, their expected time of
arrival, room assignment, etc.
* Review nurses' notes to ensure that they are informative and descriptive of
the nursing care being provided, that they reflect the resident's response to
the care, and that such care is provided in accordance with the resident's
wishes.
* Monitor medication passes and treatment schedules to ensure that medications
are being administered as ordered and that treatments are provided as
scheduled.

Education Requirements

* Must possess, as a minimum, a Nursing Degree from an accredited college or
university.

Experience

* Must have two years of experience as a DON/ADON in a Skilled Nursing
Facility.

Requirements

* Must possess a current, unencumbered, active license to practice as a
Registered Nurse in this state.
* Must possess the ability to deal tactfully with personnel, residents, family
members, visitors, and government agencies.
* Must be knowledgeable of nursing and medical practices and procedures, laws,
regulations, and guidelines that pertain to long-term care.
* Working knowledge of Title XXII and OBRA, HCFA, Chapter 3, state and federal
regulations pertaining to skilled nursing facilities, Medicare, Medi-Cal.
* Ability to maintain confidentiality in a variety of circumstances and make
sound judgments.
* The above statements are intended to describe the general nature and level of
work being performed. They are not intended to be interpreted as
all-inclusive. Supervisors, as deemed appropriate, may assign additional
functions and requirements.

Physical Requirements

* Must be able to perform the essential physical requirements of the job.
* All employment offers are contingent upon successful completion of a criminal
background investigation (A felony or misdemeanor conviction may disqualify
the applicant from employment.)

For benefit details check us out here http://ensignbenefits.com/
[http://ensignbenefits.com/]

Benefits eligibility for some benefits dependent on full time employment status.

Disclaimer: Pay rates are competitive and determined by various factors. Please
note that any rates labeled as "estimated" are provided by third-party job
boards and may not accurately reflect the actual pay rates.

EOE disability veteran

Key Responsibilities

Plan and direct the overall operations of the Nursing Service Department to ensure high-quality care and compliance with federal, state, and local regulations. Manage nursing personnel, oversee quality assurance programs, and coordinate resident admissions and care plans.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Nursing AdministrationStaff SchedulingCare PlanningRegulatory CompliancePatient Admission ScreeningMedical ChartingPersonnel ManagementClinical Oversight

Nursing Administration — Registered Nurse Career Context

Of the 50 active Nursing Leadership listings this role was benchmarked against, 38% are remote, 66% 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 ~$140k midpoint carries the purchasing power of roughly $126k 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

27 matches · ranked by pay

Salary Distribution27 jobs · 22 employers

10
<$100k
8
$100k-120k
4
$120k-140k
3
$140k-160k
2
$160k+

Annual compensation range

Benefits & Perks23 jobs · 22 employers

401k / retirement match
96% this job
Sign-on bonus
22%
CME allowance
17% this job
Loan repayment
9%

Share of similar jobs offering each benefit

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$127k-$211k
#2

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$141k-$165k
#3

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#4

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+ 25 more · ranked by pay

Work-life snapshot

3.9/ 10
Listing-based score

Above average in Nursing Administration (RN)

A signal to investigate—not a guarantee about the workplace.

  • On-site
  • Includes call

Living in El Cajon

Typical 3-bedroom home value
$786k
Typical market rent
$2,275/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
111.9
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · San Diego-Chula Vista-Carlsbad, CA metro prices. Housing figures are city-level.

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

Ensign Services logo

About Ensign Services

Hospitals and Health Care
San Juan Capistrano, California
1,001-5,000 employees

Benefits & Perks

Health insurance
Dental
Vision
Life insurance
Disability
401(k)
Paid time off
Holidays