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PACS
Porterville, California

Director Of Nursing(DON)

Registered NurseNo weekendsFull-Time

Listed compensation

$120k-$140k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, nights and shift pattern and time off.

Posted 1h ago · Verified live

Job Description

  • Director of Nursing (DON)
  • Sequoia Transitional Care
  • Porterville, California
  • Salary Range: $120,000–$140,000 annually, based on experience

Lead With Purpose. Inspire Excellence. Transform Resident Care.

Sequoia Transitional Care is seeking an experienced and compassionate Director of Nursing (DON) to lead our clinical team in Porterville, California.

The DON is responsible for the overall direction and management of nursing services, clinical operations, staffing, regulatory compliance, quality assurance, and resident safety. This position also works closely with physicians, families, department leaders, and the interdisciplinary team to ensure every resident receives exceptional, individualized care.

This is an outstanding opportunity for a proven nursing leader who is passionate about developing employees, strengthening clinical systems, and creating a culture of excellence.

Essential Duties and Responsibilities

  • Direct and manage the overall operation of the Nursing Department.
  • Maintain appropriate staffing levels and ensure adequate nursing coverage.
  • Develop, implement, review, and enforce nursing policies and procedures.
  • Ensure nursing services comply with applicable federal, state, local, and facility requirements.
  • Promote resident safety, dignity, rights, preferences, and quality of life.
  • Recruit, interview, hire, orient, train, coach, and retain nursing employees.
  • Supervise and support the Assistant Director of Nursing, licensed nurses, CNAs, and other nursing personnel.
  • Conduct employee evaluations and address performance concerns through coaching, education, and appropriate corrective action.
  • Develop and conduct clinical education, competencies, and in-service training.
  • Make clinical rounds and monitor the quality and consistency of resident care.
  • Review changes in condition, incidents, hospital transfers, infections, falls, wounds, and other clinical concerns.
  • Provide direct, hands-on resident care when necessary.
  • Coordinate pharmacy services and ensure medications are stored, administered, and destroyed according to established procedures.
  • Serve as a liaison among residents, families, physicians, employees, and healthcare partners.
  • Collaborate with all facility departments to promote coordinated resident care.
  • Oversee MDS coordination, care planning, documentation, and interdisciplinary communication.
  • Participate in Quality Assurance, Performance Improvement, Utilization Review, and resident-care conferences.
  • Lead survey preparation and actively participate in state and federal inspections.
  • Develop and implement plans of correction and monitor continued compliance.
  • Ensure clinical documentation is accurate, complete, timely, and compliant.
  • Manage Nursing Department budgets, staffing expenses, supplies, and required reports.
  • Remain current on regulatory changes and communicate applicable updates to employees.
  • Participate in investigations, risk-management activities, and legal proceedings when required.
  • Maintain the confidentiality of resident, employee, and facility information.
  • Perform additional clinical and leadership duties as assigned.

Supervisory Responsibilities

The Director of Nursing directly or indirectly supervises the Assistant Director of Nursing and the entire nursing team. The DON is accountable for nursing leadership, clinical performance, employee development, staffing, and the quality of resident care.

Qualifications

  • Graduate of an accredited school of nursing required.
  • Bachelor of Science in Nursing preferred.
  • Current California Registered Nurse license in good standing required.
  • Current CPR certification required.
  • Seven years of nursing-management experience preferred.

Director of Nursing or senior clinical leadership experience in skilled nursing or long-term care strongly preferred.

Strong knowledge of clinical operations, MDS, care planning, infection prevention, staffing, survey readiness, and quality assurance.

  • Experience with PointClickCare preferred.
  • Proficiency with Microsoft Office.
  • Excellent clinical judgment, leadership, communication, and organizational skills.
  • Ability to develop employees, resolve problems, and promote accountability.
  • Ability to manage multiple priorities in a fast-paced healthcare environment.
  • Must maintain all required continuing education and professional licensure.

Physical Requirements

This position requires regular sitting, standing, walking, speaking, hearing, reading, and computer use. The employee must occasionally lift or move up to 75 pounds and be able to provide direct resident care when necessary.

Frequent use of telephones, computers, scanners, copiers, and other office equipment is required. Occasional travel by automobile or air may be necessary. Reasonable accommodations may be made for qualified individuals with disabilities.

Why Join Sequoia Transitional Care?

  • Competitive salary of $120,000–$140,000 annually, based on experience
  • Medical, dental, and vision insurance
  • 401(k) retirement plan
  • Life insurance
  • Paid time off
  • Continuing education and leadership-development opportunities
  • Supportive facility and regional leadership
  • Collaborative interdisciplinary environment
  • Opportunity to develop a high-performing nursing team
  • Meaningful leadership role with a direct impact on resident outcomes
  • Benefits are subject to eligibility requirements and facility policy.

If you are an accomplished RN leader ready to inspire a team and elevate clinical excellence, apply today and join Sequoia Transitional Care in Porterville!

We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.

Key Responsibilities

The Director of Nursing is responsible for the overall management of nursing services, clinical operations, and regulatory compliance to ensure high-quality resident care. This role involves supervising nursing staff, overseeing clinical documentation, and collaborating with the interdisciplinary team to maintain facility standards.

Qualifications

Experience
5+ years of experience

Key Skills

Staffing managementPerformance managementBudget management

Nursing Leadership — Registered Nurse Career Context

Of the 50 active Nursing Leadership listings this role was benchmarked against, 30% are remote, 38% have no call, 80% require no weekends.

The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$130k midpoint carries the purchasing power of roughly $117k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Nursing Leadership by the numbers
MeasureThis jobMarket
Work-life score3.9 / 10 · above average in nursing leadershipranked against 1,187 Nursing Leadership listingslisting-based score, 0–10
Listed pay$120k–$140kNursing Leadership median $133k (middle half $114k–$145k)22 comparable listings, Oct 2026
Cost-of-living adjusted pay~$117k in purchasing powerCalifornia index 110.7 (US = 100)BEA Regional Price Parities (2024)
Nursing Leadership listings in California433 active5,980 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 30% remote · 38% no call · 80% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedCalifornia Registered Nurse listings: 9% state a sign-on bonus (median $9k) · 4% offer loan repayment433 active listings, Oct 2026
Sources: WeekdayDoc live listing index (1,187 Nursing Leadership listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Registered Nurse Jobs

30 matches · ranked by pay

Salary Distribution

30 jobs · 26 employers
14
<$105k
4
$105k-125k
7
$125k-145k
5
$145k-165k

Annual compensation range

Benefits & Perks

18 jobs
401k / retirement match
94% this job
Sign-on bonus
28%
CME allowance
22% this job
Loan repayment
6%
Relocation assistance
6%

Share of similar jobs offering each benefit

#1

Assistant Director of Nursing - Mental Health 616

Telecare · San Leandro, California

$125k-$155k
#2

Triage Staff Nurse – Days – David H Koch Center GI, Hepatology, Irritable Bowel Disease Clinic - Weill Cornell Medical Center

NewYork-Presbyterian Hospital · New York, New York

$134k-$153k
#3

Clinical Nurse Educator III, Neonatal ICU

$108k-$151k
#4

Asst. Director of Nursing - Ambulatory Care - Newkirk Avenue

$136,708 - $150,000
+ 28 more · ranked by pay

Work-life snapshot

median 1.5this job 3.9
Better work-life than 70% of Nursing Leadership listings

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

  • No weekends
PACS logo

About PACS

IT Services and IT Consulting
201-500 employees

Benefits & Perks

Medical, dental, and vision insurance
401(k) retirement plan
Life insurance
Paid time off
Continuing education and leadership-development opportunities

Living in Porterville

Typical 3-bedroom home value
$329k≈ 2.7× annual pay
Typical market rent
$1,475/mo≈ 15% of gross pay
Residents’ average commute
24 min
Metro price indexU.S. average = 100
99.8
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · Visalia, CA metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.