Director of Nursing – Long-Term Care

• Director of Nursing – Long-Term Care
• Job Type: Direct Hire | Full-Time
• Specialty: Long-Term Care (LTC)
• Start Date: ASAP
• Shift: Varied

FTE: 1.0

• Patient Population: Skilled Nursing
• Work Setting: On-Site
• Education: Bachelor’s Degree
• Salary: $38.00–$63.00 per hour, depending on experience and qualifications
• Relocation Assistance: Available; details to be determined at the time of offer
• Sign-On Bonus: Up to $25,000, subject to eligibility and applicable payout terms

Job Summary

We are seeking a dedicated and experienced Director of Nursing (DON) to lead nursing operations in a skilled nursing and long-term care setting.

The Director of Nursing will oversee the delivery of safe, efficient, high-quality, and resident-centered care. This position is responsible for nursing department leadership, staffing, regulatory compliance, quality improvement, clinical documentation, care planning, and staff development.

Previous long-term care/skilled nursing experience is preferred.

Essential Duties & Responsibilities

• Develop, manage, and monitor the annual nursing department budget.
• Recruit, interview, hire, train, supervise, and evaluate nursing staff.
• Ensure appropriate staffing levels and effective use of scheduling systems.
• Promote a safe, collaborative, and high-quality work environment.
• Ensure compliance with applicable federal and state regulations, policies, and standards.
• Participate in state and federal nursing home surveys and regulatory inspections.
• Prepare Plans of Correction (POCs) when required and ensure timely implementation.
• Participate in Quality Assurance/Performance Improvement (QA/CQI) programs.
• Lead the management, monitoring, and auditing of electronic medical records (EMR), including documentation, reports, dashboards, and staff training.
• Stay current with changes in regulations, clinical practices, programs, and nursing standards.
• Oversee timely completion of pre-admission and comprehensive nursing assessments.
• Ensure individualized resident care plans are developed, implemented, evaluated, and updated appropriately.
• Monitor the effectiveness of nursing interventions and make adjustments as needed.
• Ensure resident rights, dignity, privacy, and choices are respected.
• Ensure residents are protected from abuse, neglect, and inappropriate treatment.
• Promptly report and address concerns involving resident rights, abuse, or neglect in accordance with applicable policies and regulations.
• Ensure residents have appropriate access to their medical records.
• Ensure physicians are promptly notified of changes in resident condition and that orders are processed accurately and timely.
• Maintain thorough, accurate, and timely resident documentation.
• Ensure nursing staff are appropriately trained and follow required procedures and systems.
• Participate in care conferences, special events, committees, and task forces.
• Promote resident-centered communication and explain procedures clearly to residents.
• Monitor residents for physical and emotional changes and ensure appropriate interventions are initiated.
• Ensure families or responsible parties are appropriately notified of significant changes in resident condition.
• Promote and monitor adherence to antibiotic stewardship practices.
• Foster effective communication and cooperation between nursing and other departments.
• Exercise sound judgment and decision-making in clinical and administrative matters.

Qualifications

Education & Licensure

• Bachelor’s degree in Nursing or related requirement based on applicable organizational standards.
• Graduate of an accredited nursing program.
• Current Registered Nurse (RN) license in the applicable state of practice.
• Current CPR/BLS certification.
• Previous supervisory or nursing leadership experience preferred.
• Previous long-term care/skilled nursing experience preferred.
• Required Skills & Abilities
• Strong leadership and organizational skills.
• Excellent communication and interpersonal skills.
• Ability to effectively communicate and comprehend information in English, both verbally and in writing.
• Ability to manage multiple priorities in a fast-paced healthcare environment.
• Strong problem-solving and decision-making abilities.
• Knowledge of basic nursing practices and procedures.
• Knowledge of medications, including therapeutic effects and potential side effects.
• Understanding of resident-centered care and long-term care operations.
• Ability to maintain accurate and confidential clinical documentation.
• Ability to work effectively with residents, families, physicians, nurses, and interdisciplinary teams.

Supervisory Responsibilities

The Director of Nursing will directly supervise assigned employees and perform supervisory responsibilities in accordance with organizational policies, procedures, and applicable laws.

Responsibilities Include

• Interviewing and hiring employees
• Training and onboarding staff
• Planning and assigning work
• Monitoring employee performance
• Conducting performance evaluations
• Recognizing and rewarding strong performance
• Addressing performance and conduct concerns
• Resolving complaints and workplace issues
• Promoting employee engagement, teamwork, and professional development

Physical & Mental Requirements

• The individual must be able to perform the essential functions of the position, with or without reasonable accommodation.
• Ability to communicate, observe, assess, and respond to resident and staff needs.
• Ability to operate and use workplace equipment, tools, and computer systems.
• Ability to maintain a stationary position and move as required by job duties.
• Ability to effectively communicate in English, both orally and in writing.
• Ability to lift up to 25 lbs.
• Ability to perform duties requiring attention to detail, sound judgment, and sustained concentration.

Work Environment

• On-site healthcare/skilled nursing environment.
• Work environment typically has a moderate noise level.
• Shift requirements may vary based on operational and resident-care needs.
• Travel requirements may vary depending on business needs.
• Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions.

Compliance

The Director of Nursing is responsible for complying with all applicable laws, regulations, policies, procedures, and organizational compliance requirements related to the position.

This job description is intended to describe the general nature and level of work performed in this role. Duties, responsibilities, and activities may change based on operational needs.

Equal Opportunity Employer: Qualified applicants will be considered without regard to legally protected characteristics.