Assistant Director of Nursing (ADON)
Compensation
Pay not listed
The week · per this posting · Monday – Friday
Ask the employer about the pay range, call expectations, nights and shift pattern and time off.
Job Description
Assistant Director of Nursing, ADON
Full Time, Monday - Friday, 8:30 a. m. - 5 p. m.
Holston Health and Rehab offers a competitive compensation package for full time employment including health, dental, vision, life, disability insurance, paid time off, 401(k) with generous company match, and more.
Position Summary
Is responsible for maintaining clinical competency as evidenced by application integrated nursing knowledge and skills, leadership, and communication skills. Utilizes the nursing process in assessment, planning and implementing care. Exhibits organizational ability related to workflow, prioritizing to meet patient care needs. Practices continuous quality improvement thinking and problem-solving skills.
General Description
- Serves as a member of management team and develops effective working relationship with the director of nursing, administrator, and the medical director.
- Participates in the development of center goals.
- Assists in the development and implements procedures to meet the goals of the center.
- Develops positive partner relations policies and environment to achieve firm, fair, consistent supervision, and a department team.
- Administers policies and formulates procedures for the nursing department
- Support and administers a departmental budget based on the nursing department’s goals and projected revenues.
- Participates in establishing a competitive wage, salary, and benefit plan for nursing service staff.
- Supports the operation of the nursing department in a cost-effective manner.
Specific Items: (Performed by DON or delegated to qualified staff).
- Participates in development and maintenance of nursing services’ philosophy and objectives, standards of practice, policy and procedure manuals and job descriptions for each level of nursing personnel.
- Assists in the development of 3-year capital expenditure budget for Nursing
Department
- Assists in the development of at least biweekly (every two weeks) work schedules for Nursing Department – post and maintains copy as worked.
- Acts upon recommendations from the DON, RN Supervisors and/or supervisory LPNs regarding hiring and termination of nursing personnel; assist with recruiting as needed.
- Delegates and monitors orientation and initial training for nursing personnel.
- Coordinates with other department heads on any patient care needs.
- Participates in all center leadership team meetings.
Licensure
RN – graduate of an accredited school of nursing and currently licensed to practice nursing in the state employed. If currently an LPN and in RN school we will consider for this role.
Experience: 5+ years of Nursing experience required, 1 year of leadership experience preferred.
About Holston Health and Rehab
Located in the historic Holston Hills community and right on the banks of the Holston River, our campus is home to a 94-bed inpatient healthcare center that provides round-the-clock medical care, intense nursing support, and rehabilitative therapies for post-acute and long-term care patients recovering from an illness, injury or surgery.
Holston Health and Rehab is located at 3916 Boyd’s Bridge Pike, Knoxville, TN 37914
EOE
Key Responsibilities
The Assistant Director of Nursing is responsible for maintaining clinical standards, managing nursing department operations, and overseeing staff performance. They participate in leadership team meetings, assist with budget development, and ensure the delivery of high-quality patient care.
Requirements
Candidates must be a graduate of an accredited school of nursing and hold a current RN license, with consideration given to LPNs currently enrolled in an RN program. A minimum of 5 years of nursing experience is required, with 1 year of leadership experience preferred.
Qualifications
- Experience
- 5+ years of experience
Key Skills
Long-Term Care — Registered Nurse Career Context
Of the 50 active Nursing Leadership listings this role was benchmarked against, 36% are remote, 60% have no call, 70% require no weekends.
The cost-of-living index for Tennessee is 91.9 (US average = 100; BEA Regional Price Parities (2024)). 58.6% of Tennessee clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 3.9 / 10 · above average in nursing leadership | ranked against 1,187 Nursing Leadership listingslisting-based score, 0–10 |
| Listed pay | not listed | Nursing Leadership median $118k (middle half $99k–$135k)100 comparable listings, Nov 2026 |
| Cost of living | Tennessee index 91.9 | US average = 100BEA Regional Price Parities (2024) |
| Nursing Leadership listings in Tennessee | 163 active | 5,799 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 36% remote · 60% no call · 70% no weekends50 benchmarked listings |
| Sign-on & loan repayment | not stated | Tennessee Registered Nurse listings: 10% state a sign-on bonus · <1% offer loan repayment163 active listings, Nov 2026 |
Location & Logistics
Tennessee has no state income tax, which can significantly increase take-home pay compared to high-tax states.
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