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Centralia, Washington

Director of Nursing Services

Registered NurseFull-Time

Listed compensation

$140k-$160k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 1h ago · Verified live

Job Description

Director of Nursing Services (DNS) - South Creek | Centralia, WA

$140,000 – $160,000/year (based on experience)

South Creek is a 4-Star CMS-rated facility with 5-Star Quality Measures, and we’re looking for our next Director of Nursing Services to lead a team that’s already performing at a high level.

We want more than a strong clinician. We’re looking for a true clinical champion who will mentor and grow our nurses, protect our quality outcomes, and fit the collaborative, supportive culture that makes South Creek a great place to work and receive care.

  • What you’ll do
  • Lead and oversee all nursing operations, staff, and resident care
  • Maintain and build on our 5-Star Quality Measures and survey readiness
  • Drive accurate MDS processes and partner closely with the MDS team on reimbursement and quality
  • Recruit, develop, and retain nursing staff
  • Work alongside the Administrator and IDT as a key member of the leadership team

What You Bring

  • Active Washington RN license
  • DNS, ADON, or nursing leadership experience in skilled nursing / post-acute care
  • Strong MDS knowledge strongly preferred
  • Solid regulatory and survey experience
  • A people-first leadership style that builds trust and accountability
  • Why South Creek
  • Competitive pay: $140K–$160K based on experience
  • A strong, stable building with top-tier quality scores
  • Full benefits package

South Creek is an Equal Opportunity Employer. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by federal, state, or local law. We are committed to providing reasonable accommodations to qualified individuals with disabilities throughout the hiring process.

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 Services will oversee all nursing operations, staff, and resident care to ensure high-quality outcomes. They will also drive accurate MDS processes and collaborate with the leadership team to maintain survey readiness and facility standards.

Requirements

Candidates must hold an active Washington RN license and possess prior experience in nursing leadership within skilled nursing or post-acute care settings. Strong knowledge of MDS processes and regulatory survey requirements is highly preferred.

Qualifications

Experience
5+ years of experience

Key Skills

Clinical operationsRegulatory complianceStaff developmentQuality assuranceTeam managementMentoringClinical oversight

Nursing Leadership — Registered Nurse Career Context

Of the 50 active Nursing Leadership listings this role was benchmarked against, 20% are remote, 66% have no call, 60% require no weekends.

The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$150k midpoint carries the purchasing power of roughly $140k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$150k midpoint, that is roughly $6k–$11k a year versus a typical 4–7% state rate.

Top Registered Nurse Jobs

33 matches · ranked by pay

Salary Distribution33 jobs · 21 employers

11
<$125k
8
$125k-165k
3
$165k-205k
11
$238k

Annual compensation range

Benefits & Perks28 jobs · 21 employers

401k / retirement match
93%
CME allowance
14%
Loan repayment
11%
PSLF eligible
11%
Sign-on bonus
4%

Share of similar jobs offering each benefit

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$132k-$238k
#2

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#3

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#4

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+ 31 more · ranked by pay

Work-life snapshot

median 1.5this job 1.5
Better work-life than 30% of Nursing Leadership listings

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

Living in Centralia

Typical 3-bedroom home value
$411k≈ 2.9× annual pay
Typical market rent
$1,519/mo≈ 13% of gross pay
Residents’ average commute
26 min
State income tax
None
Sources & methodology

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

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