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Sage Group
North Dakota

Hiring Director of Nursing – Long Term Care

Registered NurseFull-Time

Listed compensation

$38-$63/hr

The week · per this posting

Ask the employer about call expectations, weekend coverage, nights and shift pattern and time off.

Posted 1mo ago

Job Description

  • Director of Nursing – Long Term Care
  • Job Type: Direct Hire | Full-Time
  • Location: On-Site
  • Start Date: ASAP
  • Shift: Varied

FTE: 1.0

  • Patient Population: Skilled Nursing / Long-Term Care
  • Salary: $38.00–$63.00 per hour, depending on experience and qualifications
  • Relocation Assistance: Available; details determined at time of offer
  • Sign-On Bonus: Up to $10,000 possible, paid in installments based on eligibility

Job Summary

We are seeking an experienced and dedicated Director of Nursing (DON) to provide leadership and oversight of nursing services in a skilled nursing and long-term care environment.

The Director of Nursing will be responsible for ensuring high-quality, resident-centered care while maintaining compliance with applicable state and federal regulations. This position will oversee nursing staff, clinical operations, staffing, quality improvement initiatives, documentation, care planning, and regulatory readiness.

Previous long-term care experience is preferred.

Key Responsibilities

  • Develop and manage the nursing department's annual budget and resources.
  • Recruit, hire, train, supervise, and evaluate nursing staff.
  • Ensure appropriate staffing levels and accurate use of the scheduling system.
  • Promote a safe, efficient, and supportive work environment.
  • Ensure compliance with applicable healthcare regulations, laws, policies, and procedures.
  • Participate in state and federal nursing home surveys and regulatory inspections.
  • Develop and implement Plans of Correction (POCs) when required and monitor completion.
  • Lead Quality Assurance and Performance Improvement (QA/CQI) initiatives.
  • Oversee and monitor the electronic medical record (EMR) system, including documentation, reports, dashboards, training, and audits.
  • Ensure timely completion of pre-admission assessments and comprehensive nursing assessments.
  • Ensure individualized resident care plans are developed, implemented, evaluated, and updated as needed.
  • Monitor the effectiveness of nursing interventions and ensure appropriate changes are made.
  • Ensure resident rights, dignity, privacy, and choices are respected.

Immediately address and report concerns involving abuse, neglect, or resident rights according to applicable policies and regulations.

Ensure physicians are notified promptly of changes in resident condition and that orders are processed appropriately.

  • Maintain accurate, complete, and timely resident records.
  • Ensure nursing staff receive appropriate training and effectively utilize required systems and procedures.
  • Participate in care conferences, special events, committees, and quality-improvement initiatives.

Monitor resident conditions and ensure appropriate action is taken regarding changes in physical or emotional status.

Ensure families and responsible parties are appropriately notified of significant changes in resident condition.

  • Promote appropriate antibiotic stewardship practices.
  • Maintain effective communication and collaboration with residents, families, physicians, nursing staff, and other departments.
  • Keep current with changes in regulations, clinical practices, programs, and standards of care.
  • Exercise sound judgment and decision-making in clinical and administrative matters.
  • Foster positive working relationships and employee engagement throughout the organization.

Qualifications

Education & Licensure

  • Bachelor's degree in Nursing preferred/required according to organizational requirements.
  • 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.

Skills & Knowledge

  • Strong understanding of nursing practices and resident-centered care.
  • Knowledge of medications, including therapeutic effects and potential side effects.
  • Knowledge of long-term care regulations, standards, and compliance requirements.
  • Strong leadership, organizational, communication, and problem-solving skills.
  • Ability to manage staffing, scheduling, documentation, and departmental operations.
  • Ability to communicate effectively with residents, families, physicians, and employees.
  • Strong attention to detail and ability to maintain accurate documentation.
  • Proficiency in English, both written and verbal.
  • Ability to work effectively in a fast-paced healthcare environment.

Supervisory Responsibilities

The Director of Nursing will directly supervise assigned nursing personnel and carry out supervisory responsibilities in accordance with organizational policies and applicable laws.

Responsibilities May Include

  • Interviewing and hiring employees
  • Training and onboarding staff
  • Planning and assigning work
  • Monitoring employee performance
  • Conducting performance evaluations
  • Recognizing and rewarding performance
  • Addressing performance concerns
  • Resolving employee and resident-related issues
  • Promoting employee engagement and teamwork

Physical & Work Requirements

  • Ability to maintain a stationary position and move as required to perform job duties.
  • 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 lift up to 25 lbs.
  • Work environment typically has a moderate noise level.
  • Occasional travel may be required based on business needs.
  • Reasonable accommodations may be provided to enable qualified individuals with disabilities to perform essential job functions.

Compliance

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

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

Qualifications

Education
Bachelor degree
Experience
5+ years of experience

Key Skills

Long-term care managementRegulatory complianceStaff supervisionBudget managementElectronic medical records

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Hiring Director of Nursing – Long Term Care at SAGE GROUP a 6.6 out of 10 for work-life balance — classified as good. This places the position in the top 5% in Nursing Administration (RN) — ranked against 565 active Nursing Administration (RN) listings on WeekdayDoc.

Nursing Administration — Registered Nurse Career Context

Of the 44 active Registered Nurse listings this role was benchmarked against, 34% are remote, 70% have no call, 80% require no weekends.

Registered Nurse pay on WeekdayDoc is down 12.1% vs. the prior quarter (through Aug 2026).

The cost-of-living index for North Dakota is 89.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$105k midpoint carries the purchasing power of roughly $118k in an average-cost state. 58.8% of North Dakota clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

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Annual compensation range

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401k / retirement match
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CME allowance
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Sign-on bonus
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Loan repayment
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PSLF eligible
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Work-life snapshot

median 1.5this job 6.6
Among the best 10% of Nursing Administration (RN) listings for work-life

Listing-based score, 0–10, across 565 comparable listings. Shaded area = the share scoring below this one.

  • On-site
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About Sage Group

Staffing and Recruiting
Hazlet, NJ
51-200 employees

Benefits & Perks

Health Insurance
Dental Insurance
Vision Insurance
Relocation Assistance
Sign-On Bonus