Aviva at Fitzsimons logo
Aviva at Fitzsimons
Aurora, Colorado

Assistant Director of Nursing

Registered NurseIncludes callIncludes weekendsFull-Time

Listed compensation

$105K - $115K

The week · per this posting · weekdays assumed

Ask the employer about nights and shift pattern and time off.

Posted 3mo ago

Job Description

Assistant Director of Nursing (ADON)

High-Acuity Skilled Nursing Facility

Are you a clinically strong nursing leader who believes great care makes a real difference? Do you thrive in a fast-paced, high-acuity environment and enjoy supporting nursing teams to deliver exceptional outcomes? If so, we invite you to join our leadership team.

About Us

We believe care goes beyond a medical chart. Guided by kindness and integrity, we strive for excellence in every interaction and are committed to delivering high-quality, compassionate care to every resident we serve.

  • ADON Perks & Benefits
  • Competitive salary
  • Flexible scheduling
  • Daily Pay Advance option available
  • Holiday pay (when working major holidays)
  • Paid Time Off (PTO)
  • Sick time accrual
  • Medical, dental, vision, and additional benefit options

Position Summary

The Assistant Director of Nursing (ADON) supports the Director of Nursing in planning, organizing, developing, and directing the overall operations of the Nursing Services Department in accordance with federal, state, and local regulations governing skilled nursing facilities. This role plays a critical leadership function in a high-acuity environment, ensuring clinical excellence, regulatory compliance, staffing effectiveness, and resident safety at all times.

Key Responsibilities

  • Clinical Leadership & Operations
  • Assist in the planning, organization, and oversight of nursing services and clinical programs
  • Support high-acuity care delivery, including post-acute, rehabilitative, and restorative nursing services
  • Make daily rounds to monitor resident care, staff performance, and clinical outcomes
  • Serve as a clinical resource and leader for nursing staff across all shifts
  • Regulatory Compliance & Survey Readiness
  • Ensure compliance with federal, state, and local regulations governing skilled nursing facilities
  • Assist with survey preparation, audits, and corrective action plans
  • Maintain policies and procedures that align with regulatory standards and best practices
  • Support infection prevention and control practices (IP certification required)
  • Staffing & Workforce Management
  • Assist with determining staffing needs and scheduling to support high-acuity census
  • Recommend appropriate staffing levels and skill mix by shift
  • Supervise, coach, and discipline nursing staff in a fair and consistent manner
  • Ensure nursing assistants meet training and certification requirements
  • Care Planning & Resident Services
  • Participate in resident admission assessments and care planning
  • Ensure individualized care plans are developed, implemented, and updated
  • Monitor documentation for accuracy, timeliness, and regulatory compliance
  • Address resident, family, and staff concerns professionally and promptly
  • Administrative & Collaborative Duties
  • Assist with preparation of departmental budgets and operational planning
  • Participate in nursing leadership meetings and interdisciplinary care conferences
  • Complete reports, audits, evaluations, and clinical documentation as required
  • Perform additional duties as assigned in support of facility operations
  • Skills & Knowledge
  • Strong clinical judgment and leadership in a high-acuity SNF environment
  • Knowledge of nursing practices, infection control, and regulatory requirements
  • Ability to manage conflict, provide coaching, and lead under pressure
  • Professional demeanor with compassion, patience, and accountability

Education & Licensure

  • Graduate of an approved Registered Nurse (RN) program
  • Current, active, unencumbered RN license in the state of practice
  • Bachelor of Science in Nursing (BSN) preferred

Experience Requirements

  • Minimum of 1 year supervisory nursing experience in a hospital, skilled nursing, or healthcare facility
  • At least 6 months experience in rehabilitative or restorative nursing preferred
  • Infection Prevention (IP) certification required
  • High-acuity SNF experience strongly preferred
  • Work Environment & Physical Requirements
  • Fast-paced, high-acuity clinical setting with frequent interruptions
  • Regular interaction with residents, families, staff, physicians, and regulatory personnel
  • May require extended hours, weekends, on-call coverage, or emergency response
  • Exposure to infectious diseases, hazardous materials, and clinical risks
  • Ability to lift, push, pull, or move up to 25 pounds and assist with resident evacuation when necessary

If you are a dedicated nursing leader seeking an ADON role where your clinical expertise and leadership truly matter, we encourage you to apply and join a team committed to excellence in skilled nursing care.

Requirements

Candidates must be a Registered Nurse with an active license and a required Infection Prevention certification. A minimum of one year of supervisory nursing experience in a healthcare facility is required, with a BSN preferred.

Qualifications

Education
Bachelor degree
Experience
2+ years of experience

Key Skills

Staffing ManagementConflict ManagementBudget PreparationResident AssessmentAudit PreparationInterdisciplinary Collaboration

Nursing Administration — Registered Nurse Career Context

Of the 41 active Nursing Leadership listings this role was benchmarked against, 22% are remote, 56% have no call, 73% require no weekends.

The cost-of-living index for Colorado is 103.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$110k midpoint carries the purchasing power of roughly $107k in an average-cost state. 60.9% of Colorado clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Nursing Leadership by the numbers
MeasureThis jobMarket
Cost-of-living adjusted pay~$107k in purchasing powerColorado index 103.1 (US = 100)BEA Regional Price Parities (2024)
Nursing Leadership listings in Colorado109 active5,834 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 22% remote · 56% no call · 73% no weekends41 benchmarked listings
Sign-on & loan repaymentnot statedColorado Registered Nurse listings: 12% state a sign-on bonus · 6% offer loan repayment109 active listings, Nov 2026
New Nursing Administration listings89 in the last 30 days78 the 30 days before (+14%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Registered Nurse Jobs

25 matches · ranked by pay

Salary Distribution

25 jobs · 23 employers
12
<$100k
3
$100k-120k
5
$120k-140k
4
$140k-160k
1
$161k

Annual compensation range

Benefits & Perks

16 jobs
401k / retirement match
94%
Sign-on bonus
38%
CME allowance
13%
Loan repayment
6%
PSLF eligible
6%

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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.

  • On-site
  • Includes call
  • Includes weekends
Aviva at Fitzsimons logo

About Aviva at Fitzsimons

Hospitals and Health Care
Aurora, Colorado
11-50 employees

Benefits & Perks

Flexible scheduling
Daily Pay Advance option
Holiday pay
Paid Time Off (PTO)
Sick time accrual
Medical, dental, vision, and additional benefit options

Living in Aurora

Typical 3-bedroom home value
$446k≈ 4.2× annual pay
Typical market rent
$1,742/mo≈ 20% of gross pay
Residents’ average commute
29 min
State income tax
Up to 4.4%
Sources & methodology

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

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