Director of Nursing
Compensation
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Job Description
Job Details:
Job Location: Iowa City - Iowa City, IA, Position Type: Full Time, Salary Range: Undisclosed, Full-Time | Clinical Leadership | Make an Immediate Impact Experienced Nursing Leader? Ready to Make a Difference?
Campbell Street is seeking an experienced, driven, and compassionate Director of Nursing (DON) to lead our nursing team in Iowa City, Iowa.
We are looking for a proven clinical leader with extensive long-term care (LTC) and skilled nursing facility (SNF) experience who is ready to step in, take ownership, and make a direct impact on resident care, clinical outcomes, and team performance.
This is an opportunity for a hands-on leader who understands the challenges of skilled nursing, knows how to build a strong clinical team, and is prepared to lead with confidence, accountability, and purpose. You won't be expected to navigate this opportunity alone.
Campbell Street has implemented a new DON onboarding process designed to provide incoming leaders with the guidance, resources, and tools needed to succeed.
With support from our clinical, operations, human resources, and talent acquisition teams, you'll have organizational resources to help you establish priorities, strengthen your team, and drive meaningful improvements.
If you are ready to lead with purpose, develop exceptional people, and elevate the quality of care for residents, we want to hear from you!
ABOUT CAMPBELL STREET At Campbell Street, our mission is Developing Exceptional People Who Drive Extraordinary Care. We are proud to be Great Place to Work® certified and committed to building an environment where employees feel supported, valued, and empowered to grow.
We believe strong leadership is the foundation of exceptional resident care. That's why we invest in our leaders through professional development, organizational support, and opportunities to grow their careers. Our SMART Values guide everything we do: Servant Leadership: Put people first and lead by example.
Mirror First: Take ownership, reflect, and lead with accountability. Always Do the Right Thing: Make ethical decisions that put residents and people first. Resilience: Navigate challenges with adaptability and determination. Transparency: Communicate openly, honestly, and respectfully.
Why Join Campbell Street? Newly implemented DON onboarding process to help set you up for success. Support from clinical and operational leadership. Annual leadership development summits. Career growth and succession planning opportunities. Scholarship opportunities and certification reimbursement.
Referral bonus opportunities across positions. Same-day pay and matching 401(k). Great Place to Work® certified organization.
POSITION SUMMARY The Director of Nursing provides overall leadership, management, and clinical oversight of the nursing department, ensuring residents receive safe, compassionate, person-centered care in accordance with applicable state and federal regulations, clinical standards, and resident rights.
Working closely with the Administrator and Campbell Street's clinical and operational leadership, the DON is responsible for clinical outcomes, regulatory compliance, nursing staff recruitment and retention, staffing effectiveness, employee development, infection prevention, and quality assurance initiatives.
The successful candidate will bring extensive LTC/SNF experience, sound clinical judgment, and the ability to assess departmental needs, establish priorities, and implement practical solutions.
This leader must be comfortable taking initiative, addressing challenges directly, and building a culture of accountability, teamwork, and continuous improvement.
KEY RESPONSIBILITIES Clinical Leadership & Resident Care Oversee daily nursing operations to ensure the delivery of safe, effective, and individualized resident care. Monitor clinical outcomes, resident assessments, care plans, documentation, and changes in condition to ensure timely and appropriate interventions.
Ensure compliance with applicable federal and Iowa state regulations, licensing requirements, and established clinical policies and procedures. Lead quality assurance and performance improvement (QAPI) initiatives to identify opportunities, implement corrective actions, and improve resident outcomes.
Oversee infection prevention and control, medication management, restorative nursing, dementia care, and other applicable clinical programs. Maintain survey readiness and coordinate responses to deficiencies, including corrective action plans and follow-up monitoring.
Collaborate with physicians, residents, families, and interdisciplinary team members to promote continuity of care and resident satisfaction. Nursing Team Development & Retention Lead recruitment, hiring, onboarding, training, coaching, and retention efforts for licensed and non-licensed nursing personnel.
Establish clear performance expectations and promote accountability, professionalism, and teamwork. Monitor staffing levels and resident acuity to maintain appropriate nursing coverage and continuity of care. Develop strategies to improve employee engagement, reduce turnover, and strengthen staffing stability.
Provide ongoing feedback, performance evaluations, and development opportunities to build a capable and dependable nursing team. Identify educational needs and ensure nursing staff maintain appropriate competencies, certifications, and required training.
Provide hands-on clinical leadership and support when necessary to maintain quality care and department operations. Operational Management & Accountability Partner with the Administrator and organizational leadership to establish clinical priorities, departmental goals, and measurable performance expectations.
Evaluate department processes and implement improvements that support efficiency, quality, and regulatory compliance. Oversee nursing department budgets, staffing resources, supplies, and equipment.
Ensure accurate and timely clinical documentation, required reporting, and appropriate follow-up on incidents, accidents, medication errors, and changes in resident condition. Coordinate with other departments and external healthcare providers to support effective operations and resident care.
Maintain emergency preparedness and ensure nursing personnel understand and follow established emergency procedures. Leadership & Culture Lead by example, demonstrating Campbell Street's SMART Values through daily decisions, communication, and interactions.
Build trust with staff, residents, families, and organizational leadership through consistent follow-through and transparent communication. Address challenges proactively, make informed decisions, and take ownership of departmental performance.
Foster a culture where employees feel supported, expectations are clear, and residents remain at the center of every decision. Utilize Campbell Street's onboarding resources and organizational partnerships to establish priorities and build a strong foundation for long-term success.
BENEFITS & PROFESSIONAL SUPPORT At Campbell Street, we believe taking care of our employees is just as important as taking care of our residents. Our benefits package is designed to support your health, financial well-being, and professional growth.
Benefits Include
Medical, dental, and vision insurance. Long-term and short-term disability coverage. Company-paid life insurance, with additional voluntary coverage available. Accident and critical illness insurance. Matching 401(k) retirement plan. Same-day pay. Generous paid time off (PTO). Employee Assistance Program (EAP).
Certification reimbursement and professional development opportunities. Leadership development and succession planning resources. A leadership role should come with the support to succeed.
Our newly implemented DON onboarding process is designed to help you understand expectations, connect with key partners, establish priorities, and access the resources available to you as you step into this position. READY TO LEAD?
If you are an experienced LTC/SNF nursing leader who is ready to make a direct impact, build a stronger nursing team, and help deliver extraordinary care, we invite you to apply. Join Campbell Street. Develop exceptional people. Drive extraordinary care.
Important Notice: Campbell Street will never ask candidates to pay for job placement or training, or to provide banking or financial information during the hiring process. If you receive a suspicious offer or interview request, please contact kgarrett@campbellstreetsl.com to verify its legitimacy.
Campbell Street provides equal employment opportunities to employees and applicants in accordance with applicable federal, state, and local laws. Employment decisions are based on qualifications, merit, and business needs.
Qualifications
QUALIFICATIONS Education & Experience Required: Graduation from an accredited school of nursing. Current, active Registered Nurse (RN) license in the state of Iowa, in good standing. Extensive experience in long-term care (LTC), skilled nursing facility (SNF), or a comparable post-acute care setting.
Demonstrated clinical leadership experience, including staff supervision, clinical oversight, and nursing operations. Strong working knowledge of skilled nursing standards of care and applicable state and federal regulations. Current CPR certification or the ability to obtain and maintain required certification.
Preferred: Previous experience as a Director of Nursing, Assistant Director of Nursing, or another nursing leadership role within a skilled nursing environment. Experience with survey preparation, regulatory compliance, QAPI, and clinical performance improvement.
Experience improving staffing stability, employee retention, and clinical outcomes. Experience managing departmental budgets, staffing plans, and operational performance. Specialized clinical experience in areas such as wound care, dementia care, infection prevention, restorative nursing, or complex resident
Key Responsibilities
The Director of Nursing provides overall leadership and clinical oversight of the nursing department to ensure safe, person-centered care and regulatory compliance. They are responsible for managing nursing staff, monitoring clinical outcomes, and implementing quality assurance initiatives to improve resident care.
Requirements
Candidates must be a Registered Nurse (RN) in the state of Iowa with extensive experience in long-term care or skilled nursing facilities. Proven clinical leadership experience and a strong understanding of federal and state nursing regulations are required.
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 5+ years of experience
Key Skills
Long-Term Care Nursing — Registered Nurse Career Context
Of the 50 active Registered Nurse listings this role was benchmarked against, 32% are remote, 68% have no call, 70% require no weekends.
Registered Nurse pay on WeekdayDoc is up 6.4% vs. the prior quarter (through Sep 2026).
The cost-of-living index for Iowa is 87.8 (US average = 100; BEA Regional Price Parities (2024)). 59.8% of Iowa clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
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