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Arch Care
Rhinebeck, New York

Asst. Director of Nursing

Registered NurseIncludes callIncludes weekendsFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, nights and shift pattern, benefits and time off.

Posted 1h ago · Verified live

Job Description

Essential Functions

  • Assists in carrying out the general duties and responsibilities of the Director of Nursing as assigned.
  • Accurately interprets and assures compliance with facility policies and procedures, philosophy of care and State and Federal regulations.
  • Covers ‘on call’ for the DON a minimum of 2 weekends a month and when the DON is on vac/holiday/sick leave.
  • Interviews, selects and assists in assigning new Certified Nursing Assistants and Nursing Assistant trainees.
  • Responsible for the Clinic (Central Supply, Podiatry, Dental, Optometry, Radiology and Audiology.) This includes overseeing the clinic's daily operations, scheduling and evaluation of clinic staff, monthly and quarterly Quality Assurance audits and reporting to QA committee, bi-annual Dutchess County x-ray inspection.
  • Coordinates activities related to Infection Control in the absence of Infection Control Nurse.
  • Coordinates and oversees the scheduling of all resident out-trips and in-house consultations. Follows-up with primary Physician regarding all consults.
  • Performs ongoing audits of Nursing Staff: Attendance, OT, Mandation and Retention.
  • Responsible for the ongoing coordination and tracking of Employee Health as necessary.
  • Responsible for the collection and proper disposition/destruction of discontinued resident medications as assigned.
  • Performs other related QA as assigned.
  • Participates in the Nursing Policy and Procedure Committee and assists in the formulation, review, revision and implementation of Nursing policies and procedures.
  • Keeps DON informed of important events, feedback, problems etc.
  • Functions as Nursing Supervisor as needed.
  • Participates in various nursing home committees.
  • Conducts nursing staff meetings as assigned.
  • Other duties as assigned.
  • Prepares and adheres to an annual budget for all clinic areas.
  • Performs ongoing audits regarding resident care including admissions, resident expiration, MAR/TAR omissions, psychotropic usage, restraint usage, Foley Cath usage.
  • Ensures delivery of care is in compliance with the standard of the facility and regulatory agencies.
  • Assist the DON in planning, developing, implementing and evaluating the scope of professional practices, standards and resident care outcomes.
  • Projects a professional appearance in dress, grooming, attitude and skills.
  • Standing and walking during shift.
  • Lifting and carrying equipment, assist residents into equipment and in moving about. Visual acuity is necessary to read instructions and charts, and observe residents who may need assistance during treatments.
  • Manual finger dexterity to adjust equipment. Body coordination to assist in positioning resident's comfortably in, at or on equipment.
  • Exposed to infections, odors and behavioral changes and reactions of the aged.
  • Covers the nursing unit in the Absence of the Nurse Managers.
  • Collects all D/C meds for credit return to pharmacy, Collects all D/C controlled substances for recording, storage and destruction as per policy and procedure regulations.

Experience Requirements

  • 3-5 years of related work experience in skilled Nursing Facility (SNF).

License Requirements

  • NYS RN license

Key Responsibilities

The Assistant Director of Nursing assists in the management of nursing operations, ensuring compliance with state and federal regulations while overseeing clinic functions and staff. Responsibilities include conducting quality assurance audits, managing resident care standards, and coordinating nursing staff activities.

Requirements

Candidates must possess a valid New York State Registered Nurse (RN) license. A minimum of 3-5 years of related work experience in a skilled nursing facility is required.

Qualifications

Experience
2+ years of experience

Key Skills

Nursing administrationRegulatory complianceStaff supervisionBudgetingClinical operationsEmployee health coordinationPolicy developmentResident care managementAuditingMedication managementInterdisciplinary collaborationDocumentation

Long-Term Care Nursing — Registered Nurse Career Context

Of the 50 active Nursing Leadership listings this role was benchmarked against, 38% are remote, 48% have no call, 70% require no weekends.

The cost-of-living index for New York is 107.9 (US average = 100; BEA Regional Price Parities (2024)). 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Nursing Leadership by the numbers
MeasureThis jobMarket
Work-life score2.4 / 10 · above average in nursing leadershipranked against 1,187 Nursing Leadership listingslisting-based score, 0–10
Listed paynot listedNursing Leadership median $126k (middle half $100k–$135k)12 comparable listings, Oct 2026
Cost of livingNew York index 107.9US average = 100BEA Regional Price Parities (2024)
Nursing Leadership listings in New York255 active5,979 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 38% remote · 48% no call · 70% no weekends50 benchmarked listings
Sources: WeekdayDoc live listing index (1,187 Nursing Leadership listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Registered Nurse Jobs

47 matches · ranked by pay

Salary Distribution

45 jobs · 37 employers
12
<$100k
13
$100k-120k
9
$120k-140k
9
$140k-160k
2
$160k+

Annual compensation range

Benefits & Perks

31 jobs
401k / retirement match
90%
Sign-on bonus
23%
CME allowance
10%
Loan repayment
3%
PSLF eligible
3%

Share of similar jobs offering each benefit

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Work-life snapshot

median 1.5this job 2.4
Better work-life than 60% 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
Arch Care logo

About Arch Care

Hospitals and Health Care
New York, NY
1,001-5,000 employees

Living in Rhinebeck

Typical market rent
$3,051/mo
Residents’ average commute
27 min
State income tax
Up to 10.9%
Sources & methodology

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

City-level figures. Not a cost-of-living guarantee.