Director of Nursing/DON

RiverPointe Post Acute

$100K — $120K *
Hospitals & Medical Centers
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Active California RN license in good standing.
  • Bachelor's degree in Nursing preferred; ADN considered based on experience.
  • 2-3 years nursing experience in skilled nursing or long-term care.
  • Preferred leadership experience in roles like Director or Assistant Director of Nursing.
  • Strong knowledge of CDPH, CMS, and regulations for skilled nursing facilities.
  • Familiarity with MDS/RAI, Medicare/Medicaid, and infection prevention.

Responsibilities

  • Oversee nursing services delivery in accordance with standards and regulations.
  • Develop and enforce policies aligned with current laws and best practices.
  • Analyze reports for significant resident changes and address issues promptly.
  • Implement an infection control program and review surveillance data for trends.
  • Conduct compliance evaluations through daily rounds and staff interviews.
  • Prepare and assist during long-term care surveys, ensuring regulatory readiness.
  • Manage the admission process and ensure staffing adequacy for resident care.

Benefits

  • Medical, Dental, and Vision coverage.
  • Options for Accident Insurance and Hospitalization plans.
  • Life and AD&D insurance for full-time staff.
  • 401(k) retirement savings plan.
  • Paid time off, including vacation, holidays, and sick leave.
  • Supportive and collaborative work environment.
  • Paid orientation and training programs.
Full Job Description
Position Overview:

The Director of Nursing assumes full time administrative authority, responsibility and accountability for the delivery of nursing services in the facility. Manages facility employees in the provision of care and services according to professional standards of nursing practice, consistent with facility philosophy of care and county, state and federal laws and regulations. Develops and implements policy and procedures consistent with current law and best nursing practices. In collaboration with the Administrator, allocates department resources in an efficient and economic manner to enable each resident to attain or maintain the highest practicable physical, mental, and psycho-social well-being. Collaborates with other departments, professionals, consultants, and organizations, including government agencies and advocacy groups, to develop support and coordination of resident care, related administrative functions and to represent the interests of the facility.
  • Review 24 hour report from every unit daily to ensure timely, effective responses to significant changes in condition, transfers, discharges, or use of physical or chemical restraints, unexplained injuries, potential abuse or neglect, medication errors, loss of resident property, any evidence or resident or family dissatisfaction. Gather and analyze facts, assess situations, develop and implement appropriate actions to investigate, to notify appropriate parties, to resolve issues and to record facts properly. Keep Administrator informed of findings and results
  • Establish and implements infection control program designed to provide a safe, sanitary and comfortable environment and to prevent the development and transmission of disease and infection. Review infection control surveillance reports to identify trends and to develop effective actions to control and prevent infections in the facility. Include infection control information and statistics in Quality Assessment and Assurance Committee report
  • Monitor the provision of care and services to residents on all shifts and evaluates regulatory compliance efforts through daily rounds to observe care on units, to review records and to interview staff members, residents, families and other interested parties. Evaluate the findings of compliance rounds conducted by designated facility staff on a daily basis. Design, implement and evaluate actions to continuously improve quality
  • Assist Administrator in preparation for long term care survey. Actively participate in long term care survey process by instructing staff in matters of conduct and disclosure, maintaining a presence at all times surveyors are on-site and directing the timely collection of information required by the survey team. Demonstrate concern for identified problems and undertake corrective action while survey is in progress if appropriate. Gather and present supplemental documentation to avoid potential deficiencies. Collaborate with Administrator to develop responses to survey report as needed
  • Over all responsibility for the Admission process: Review and approve admissions, be aware of acuity needs of current residents and impact of admissions, monitor staffing needs/abilities in relationship to admissions
  • Develop staffing plans that assure sufficient numbers of qualified, competent nursing staff to meet direct care needs, conduct assessments as required, develop plans of care, evaluate residents' responses to interventions and document clinical records effectively in compliance with county, state and federal laws and regulations, as applicable. Recommend number and type of nursing personnel necessary to provide care and to maintain compliance with facility mission and regulations
  • Hire and retain qualified competent nursing staff to provide nursing and nursing related services to attain or maintain the highest practicable physical, mental and psycho social well-being of each resident. Conduct interviews, provide regular performance reviews, take appropriate job actions, review job actions taken by subordinates to assure that staff meet qualification and performance standards and can perform all essential functions of the job.

Qualifications:
  • Current, active California Registered Nurse (RN) license in good standing.
  • Bachelor's degree in Nursing (BSN) preferred; Associate Degree in Nursing (ADN) may be considered based on experience and facility requirements.
  • Minimum 2-3 years of nursing experience in a skilled nursing or long-term care setting.
  • Previous Director of Nursing, Assistant Director of Nursing, RN Supervisor, or other nursing leadership experience preferred.
  • Strong knowledge of California Department of Public Health (CDPH), CMS, and federal/state skilled nursing facility regulations and requirements.
  • Working knowledge of MDS/RAI, Medicare/Medicaid, quality measures, infection prevention, and regulatory compliance.


For Full Time Positions, What We Offer:
  • Medical, Dental, and Vision coverage.
  • Additional options like Accident Insurance and Hospitalization plans.
  • Life and AD&D insurance included for full-time employees.
  • 401(k) retirement savings.
  • Paid time off: Vacation, Holidays, and Sick Leave.
  • Supportive and collaborative work environment.
  • Paid orientation and training programs.

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