Assistant Director of Nursing (ADON)

CCRC•Seattle, WA

11d

About The Position

Horizon House is seeking an experienced, compassionate Assistant Director of Nursing (ADON) to help lead its Assisted Living team and ensure residents receive outstanding clinical support. In partnership with the Director of Nursing (DON), the ADON provides hands-on clinical leadership, mentors and develops care staff, and helps foster a culture of excellence, accountability, and resident-centered care. The role suits a nurse leader who enjoys being visible on the floor, coaching teams, and making a direct impact on residents’ lives. The ADON provides day-to-day direction to the care team and directly supervises Nursing Assistants. Medication Technicians and Resident Care Coordinators (RCCs) report to the DON, with defined dotted-line oversight from the ADON. The role supports regulatory and facility compliance, staff education and competency, resident safety, care coordination, inspection readiness, budget planning, and quality improvement. Participation in an on-call rotation is required as assigned. The starting pay range is $115,000 to $125,000 annually. Applicants offered the role must pass a DSHS background check and drug screening and demonstrate the legal right to work in the United States. Horizon House is an E-Verify and equal opportunity employer and provides reasonable accommodations to individuals with disabilities.

Requirements

Active, unrestricted Registered Nurse (RN) or Licensed Practical Nurse (LPN) license in Washington State.
Experience leading and supervising large teams in assisted living, skilled nursing, a hospital, or a related health care setting.
Knowledge of nursing and medical practices and procedures, and of the laws, regulations, and guidelines governing assisted living in Washington State.
Current CPR certification.
Current Food Handler’s Permit.
Completion of DSHS Dementia and Mental Health training as required by Washington State regulations.
Proficiency with Microsoft Office applications such as Outlook, Teams, Word, and Excel.
Ability to complete the physical requirements of the job, with or without reasonable accommodation.
Legal right to work in the United States.
Successful completion of a DSHS background check and drug screening if offered the role.

Responsibilities

Maintain a visible, hands-on leadership presence on the floor to support safe, timely, and dignified resident care and provide day-to-day direction to the care team.
Lead, develop, and manage assigned staff to support a high-performing, engaged, and compliant workforce.
Directly supervise Nursing Assistants and provide defined dotted-line oversight for Medication Technicians and Resident Care Coordinators (RCCs).
Ensure nursing practice, documentation, medication administration, and infection-control processes meet regulatory and facility standards.
Provide orientation, ongoing in-service education, and just-in-time coaching to address staff knowledge and skill gaps.
Plan, complete, and document skills competency checks and re-validations for RCCs, Medication Technicians, and Nursing Assistant-Certified (NAC) staff.
Monitor resident changes in condition, incidents, and unusual occurrences; respond promptly and report concerns to the DON, Assisted Living Administrator, and/or state agency as required.
Protect residents from abuse, neglect, and misappropriation of property by monitoring allegations, participating in investigations, and safeguarding residents’ rights.
Partner with the interdisciplinary team, physicians, families, and community agencies to coordinate care and promptly resolve concerns and complaints.
Maintain compliance with Washington assisted living requirements and facility policies to keep the community inspection-ready.
Participate in the on-call rotation as assigned.
Support assisted living department budget planning and manage medical and nursing supplies.
Participate in performance-improvement activities, facility committees, and move-in and care-level decisions as indicated.
Use and disclose Protected Health Information only to the minimum extent necessary for essential job functions and safeguard it against unauthorized access, use, or disclosure.