Chief Nursing Officer

Gresham of Cascadia LLC•Gresham, OR

3h•$120,000 - $140,000•Onsite

About The Position

The Chief Nursing Officer (CNO) oversees the daily clinical and administrative operations of the nursing department, ensuring residents receive the care and services needed to attain or maintain the highest practicable physical, mental, and psychosocial well-being in accordance with their plans of care. The CNO ensures nursing philosophy and objectives incorporate evidence-based practice, high-quality care, and quality of life, and serves as an advocate for residents and staff. The role promotes high standards through orientation, continuing education, adequate nursing staffing, prepared supervisors and managers, and current policies and procedures. The CNO works collaboratively with the CEO as the CEO’s clinical partner and may assume operational responsibilities and authority during the CEO’s short-term absence. At Fairlawn Health and Rehabilitation of Cascadia in Gresham, Oregon, the CNO leads the nursing team at an 82-bed skilled nursing and rehabilitation community. The position is full-time and offers a salary of $120,000–$140,000, depending on experience, plus an incentive plan. The facility is described as 5-Star CMS-rated, Silver Award winning, and Gold Cup Awarded, with a collaborative and supportive leadership team. The CNO is responsible for clinical outcomes, regulatory compliance, survey readiness, staffing, employee relations, quality assurance and performance improvement, resident and family satisfaction, staff development, and coordination with physicians and other care-team members. The role also functions as the MDS coordinator, supports transitions of care, protects residents’ rights, and ensures staff competency. Employees must complete and clear state-specific background checks before having contact with residents.

Requirements

Graduate of an accredited school of nursing.
Valid RN license in the state of employment.
Valid CPR certification.
Valid driver’s license.
Strong clinical skills.
Knowledge of applicable federal, state, and other regulations, including state-specific clinical practice acts.
Knowledge of and ability to follow regulations, policies, and guidelines.
Submit to and clear the facility’s state-specific background check requirements before resident contact.

Nice To Haves

BSN or MSN preferred.
DNS-CT or CDONA certification is optional.
Three to five years of successful experience as a Director of Nursing or in an equivalent position in a long-term care facility preferred.

Responsibilities

Ensure the nursing organizational structure supports clinical and administrative standards and the facility’s mission, person-centered care, survey readiness, and regulatory compliance.
Implement facility systems, processes, and programs to achieve its mission, goals, and strategic plan.
Lead the nursing team to ensure quality outcomes.
Oversee staffing based on census, acuity, and budget; ensure effective recruitment and retention plans are in place and participate in their implementation.
Follow facility personnel policies and procedures, and ensure timely completion of nursing employee performance evaluations.
Promote effective working conditions and positive employee relations.
Participate in budget discussions and make staffing composition recommendations.
Participate in quality assurance and performance improvement by analyzing outcomes, identifying trends, developing action plans, and ensuring adherence to plans of correction.
Collaborate with other members of the health care team.
Review prospective resident referrals to determine whether the facility can provide the needed clinical services.
Manage adverse events, identify root causes, and develop plans to prevent recurrence.
Assess nursing education needs and set goals that enable the facility to provide more complex clinical services and broaden its referral base.
Participate in or lead committees and workgroups as needed or requested by Administration.
Communicate and collaborate with the Medical Director, physicians, ancillary and service departments, and contracted resources.
Maintain an open-door policy for concerns raised by residents, resident representatives, providers, and staff.
Participate in selection, monitoring, evaluation, storage, and tracking of clinically related equipment and supplies.
Assume operational responsibilities and authority during the CEO’s short-term absence.
Function as the MDS coordinator for MDS completion and transmission, with appropriate participation from health professionals.
Stay informed about residents’ conditions through daily rounds, discussion with charge nurses, review of orders and consultation reports, clinical meetings, and promotion of person-centered care.
Promote and evaluate resident and family satisfaction with nursing services.
Advocate for and assist with smooth transitions between care settings through effective communication and discharge planning.
Promote an environment that protects residents’ rights and keeps residents free from abuse and neglect.
Evaluate nursing staff development needs and ensure staff clinical competency; collaborate with the Director of Clinical Operations on competency systems during hiring and annually.
Encourage ongoing professional organization involvement and completion of formal academic programs.
Participate in employee recognition programs.
Communicate effectively, listen actively, and function effectively as part of the team.
Perform job responsibilities in accordance with the Company’s Code of Conduct, policies and procedures, applicable laws, and professional standards.