Chief Nursing Officer

Highland Health and RehabilitationBellingham, WA
Onsite

About The Position

Highland Health & Rehabilitation is a 44-bed skilled nursing and rehabilitation community committed to delivering high-quality, person-centered care. We are seeking a confident, strategic, and relationship-driven Chief Nursing Officer to serve as the clinical leader and partner to the CEO, driving excellence in resident care, team development, and operational performance. This is an opportunity to step into a highly visible leadership role where you will directly shape clinical outcomes, team culture, and the overall resident experience.

Requirements

  • Active RN license in Washington (or ability to obtain)
  • 3–5+ years of leadership experience in skilled nursing (CNO/DON/ADON level preferred)
  • Strong knowledge of CMS regulations, survey processes, and long-term care operations
  • Experience leading QAPI initiatives and driving clinical outcomes
  • A leader who builds trust, develops teams, and holds high standards
  • Excellent communication, problem-solving, and decision-making skills
  • Passion for delivering high-quality, person-centered care
  • Graduate of accredited school of nursing, BSN or MSN preferred.
  • Valid RN license in the state employed
  • Valid CPR certification
  • 3-5 years successful experience as a Director of Nursing or equivalent position in long-term care facility preferred

Nice To Haves

  • DNS-CT or CDONA, optional
  • Valid driver’s license

Responsibilities

  • Lead, mentor, and develop nursing leaders and frontline staff
  • Build a culture of accountability, collaboration, and continuous improvement
  • Oversee staffing strategy based on census, acuity, and budget
  • Ensure strong onboarding, clinical competencies, and ongoing education programs
  • Promote positive employee relations and high staff engagement
  • Drive person-centered, evidence-based care across the facility
  • Monitor clinical outcomes and lead quality assurance and performance improvement (QAPI) initiatives
  • Analyze trends, identify opportunities, and implement sustainable solutions
  • Ensure excellence in care planning, clinical documentation, and interdisciplinary collaboration
  • Maintain a state of continuous survey readiness
  • Lead survey processes with confidence and structure
  • Ensure compliance with all federal and state regulations and clinical standards
  • Oversee investigations, root-cause analyses, and plans of correction
  • Partner closely with the CEO as the clinical leader of the facility
  • Participate in budgeting, staffing models, and resource planning
  • Evaluate referrals to ensure clinical capability and appropriate admissions
  • Oversee equipment, supplies, and clinical resource utilization
  • Serve as acting operational leader in the CEO’s absence when needed
  • Champion resident rights, dignity, and safety
  • Promote strong communication with residents, families, and care teams
  • Support smooth transitions of care through effective discharge planning
  • Maintain visibility through daily rounds and engagement with staff and residents

Benefits

  • Relocation assistance, if applicable
  • Medical, dental & vision insurance
  • 401(k) retirement plan
  • Generous PTO & holiday pay
  • Life & disability insurance
  • Employee Assistance Program
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