Chief Nursing Officer

Fairlawn Health & Rehabilitation of Cascadia•Gresham, OR
•Onsite

About The Position

The Chief Nursing Officer (CNO) oversees the daily clinical and administrative operations of the nursing department, ensuring residents receive care and services that support the highest practicable physical, mental, and psychosocial well-being in accordance with their comprehensive plans of care. The CNO incorporates evidence-based practice into nursing department objectives, advocates for residents and staff, and promotes high standards of care through orientation, continuing education, adequate staffing, prepared nursing supervisors and managers, and current policies and procedures. The role works collaboratively with the CEO as the CEO’s clinical partner and assumes operational responsibilities and authority during the CEO’s short-term absence. At Fairlawn Health and Rehabilitation of Cascadia, the CNO will lead nursing services at an 82-bed skilled nursing and rehabilitation community in Gresham, Oregon. The facility describes itself as a 5-Star CMS-rated, Silver Award-winning, and Gold Cup Awarded community. The role focuses on quality outcomes, person-centered care, survey readiness, regulatory compliance, staffing, employee development, resident and family satisfaction, and continuous quality improvement. The position is full-time and offers $120,000–$140,000, depending on experience, with an incentive plan. Applicants must be graduates of an accredited nursing school and hold a valid RN license in the state of employment, CPR certification, and a valid driver’s license. A BSN or MSN is preferred. Three to five years of successful Director of Nursing or equivalent experience in a long-term care facility is preferred. DNS-CT or CDONA certification is optional. Employees must complete and clear the applicable state background check 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.
  • Complete and clear the applicable state background check before contact with residents.
  • Strong clinical skills.
  • Knowledge of applicable federal, state, and other regulations, including state-specific clinical practice acts.
  • Knowledge and ability to follow regulations, policies, and guidelines.
  • Ability to communicate clearly and effectively verbally and in writing, listen actively, and work as part of a team.

Nice To Haves

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

Responsibilities

  • Ensure the nursing organizational structure supports clinical and administrative standards and facility goals, including person-centered care, survey readiness, and regulatory compliance.
  • Implement facility systems, processes, and programs to advance its mission, goals, and strategic plan.
  • Lead the nursing team to achieve quality outcomes.
  • Oversee staffing based on census, acuity, and budget; support recruitment and retention plans.
  • Follow facility personnel policies and procedures and ensure timely performance evaluations for nursing employees.
  • Promote effective working conditions and positive employee relations.
  • Participate in budget discussions and make recommendations about staffing composition.
  • Participate in quality assurance and performance improvement by analyzing outcomes, identifying trends, and developing action plans; ensure adherence to plans of correction.
  • Collaborate with other members of the health care team and review prospective resident referrals to assess whether the facility can provide the required clinical services.
  • Manage adverse events, determine root causes, and plan measures to prevent recurrence.
  • Assess nursing education needs and establish goals to support more complex clinical services and broaden the facility’s referral base.
  • Participate in or lead committees and workgroups as requested or required by Administration.
  • Communicate and collaborate with the Medical Director, attending and consulting physicians, ancillary and service departments, and contracted resources.
  • Maintain an open-door approach to concerns from residents, resident representatives, providers, and staff.
  • Participate in the 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 completion and transmission, with appropriate participation of health professionals.
  • Stay informed about residents’ conditions through daily rounds, discussions with charge nurses, review of orders and consultation reports, clinical meetings, and person-centered care practices.
  • Promote and evaluate resident and family satisfaction with nursing services.
  • Support smooth transitions of care through effective communication and discharge planning.
  • Protect residents’ rights and promote an environment free from abuse and neglect.
  • Evaluate nursing department staff development needs and ensure clinical competency of nursing staff.
  • Collaborate with the Director of Clinical Operations on systems for assessing clinical competencies 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 work effectively as part of the team.
  • Perform responsibilities in accordance with the Company’s Code of Conduct, policies and procedures, applicable federal and state laws, and professional standards.
  • Promote quality assessment and performance improvement using evidence-based data, industry baselines, facility benchmarks, and root-cause analysis.
  • Foster a culture of safety for residents and employees and support ongoing learning and development.
  • Anticipate resident needs and provide high-quality customer service with a commitment to continuous improvement.
  • Make timely, informed, data-driven decisions and build team commitment, cooperation, and trust.
  • Apply relevant principles, procedures, regulations, and policies; use facility technology effectively and protect access to and security of technology systems.
  • Follow organizational financial processes, monitor expenditures, and use cost-benefit thinking to set priorities.
  • Develop networks and partnerships, and encourage new ideas and improvements.

Benefits

  • Competitive salary and incentive plan
  • Supportive leadership team
  • Collaborative partnership with an engaged Administrator
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