$10,000 RETENTION BONUS - Director of Nursing

Campbell Street•Shenandoah, IA

1d•Onsite

About The Position

The Director of Nursing (DON) provides overall leadership, management, and clinical oversight of the nursing department at Shenandoah GardenView in Shenandoah, Iowa. The DON ensures residents receive safe, compassionate, person-centered care in accordance with clinical standards and applicable state and federal regulations. The role oversees nursing services, staffing, recruitment and retention, clinical outcomes, infection prevention, quality assurance, care planning, and staff development. The DON partners with the Administrator and Campbell Street’s clinical and operational leadership to improve department performance, promote regulatory readiness, and maintain accountability and continuous improvement. This is a hands-on leadership position in a long-term care and skilled nursing environment, with responsibility for resident care, staff development, operational performance, and relationships with residents, families, physicians, and healthcare partners. The position offers a $10,000 retention bonus, subject to eligibility, payment timing, and applicable retention requirements provided during the hiring process.

Requirements

Graduation from an accredited school of nursing.
Current, active Registered Nurse (RN) license in the state of Iowa, in good standing.
Extensive experience in long-term care (LTC), a skilled nursing facility (SNF), or a comparable post-acute care environment.
Strong knowledge of clinical standards, resident rights, care planning, infection prevention, and applicable state and federal regulations.
Demonstrated ability to lead, coach, develop, and retain nursing personnel.
Strong critical-thinking, problem-solving, organizational, and communication skills.
Ability to manage competing priorities while maintaining a focus on resident safety and quality of care.
Current CPR certification or ability to obtain and maintain required certification.

Nice To Haves

Previous experience as a Director of Nursing, Assistant Director of Nursing, or in another clinical leadership role in a skilled nursing environment.
Experience with survey preparation, regulatory compliance, QAPI, and clinical performance improvement.
Specialized clinical experience in dementia care, wound care, infection prevention, restorative nursing, or complex resident care.
Experience improving staffing stability, reducing turnover, and strengthening clinical outcomes.
Experience managing nursing department budgets, staffing plans, and operational performance.

Responsibilities

Oversee nursing services to ensure high-quality, individualized care that promotes resident safety, dignity, and quality of life.
Monitor clinical outcomes, resident assessments, care plans, documentation, and changes in condition to ensure appropriate and timely interventions.
Oversee infection prevention and control, medication management, restorative nursing, dementia care, and other clinical programs as applicable.
Lead QAPI initiatives, identify improvement opportunities, and implement sustainable corrective actions.
Ensure compliance with federal and Iowa state regulations, licensing requirements, and clinical policies and procedures.
Support survey readiness, respond to deficiencies, and oversee corrective action plans.
Lead recruitment, selection, onboarding, training, coaching, and retention of licensed and non-licensed nursing personnel.
Establish expectations, promote accountability, and foster a positive, collaborative work environment.
Evaluate employee performance, provide feedback, recognize achievements, and address performance concerns.
Monitor staffing levels and resident acuity to ensure appropriate nursing coverage and continuity of care.
Develop staffing strategies to reduce turnover and reliance on overtime and agency staffing and support workforce stability.
Identify staff development needs and ensure nursing personnel receive appropriate education, competencies, and ongoing training.
Provide hands-on clinical support when necessary to maintain resident care and department operations.
Partner with the Administrator and organizational leadership to establish departmental goals, monitor performance, and align nursing operations with community objectives.
Oversee nursing department budgets, staffing resources, supplies, and equipment.
Maintain accurate clinical documentation, resident assessments, care plans, and required reports.
Oversee reporting, investigation, and documentation of incidents, accidents, medication errors, and changes in resident condition.
Coordinate with physicians, residents, families, ancillary service providers, and other departments to support continuity of care and communication.
Participate in interdisciplinary meetings, care conferences, and organizational initiatives that support resident outcomes and community performance.
Maintain emergency preparedness and ensure nursing staff understand and follow emergency procedures.
Promote a resident-centered culture that respects residents’ rights, preferences, and dignity.
Serve as a clinical resource for residents, families, and staff, addressing concerns professionally and promptly.
Build working relationships with physicians, department leaders, and external healthcare partners.
Support a culture of transparency, compassion, and continuous improvement.

Benefits

$10,000 retention bonus, subject to eligibility, payment timing, and applicable retention requirements.
Medical, dental, and vision insurance.
Long-term and short-term disability coverage.
Company-paid life insurance, with additional voluntary coverage available.
Accident and critical illness insurance.
Matching 401(k) retirement plan.
Same-day pay.
Generous paid time off (PTO).
Employee Assistance Program (EAP).
Continuing education and license renewal support.
Certification reimbursement and professional development opportunities.