Director of Nursing (RN)

Care Initiatives•West Branch, IA

About The Position

Crestview Specialty Care, a 65-bed long-term care skilled nursing community in West Branch, Iowa, is hiring a Director of Nursing (RN). The Director of Nursing leads and oversees nursing operations, ensuring regulatory compliance and high clinical standards. This leader champions person-centered, home-like care that respects resident choice, dignity, and independence, and coaches nursing leaders and staff to provide exceptional, relationship-based care. The role coordinates care and service transitions for residents and families, supports effective staffing and team member safety, and maintains budget accountability and operational efficiency. The Director prepares and guides the team toward deficiency-free surveys while maintaining a non-institutional approach to care. The role also partners with interdisciplinary teams on pre-admission reviews, discharge planning, and occupancy support; oversees regular nursing rounds; guides policy implementation and team development; and manages administrative functions. Participation in an on-call rotation with other leadership team members is required.

Requirements

  • Prior leadership experience within long-term care as an ADON or DON.
  • Valid RN license in good standing; license must be valid in Iowa or the candidate must be able to activate it.
  • Current, valid CPR certification.
  • Knowledge of federal and state long-term care regulations and laws.
  • Desire to learn and grow as part of a quality-focused clinical team.
  • Strong commitment to helping others and consistently treating them with empathy, respect, patience, and discretion.

Responsibilities

  • Lead and oversee nursing operations, ensuring regulatory compliance and high clinical standards.
  • Champion a person-centered, home-like care model that honors resident choice, dignity, and independence.
  • Coach, mentor, and inspire nursing leaders and staff to deliver exceptional, relationship-based care.
  • Ensure residents and families receive the appropriate level of care through strong care coordination and smooth service transitions.
  • Drive staffing effectiveness, team member safety, budget accountability, and operational efficiency.
  • Prepare, educate, and guide the team to achieve deficiency-free surveys while maintaining a non-institutional approach to care.
  • Partner with interdisciplinary teams on pre-admission reviews, discharge planning, and occupancy support.
  • Ensure nursing staff conduct regular rounds to monitor care delivery concerns and progress; recognize progress and propose and help implement solutions to address concerns.
  • Enforce policies and guide the team, fostering personal and team growth.
  • Manage administrative functions to enhance department efficiency and support future growth.
  • Participate in an on-call rotation with other members of the leadership team.

Benefits

  • Competitive compensation.
  • Unlimited paid time off.
  • Medical, dental, and vision benefits for eligible employees.
  • 403(b) retirement savings plan.
  • Referral bonus program.
  • Company-paid training and education through tuition reimbursement.
  • Digital Wallet access to pay as earned.
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