Director of Nursing (DON) ($20K Sign-On Bonus)

Horizon House•Seattle, WA

2d•Onsite

About The Position

We’re seeking a highly skilled Director of Nursing (DON) to serve as the clinical leader for our single-site Assisted Living and Memory Care units. This is a meaningful opportunity to elevate resident care, strengthen clinical practice, and shape the culture of a dedicated team that values excellence, collaboration, and person-centered service. In this role, you’ll guide clinical operations, champion regulatory compliance, and ensure our caregiving teams provide safe, consistent, and compassionate care every day. Join a collaborative nursing leadership team where the Director of Nursing is supported by an Assistant Director of Nursing and 24/7 coverage from LN/RN Resident Care Coordinators. Our shared leadership model ensures you are never carrying the responsibility alone, allowing you to focus on quality care, team development, and resident outcomes.

Requirements

Active RN license in good standing with the State of Washington.
2+ years of recent experience working with a senior population.
2+ years of recent RN Delegator experience.
3+ years supervising 10+ direct reports in a healthcare environment.
Current CPR certification and BLS training.
Background working with dementia, aging-related needs, and complex family dynamics.
Proficiency with Microsoft 365 applications.
Strong communication and interpersonal skills.
Ability to work collaboratively and independently in a fast-paced, 24/7 care environment.
Demonstrates initiative, adaptability, and strong clinical judgment.
Must be able to complete all physical requirements of the job with or without a reasonable accommodation.
Employee accesses, uses and/or discloses Protected Health Information, as defined by HIPAA, only to the extent minimally necessary to accomplish essential job functions. Employee practices appropriate safeguards to prevent unauthorized access, use and/or disclosure of PHR (paper, electronic and oral) within his/her work area.
All staff must demonstrate the legal right to work in the United States.
All applicants offered a role must pass a DSHS background check, and drug screening.

Responsibilities

Serve as the primary clinical authority for our single-site community with Assisted Living and Memory Care.
Lead the RN Delegation Program, including resident eligibility, task delegation, competency checks, and regulatory compliance.
Lead, develop, and supervise Medication Technicians and nursing staff.
Oversee care assessments, care planning, admissions, annual reviews, and change-of-condition evaluations.
Manage incident reporting, investigations, documentation, and trend analysis.
Ensure survey readiness through audits, corrective actions, and documentation integrity.
Set clear expectations for clinical excellence, documentation, and safe practices.
Partner with the Assisted Living Manager to align clinical and operational performance.
Lead clinical quality assurance initiatives and performance improvement efforts.
Strengthen medication management systems, infection prevention practices, and safety protocols.
Track and resolve clinical grievances with timely follow-through.
Partner with pharmacy, hospice, home health, and other providers to ensure coordinated care.
Participate in committees and policy development to support organizational goals.
Collaborate with Life Enrichment leadership to reinforce Memory Care practices.
Develop and deliver training related to delegation, medication systems, safety, emergency procedures, and clinical risk management.
Assess team learning needs and implement targeted training and coaching.
Provide education to residents and families on clinical systems and care processes.
Participate in the manager-on-call rotation to support clinical decision-making.