Director Of Nursing(DON)

PACS
•$120,000 - $140,000•Onsite

About The Position

Sequoia Transitional Care is seeking an experienced, compassionate Director of Nursing to lead its clinical team in Porterville, California. The DON is responsible for the overall direction and management of nursing services, clinical operations, staffing, regulatory compliance, quality assurance, and resident safety. The role works closely with physicians, families, department leaders, and the interdisciplinary team to ensure residents receive exceptional, individualized care. This position offers an opportunity for a nursing leader to develop employees, strengthen clinical systems, and foster a culture of excellence. The DON directly or indirectly supervises the Assistant Director of Nursing and the entire nursing team and is accountable for nursing leadership, clinical performance, employee development, staffing, and resident-care quality. The position requires regular sitting, standing, walking, speaking, hearing, reading, and computer use. Occasional lifting or moving of up to 75 pounds and direct resident care may be required. Frequent use of office equipment is required, and occasional travel by automobile or air may be necessary.

Requirements

  • Graduate of an accredited school of nursing.
  • Current California Registered Nurse license in good standing.
  • Current CPR certification.
  • Strong knowledge of clinical operations, MDS, care planning, infection prevention, staffing, survey readiness, and quality assurance.
  • Proficiency with Microsoft Office.
  • Excellent clinical judgment, leadership, communication, and organizational skills.
  • Ability to develop employees, resolve problems, and promote accountability.
  • Ability to manage multiple priorities in a fast-paced healthcare environment.
  • Must maintain all required continuing education and professional licensure.

Nice To Haves

  • Bachelor of Science in Nursing.
  • Seven years of nursing-management experience.
  • Director of Nursing or senior clinical leadership experience in skilled nursing or long-term care.
  • Experience with PointClickCare.

Responsibilities

  • Direct and manage the overall operation of the Nursing Department.
  • Maintain appropriate staffing levels and ensure adequate nursing coverage.
  • Develop, implement, review, and enforce nursing policies and procedures.
  • Ensure nursing services comply with applicable federal, state, local, and facility requirements.
  • Promote resident safety, dignity, rights, preferences, and quality of life.
  • Recruit, interview, hire, orient, train, coach, and retain nursing employees.
  • Supervise and support the Assistant Director of Nursing, licensed nurses, CNAs, and other nursing personnel.
  • Conduct employee evaluations and address performance concerns through coaching, education, and appropriate corrective action.
  • Develop and conduct clinical education, competencies, and in-service training.
  • Make clinical rounds and monitor the quality and consistency of resident care.
  • Review changes in condition, incidents, hospital transfers, infections, falls, wounds, and other clinical concerns.
  • Provide direct, hands-on resident care when necessary.
  • Coordinate pharmacy services and ensure medications are stored, administered, and destroyed according to established procedures.
  • Serve as a liaison among residents, families, physicians, employees, and healthcare partners.
  • Collaborate with all facility departments to promote coordinated resident care.
  • Oversee MDS coordination, care planning, documentation, and interdisciplinary communication.
  • Participate in Quality Assurance, Performance Improvement, Utilization Review, and resident-care conferences.
  • Lead survey preparation and actively participate in state and federal inspections.
  • Develop and implement plans of correction and monitor continued compliance.
  • Ensure clinical documentation is accurate, complete, timely, and compliant.
  • Manage Nursing Department budgets, staffing expenses, supplies, and required reports.
  • Remain current on regulatory changes and communicate applicable updates to employees.
  • Participate in investigations, risk-management activities, and legal proceedings when required.
  • Maintain the confidentiality of resident, employee, and facility information.
  • Perform additional clinical and leadership duties as assigned.

Benefits

  • Medical, dental, and vision insurance.
  • 401(k) retirement plan.
  • Life insurance.
  • Paid time off.
  • Continuing education and leadership-development opportunities.
  • Supportive facility and regional leadership.
  • Collaborative interdisciplinary environment.
  • Opportunity to develop a high-performing nursing team.
  • Meaningful leadership role with a direct impact on resident outcomes.
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