Director of Nursing (RN)

Care Initiatives • Creston, IA

3d

About The Position

Care Initiatives is seeking a Director of Nursing to lead nursing operations at one of its skilled nursing communities in Iowa. The Director of Nursing oversees the nursing department, ensuring regulatory compliance and high clinical standards while championing a person-centered, home-like approach that respects residents’ choices, dignity, and independence. The role coaches and mentors nursing leaders and staff, supports care coordination and transitions, and drives staffing effectiveness, team member safety, 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 position also partners with interdisciplinary teams on pre-admission reviews, discharge planning, and occupancy support; oversees regular nursing rounds and follow-up on concerns; enforces policies; and manages administrative functions. Participation in an on-call rotation with other leadership team members is required.

Requirements

• Prior long-term care leadership experience as an ADON or DON.
• Valid RN license in good standing, valid in Iowa or able to be activated in Iowa.
• 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 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 residents’ choice, dignity, and independence.
• Coach, mentor, and inspire nursing leaders and staff to provide exceptional, relationship-based care.
• Coordinate care to ensure residents and families receive the appropriate level of care and experience 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 concerns and progress, recognize progress, and help implement solutions.
• Enforce policies and foster personal and team growth.
• Manage administrative functions to improve 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.
• 401(k).
• Referral bonus program.
• Tuition reimbursement and company-paid training and education.
• Digital wallet access to earned pay.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed