Director of Nursing - Senior Living

Full Spectrum Search Group•Cedar Mill, OR
•Onsite

About The Position

Full Spectrum Search Group is representing an established assisted living and memory care community in the Cedar Mill, Oregon area seeking a Health Services Director (RN). This is a hands-on clinical leadership role responsible for resident care outcomes and health services across assisted living and memory care. The director leads assessments, change-in-condition follow-up, nursing delegation, clinical documentation oversight, physician order verification, care conferences, and day-to-day clinical guidance for the resident care team, while partnering closely with community leadership. The position may suit an experienced senior living RN or a clinically strong RN leader from skilled nursing, home health, hospice, or another relevant post-acute setting who is ready to take broader ownership of resident care operations in a community environment. The director provides coaching and direction to Resident Care Coordinators, a Memory Care Supervisor, and the broader care team. The posting offers a choice of a Monday–Friday or Saturday–Tuesday schedule structure.

Requirements

  • Active RN license.
  • Demonstrated clinical judgment and ability to independently assess, prioritize, and manage resident care needs.
  • Experience in senior living, skilled nursing, home health, hospice, or another relevant post-acute clinical setting.
  • Working knowledge of clinical assessments, change-in-condition processes, nursing delegations, physician orders, and clinical documentation.
  • Ability to communicate effectively with residents, families, physicians, care staff, and community leadership.
  • Professional presence, accountability, organization, and ability to influence and guide a care team.

Nice To Haves

  • Prior formal management experience.
  • Experience supporting staffing coordination or stepping in during staffing gaps.

Responsibilities

  • Lead health services operations for assisted living and memory care residents.
  • Complete RN assessments, including assessments related to changes in resident condition.
  • Manage nursing delegations in accordance with applicable regulations and community standards.
  • Oversee alert charting and verify physician orders for accuracy and follow-through.
  • Lead resident and family care conferences, communicating clearly and professionally about clinical changes and care-planning needs.
  • Provide clinical coaching, direction, and accountability to two Resident Care Coordinators, a Memory Care Supervisor, and the broader resident care team.
  • Partner with community leadership to support resident-centered care, quality outcomes, and effective care coordination.
  • Support staffing needs when Resident Care Coordinator coverage is unavailable or staffing issues arise.
  • Maintain organized, compliant clinical documentation and ensure timely follow-up on resident care needs.
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