Regional Nurse Consultant

Legacy Healthcare•Rapid City, SD
•Onsite

About The Position

Legacy Healthcare is seeking a seasoned Director of Nursing ready to move into a regional role. The Regional Nurse Consultant provides clinical leadership, regulatory oversight, and operational support to multiple long-term care facilities in South Dakota. The consultant partners with Administrators, Directors of Nursing, and interdisciplinary teams to promote regulatory compliance, improve clinical quality outcomes, and support safe, resident-centered care. The position requires residency in South Dakota and extensive travel throughout the state and division—at least 90%, potentially 90–100%. Travel may be required on short notice depending on surveys. The role includes onsite facility consultation, survey preparation and support, leadership coaching, compliance monitoring, and assistance with clinical and quality improvement concerns.

Requirements

  • Registered Nurse currently licensed in the State of South Dakota.
  • Minimum of 10 years of experience in a long-term care setting.
  • Minimum of 5 years of experience as a Director of Nursing (DON) in a Skilled Nursing Facility.
  • Minimum of 3 years of Regional Nurse Consultant (RNC) experience in long-term care.
  • Experience applying State and Federal long-term care regulations.
  • Knowledge of the long-term care survey process.
  • Deep understanding of healthcare legislation, adverse event regulations, and critical thinking.
  • Strong communication, organizational, and writing skills.
  • Ability to educate and mentor clinical and administrative staff.
  • Proficiency in regulatory documentation review and compliance monitoring.
  • At least 90% extensive travel throughout the division; residency in South Dakota is required.

Nice To Haves

  • Multi-state experience and divisional clinical oversight experience.
  • QAPI certification.
  • Wound Care Certification.
  • Infection Prevention experience and certification.
  • Experience with policy development.

Responsibilities

  • Conduct routine onsite facility visits to assess clinical operations, identify risks, and provide coaching and support.
  • Prepare facilities for annual, complaint, and revisit surveys through mock surveys, regulatory reviews, and staff education.
  • Provide onsite support during regulatory surveys and assist leadership with survey management and response activities.
  • Develop, review, and assist with writing Plans of Correction (POCs), and monitor implementation to ensure sustained compliance.
  • Collaborate with facility leadership to develop and implement corrective action plans and Performance Improvement Plans (PIPs).
  • Analyze quality measures, clinical indicators, survey trends, and regulatory reports to identify opportunities for improvement.
  • Mentor and develop Directors of Nursing and other clinical leaders through education, coaching, and leadership support.
  • Assist with recruitment, orientation, onboarding, and succession planning for Directors of Nursing and other key nursing leadership positions.
  • Review clinical documentation, policies, procedures, and facility practices for compliance with regulatory standards and company expectations.
  • Assist facilities with reportable event investigations, determine reporting requirements, and review reports submitted to regulatory agencies.
  • Support Quality Assurance and Performance Improvement (QAPI) initiatives by identifying trends and monitoring outcomes.
  • Assist facilities with clinical problem-solving related to admissions, staffing, infection prevention, wound care, falls, behavioral health, and other regulatory or quality concerns.
  • Travel extensively throughout the division to provide onsite consultation, education, and clinical support.
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