Director of Nursing (DON) - Full-Time Exempt

Job Title

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Clinical Quality & Resident Care

• Provides overall leadership and oversight of the nursing department to ensure high-quality resident care
• Accountable for clinical outcomes, including prevention and management of falls, pressure injuries, infections, and hospital readmissions
• Ensures physicians and clinical providers conduct visits as required and that care is delivered in accordance with resident needs
• Conducts regular rounds to monitor resident care, staff performance, and overall environment of care
• Oversees documentation practices to ensure accuracy, completeness, and regulatory compliance of resident records
• May provide direct care as needed

Regulatory Compliance & Survey Readiness

• Maintains continuous survey readiness and ensures compliance with federal, state, and local regulations
• Leads survey preparation, participates in surveys, and oversees implementation of plans of correction
• Oversees incident reporting, investigations, and follow-up actions in accordance with regulatory requirements
• Ensures compliance with all organizational policies, procedures, and the compliance program

Quality Improvement & Infection Control

• Leads QAPI and performance improvement initiatives for the nursing department utilizing data, metrics, and trends to drive decision-making and improve outcomes
• Oversees infection prevention and control programs to ensure compliance and minimize risk. May be the center Infection Preventionist.

Workforce Leadership & Development

• Develops, leads, and retains a high-performing nursing team through effective hiring, coaching, and performance management
• Oversees staffing and scheduling to ensure appropriate coverage while managing labor costs, overtime, and agency utilization
• Ensures orientation, onboarding, ongoing training, and competency development of nursing personnel
• Ensures maintenance of licensure and certification requirements for all nursing personnel, including CPR certification for all licensed nursing personnel
• Ensures fair and consistent application of disciplinary processes and performance evaluations

Operations & Financial Management

• Ensures necessary equipment, supplies, and staffing levels are available to support quality care delivery
• Participates in budget development for the nursing department, medical, nursing and central supplies.
• Manages nursing department operations within budget, including labor and supply expenses

Leadership, Collaboration & Culture

• Partners with the Executive Director and interdisciplinary team to drive clinical, operational, and financial performance
• Acts in an administrative capacity in the absence of the Executive Director
• Collaborates with internal and external partners to improve quality of care and operational outcomes
• Promotes a culture of accountability, professionalism, safety, and resident-centered care
• Ensures high standards of customer service for residents, families, and staff
• Treats residents, families, visitors, and staff with courtesy and respect

Professional Responsibilities

• Represents the organization in professional, community, and marketing activities as appropriate
• Attends and participates in required meetings, committees, training, and organizational initiatives
• May provide direct nursing care as needed and serve in an administrative capacity in the absence of the Executive Director

Safety

• Knows and follows North Shore Health rules
• Follows North Shore Health dress and hygiene policies
• Demonstrates proper use of equipment
• Reports equipment needs or repairs
• Follows North Shore Health smoking policies
• Reports and documents any incidents or accidents of residents, staff or visitors to the appropriate North Shore Health Support Center personnel
• Reports all hazardous conditions/equipment to Executive Director
• Uses required protective equipment
• Follows infection control standards, policies and procedures

Resident Rights

• Knows Resident Rights
• Helps the residents/patients exercise and/or protect their rights
• Maintains confidentiality of resident/patient and employee information

HIPAA

• Follows and adheres to North Shore Health's…