Director of Care Skilled Nursing Operations

Location: Connecticut / Massachusetts
Employment Type: Full-time
Travel: Multi-site; regular travel across assigned facilities

We are seeking an experienced Director of Care to provide clinical leadership and oversight across a portfolio of approximately 10 skilled nursing facilities (SNFs) throughout Connecticut and Massachusetts
.

This is a hands‑on, multi‑site clinical leadership position for a registered nurse (RN) or experienced nursing leader who understands skilled nursing operations and knows how to drive consistent standards of care across multiple facilities.

• Provide clinical oversight and leadership across multiple skilled nursing facilities.
• Partner with Directors of Nursing (DONs), Administrators, and facility leadership to establish and maintain high standards of resident care.
• Conduct regular facility visits, clinical assessments, and operational reviews.
• Monitor key clinical metrics, including quality measures, rehospitalizations, falls, infections, wounds, medication management, and other resident outcomes
  .
• Identify clinical risks and develop actionable plans to address performance gaps.
• Support facilities with state surveys, CMS requirements, regulatory compliance, and plans of correction
  .
• Evaluate nursing practices, documentation, care planning, and clinical processes.
• Coach and mentor DONs and nursing leadership to strengthen clinical performance and accountability.
• Promote consistent policies, procedures, and best practices across the organization.
• Collaborate with operations and facility leadership on staffing, retention, education, and clinical workforce development
  .
• Assist with implementation of quality improvement initiatives and QAPI programs.
• Analyze clinical data and trends and translate findings into practical improvement plans.
• Serve as a clinical resource for facilities experiencing complex resident care or operational challenges.
• Help develop and implement standardized clinical programs across the organization.
• Travel regularly between facilities throughout Connecticut and Massachusetts
  .

• Current RN license in good standing; multi-state licensure is a plus.
• Bachelor's degree in Nursing (
  BSN
  ) preferred.
• Significant clinical leadership experience in skilled nursing / long‑term care
  .
• Proven experience overseeing multiple SNFs or nursing facilities
  .
• Prior experience as a Director of Nursing (DON), Regional Director of Nursing, Clinical Director, Regional Nurse, or similar leadership role strongly preferred.
• Strong understanding of CMS, state regulatory requirements, survey readiness, and skilled nursing clinical standards
  .
• Demonstrated experience improving clinical outcomes and holding facility leadership accountable.
• Strong knowledge of QAPI, MDS, care planning, infection prevention, quality measures, and risk management
  .
• Excellent communication, leadership, organizational, and problem‑solving skills.
• Comfortable working independently and traveling between facilities on a regular basis.
• Strong ability to build relationships while maintaining high clinical and operational standards.

The ideal candidate is a clinical nurse leader—not simply a corporate administrator
—who has successfully led nursing operations across multiple skilled nursing facilities.

You should be comfortable walking into a facility, quickly understanding its clinical challenges, working alongside the DON and Administrator, and developing a practical plan to improve care and outcomes.

Experience managing or supporting multiple SNFs across a geographic region is highly preferred
.

• Regional leadership role with meaningful influence across multiple facilities.
• Opportunity to shape clinical standards and quality across an established SNF organization.
• Collaborative partnership with facility and operational leadership.
• Significant opportunity to improve resident outcomes and develop nursing leaders.
• Competitive compensation and benefits package.

Keywords: Director of Nursing, DON, Regional Director of Nursing, Regional Nurse, Clinical Director, Director of Care, Skilled Nursing, SNF, Long-Term Care, Nursing Home, RN, BSN, Multi-Site Nursing, Multi-Facility, Clinical Operations, Quality Improvement, QAPI, CMS, MDS, Survey Readiness, Infection Prevention, Healthcare Operations.