Director of Nursing

At Sequoia Living, we are redefining what exceptional aging looks like. We are seeking an experienced, mission-driven Director of Nursing Services (DON) to lead clinical operations across our continuum of care including Skilled Nursing (SNF), Assisted Living (AL), Memory Care (MC), and Independent Living (IL). If you are a strategic RN leader with deep regulatory knowledge and a passion for quality outcomes, this is your opportunity to drive excellence in a respected, nonprofit senior living organization.

• Full operational and clinical oversight
• Survey-readiness & compliance leadership (OBRA, Title 22, CA Admin Code)
• Oversight of up to 60+ clinical staff
• Medicare Utilization & Quality Improvement leadership
• Competitive compensation + strong nonprofit mission alignment

Clinical & Regulatory Excellence

• Oversee nursing practice standards across SNF, AL, MC, and IL
• Ensure continuous survey readiness (Federal & State compliance)
• Maintain compliance with OBRA, Title 22, Divisions 5 & 6
• Oversee documentation, physician orders, audits, and regulatory reporting

Leadership & Talent Development

• Recruit, mentor, and develop licensed and unlicensed nursing staff
• Direct Nurse Managers and Charge Nurses
• Establish staffing models and productivity standards
• Drive performance management and professional development

Operations & Budget Oversight

• Partner with the Administrator on operating and capital budgets
• Monitor expenditures and manage departmental resources
• Collaborate cross-functionally with HR on workers’ comp, safety, and return-to-work programs

Resident & Family Partnership

• Serve as clinical liaison to physicians, families, consultants, and interdisciplinary teams
• Promote person-centered, compassionate care across all levels

Required:

• BSN from accredited institution
• 6+ years clinical nursing experience
• 2+ years administrative nursing leadership
• 3+ years management experience
• Experience in SNF, rehab, or acute care

Highly Preferred:

• Strong survey history and regulatory expertise
• Experience leading multi-level care operations

Why Work Here:

• $139,000 - $165,000/year
• We have medical and dental coverage or pay a cash stipend if you are covered on another plan. Life Insurance, Commuter Benefits, Emergency Relief Fund, Flexible Spending Account, 18 PTO, 8 Holidays, 6 days per year available to provide pay when on an approved Leave of Absence and much more!
• Generous PTO and holidays
• Employee Referral Award, Employee Recognition Programs, Sign On Bonus.
• We offer on the job training and professional development opportunities. Scholarships too!
• We offer tuition and/or fee assistance for qualified programs.
• Covid protocols in place to keep everyone safe.
• Competitive wages and growth opportunities.

At Sequoia Living, leadership is about more than oversight; it's about advancing dignity, safety, and excellence in aging services.

If you're ready to lead a high-performing clinical team and shape the future of senior care, we encourage you to apply or connect directly.

Who We Are:

Founded in 1958, Sequoia Living is a Bay Area-based nonprofit organization dedicated to providing older adults with stimulating, joyful living environments and services that support and enrich their lives. Throughout our six decades as a nonprofit serving Bay Area seniors, we’ve learned the importance of connection and collaboration when it comes to providing resources for healthy aging. From our Life Plan Community to safe affordable housing, engaging senior centers, and a purpose-filled volunteer program, we provide friendly environments where people can explore and discover what it means to grow stronger, wiser, and more joyful.

Sequoia Living is an Equal Employment Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. In compliance with the Americans with Disabilities Act, Sequoia Living will provide reasonable accommodations to qualified individuals with disabilities and encourage prospective employees to discuss potential accommodations with the employer.

Pursuant to the San Francisco Fair Chance Ordinance, we may consider employment qualified applicants with arrest and conviction records.