Assisted Living Assistant Administrator; Licensed Nurse

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At Horizon House, we are committed to supporting residents in living life to the fullest with dignity, purpose, and joy. We are seeking a compassionate Assisted Living Assistant Administrator (RN/LPN required) that provides leadership and clinical oversight to ensure the optimal quality of life and well-being of all Assisted Living and Memory Care residents. In this vital role, you’ll drive the daily operations of care delivery, staff supervision, and regulatory compliance, ensuring the highest quality of life and well-being for our residents.

You will directly supervise our nurses and CNAs, cultivate a performance-driven team culture, and support continuous quality improvement initiatives. This is an excellent opportunity for a skilled healthcare professional who is passionate about leadership, team development, and resident-centered care.

What You’ll Do

Leadership & Operations

• Lead the Assisted Living team in alignment with Horizon House's mission, values, and care philosophy.
• Oversee daily operations to ensure consistency, accountability, and service excellence.
• Participate in quality improvement initiatives and QAPI projects.

Staff Supervision

• Hire, train, and evaluate nurses and CNAs.
• Provide leadership, coaching, and performance management support to the care team.
• Participate in weekend on-call rotation and provide coverage as needed.

Resident Care & Satisfaction

• Serve as the primary point of contact for residents and families regarding clinical care concerns.
• Responsible for oversight of resident care, including regular audits of Negotiated Service Agreements (NSA) and Plan of Care (POC).
• Collaborate with dining services to ensure a high-quality mealtime experience.

Clinical Oversight & Compliance

• Ensure compliance with all Washington State Assisted Living regulations.
• Oversee incident management, reporting, and trend analysis.
• Support infection control and resident safety protocols.
• Ensure the development and ongoing management of elopement profiles through oversight and delegation to RCCs for implementation.
• Partner with hospice, home health, and external care agencies.
• Act as point of contact for Long Term Care (LTC) insurance processes in collaboration with nurse staff.

Staff Development & Training

• Identify staff development needs and lead training programs.
• Work with Life Enrichment and clinical teams to support memory care initiatives and education.

The Ideal Candidate will possess the following qualifications:

• Must have an active unencumbered WA or Multi-State RN/LPN license.
• Minimum of 3 years of nursing leadership experience, highly preferred.
• Previous experience in an Assisted Living environment and knowledge of applicable regulations. (preferred)
• Proficiency using Microsoft 365 tools such as Teams, Outlook, Word, Excel, PowerPoint, One Note, and One Drive in a professional setting.
• Experience and proficiency with electronic medical records (EMR).
• Effective written and verbal communication skills.
• Effective interpersonal skills, including the ability to work collaboratively, resolve problems, and contribute to a positive team environment.
• Excellent organizational skills with the ability to prioritize and manage multiple projects simultaneously.
• Ability to work with a diverse employee population across various cultural, language, and educational backgrounds.
• Willingness to support training needs across all shifts, including evenings and weekends, in a 24/7 care environment.
• Demonstrates initiative, flexibility, and adaptability

Benefits and Perks:

• Highly Competitive Benefits Package with Low Deductibles:
  Medical, Dental, and Vision Benefits
• Paid Time Off and Sick Leave
• Discounted Costco Membership Discounted Meals
• 403(b) Retirement & Company Match
• Company Paid Training & Professional Development Opportunities
• ORCA Card Discount or Discounted Employer Paid Parking
• Staff Scholarship Program - up to $24,000 per year including dependents
• Free Gym and Pool access for employees
• Student Loan Assistance Program - up…