Director of Nursing (DON) - Full-Time

Essential Functions

• 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.
• 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

• Promotes a culture of accountability, professionalism, safety, and resident-centered care.
• Treats residents, families, visitors, and staff with courtesy and respect.
• Collaborates with internal and external partners to improve quality of care and operational outcomes.

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.

HIPAA

• Knows Resident Rights.
• Helps the residents/patients exercise and/or protect their rights.
• Maintains confidentiality of resident/patient and employee information.
• Follows and adheres to North Shore Health’s policies and procedures implementing HIPAA requirements for the privacy and security of protected health information.
• Uses and/or discloses only minimum amount of Protected Health Information necessary to complete assigned tasks.
• Reports all suspected violations of the company’s HIPAA policies or procedures to North Shore Health’s Chief Compliance Officer.

Work Environment/Physical Requirements

• Frequent walking, standing, and movement throughout the facility.
• Occasional lifting, bending, and physical activity as needed.
• Exposure to clinical environments, including infectious materials.
• On-call responsibility and availability for evenings, weekends, and emergencies.

Additional Expectations

• Maintains confidentiality and complies with all data privacy and security requirements.
• Adheres to all organizational policies, procedures, and compliance standards.
• Promotes resident rights, dignity, and quality of life.
• Completes all required training and competencies.