Director of Nursing (DON) - Long Term Care (Full-Time, Days)

About the role

The Director serves as a nursing leader for Long Term Care in the Rochester Regional Health system. This role is responsible for leading nursing services and nursing practice in accordance with the purpose, vision, and values of Rochester Regional Health. It oversees the overall management and daily coordination of nursing operations within aligned business areas, including goal setting, talent management, fiscal nursing operations, and adherence to regulatory standards. The Director collaborates with facility, divisional, and system leaders on quality, financial, resident satisfaction, recruitment and retention, and other initiatives, and implements the vision of an integrated health care delivery system.

Responsibilities

• Talent Management: Recruit and retain talent to support the aligned business area; foster a team-based environment that collaborates across disciplines; monitor and recognize performance; support professional development; engage with staff to answer operational questions and provide guidance; establish a rounding schedule and participate in facility activities; encourage staff participation in feedback tools; develop plans to address feedback and measure outcomes; ensure compliance with HR processes (employee evaluations, position control, Workday functions); support partnerships with organizations for student rotations/placements.
• Operations and Finance: Develop, maintain, and manage staffing levels to support clinical care; monitor and manage variance in clinical, regulatory, and financial operations; partner with administration to achieve financial stewardship through budget management; follow system and divisional guidelines on payroll, incentives, and staffing grids; collaborate with medical, professional, and support service leaders to coordinate nursing care programs; support all aspects of the MDS process to ensure clinical documentation for reimbursement and quality measure outcomes; develop and implement nursing and patient care services policies and procedures; develop nursing supply and expense mitigation and improvement opportunities.
• Quality & Safety: Execute and sustain quality initiatives across nursing and care services; develop programs and strategies to monitor the quality of nursing care, operations, and outcomes; coordinate QAPI plans and continuous quality improvement initiatives with facility and divisional leaders; ensure nursing departments maintain a robust QAPI/auditing schedule for clinical and regulatory compliance; identify trends in clinical outcomes and develop improvement plans; participate in planning and implementation of programs supporting care process development; maintain and grow practice standards to improve nursing care, experience, and satisfaction; respond timely to resident, staff, and family concerns; partner with physicians, providers, care teams, and operational administration to meet or exceed care goals; facilitate development and improvement of clinical care programs; manage errors through the Just Culture philosophy.
• Regulatory: Assess and recommend organizational structure for nursing care services; ensure conformity with policies, procedures, and applicable laws and regulations; coordinate with the Administrator to complete facility investigations per NYS DOH and CMS regulations; lead or participate in regulatory body surveys or audits; drive process improvements focused on care delivery and risk management; provide leadership to ensure compliance with licensing, regulatory, and accrediting agencies; plan and evaluate services within assigned departments.

Requirements

• Bachelor in Nursing required.
• 2 years of nursing leadership experience required.
• 2 years of nursing experience required; preferably in long term care, rehabilitation, or complex care.
• Registered in NYS as a licensed registered nurse professional required.
• Basic Life Support certification by American Heart Association required.

Education

• LICENSES / CERTIFICATIONS: As required.

Physical Requirements

Medium Work – Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; requires frequent walking, standing, or squatting. For disease-specific care programs, refer to program-specific requirements for further specifications on experience, educational expectations, and continuing education requirements. Accommodations will be considered for any physical requirements reported by a prospective employee or their physician.

Pay

$110,000.00 – $150,000.00 (base pay range; may be modified; eligible for additional pay components; determined by experience, qualifications, specialty, internal equity, location, and contracts).