Director of Nursing (DON), Skilled Nursing Facility

About the Role

We are seeking an experienced and dynamic Director of Nursing (DON) to lead clinical operations at an approximately 100-bed skilled nursing facility in Duncan, OK. This leadership role oversees all nursing services, ensuring exceptional resident care, maintaining regulatory compliance, and developing a strong, accountable clinical team. The ideal candidate is a hands-on clinical leader with a proven ability to improve clinical outcomes, support and mentor staff, and foster a positive culture in a fast-paced long-term care environment.

Responsibilities

• Clinical Leadership
  • Provide leadership and oversight for all nursing operations, including RNs, LPNs, and CNAs.
  • Ensure delivery of high-quality, resident-centered care.
  • Monitor clinical outcomes and implement quality improvement initiatives.
  • Promote accountability, teamwork, and clinical excellence throughout the nursing department.
• Regulatory Compliance
  • Ensure compliance with all federal, state, and Oklahoma regulations governing skilled nursing facilities.
  • Lead survey preparedness and oversee state survey activities.
  • Maintain accurate clinical documentation and adherence to all applicable standards.
• Staff Management & Development
  • Recruit, hire, onboard, and develop nursing staff.
  • Maintain appropriate staffing levels and scheduling.
  • Coach, mentor, and evaluate team members while addressing performance issues when necessary.
  • Foster employee engagement and retention through supportive leadership.
• Quality Assurance & Risk Management
  • Lead Quality Assurance and Performance Improvement (QAPI) initiatives.
  • Oversee infection prevention and control programs.
  • Monitor incident reporting, risk management, and clinical quality metrics.
  • Develop and implement policies and procedures that improve resident outcomes.
• Collaboration & Communication
  • Partner closely with the Facility Administrator and interdisciplinary team.
  • Build positive relationships with residents, families, physicians, and referral partners.
  • Serve as the clinical leader and resource for the facility.

Requirements

• Active Registered Nurse (RN) license (Oklahoma license or eligibility for licensure).
• Minimum of three (3) years of nursing leadership experience in a skilled nursing facility, with Director of Nursing or Assistant Director of Nursing experience strongly preferred.
• Strong knowledge of long-term care regulations, survey processes, and clinical operations.
• Demonstrated leadership, communication, organizational, and problem-solving skills.
• Passion for providing exceptional resident care and building high-performing teams.

Benefits

• Competitive salary based on experience.
• Performance-based bonus opportunities.
• Comprehensive health, dental, and vision insurance.
• Paid time off and holidays.
• Continuing education and professional development opportunities.
• Career advancement within a growing organization.

What Success Looks Like

• Strong survey performance and sustained regulatory compliance.
• Stable, engaged, and well-supported nursing team.
• Excellent clinical outcomes and high resident satisfaction.
• Effective collaboration with leadership, physicians, and interdisciplinary staff.

Why Join Us

• Lead the clinical operations of an approximately 100-bed skilled nursing facility serving the Duncan area.
• Make a meaningful impact on resident care, staff development, and organizational culture.
• Join a supportive leadership team committed to quality, innovation, and long-term success.