Director of Skilled Nursing
Recognized by Newsweek in 2024 and 2025 as one of America’s Greatest Workplaces for Diversity.
About Us
Brookdale is a nationwide company with 589 communities as of November 30, 2025, offering many opportunities to grow and learn. We provide:
- Gracious hospitality and neighborliness for our residents and families.
- Home-like feel and all-around comfort for residents and visiting family members.
- Entertaining events and gatherings so our residents can find connections in groups and 1:1 settings.
- Industry leadership in clinical care.
- Extensive corporate support including a robust training program.
Responsibilities
- Plans, organizes, develops, and directs the overall operations of the Clinical Services Department in accordance with federal, state, and local standards.
- Responsible and accountable for maintaining the highest degree of quality care at all times.
- Directs, coordinates, and monitors nursing care delivery to assure safe, effective, and appropriate care.
- Ensures residents' rights are maintained at all times.
- Oversees the assessment of comprehensive nursing needs of each resident using acceptable long-term care assessment tools and according to state and federal time frames.
- Oversees the coordination of care plans for each resident.
- Works with other team members to monitor day-to-day care levels of residents for quality assurance and to verify appropriate levels of care are established according to Medicare/Medicaid reimbursement levels.
- Maintains care plans for each resident; monitors medication and treatment schedules; works with attending physicians to ensure care plans are followed; and provides direct care when required.
- Establishes and implements Quality Assurance Performance Improvement Program for improved resident care and quality of life programs according to company policies and as required by federal regulations.
- Participates in Community Surveys completed by authorized government agencies. Monitors the community Quality Indicators and survey reports. Assists with the development of Success Plans for identified areas of opportunity.
- Develops and implements a Clinical Services organizational structure. Determines staffing needs; recruits, selects, hires, and orients nursing staff/direct care personnel.
- Assists the Human Resource Director and Health Care Administrator with recruitment and selection of Clinical Services Associates.
- Completes associate performance evaluations and disciplinary action as needed. Delegates authority to supervisory/lead staff.
- Reviews complaints and grievances filed by personnel and/or residents. Reports and investigates all allegations of abuse and/or misappropriation of resident property. Reports suspected or known violations of disclosure of resident protected health information.
- Coordinates ancillary services.
- Oversees the coordination of MDS to ensure timeliness of submissions.
- Maintains the policy and procedures that govern day-to-day functions in the Clinical Services Department. Develops, implements, and ensures nursing standards and department operation standards meet or exceed federal and state regulatory requirements.
- Plans, develops, and implements the Clinical Systems in accordance with current rules, regulations, and guidelines that govern long-term care.
- Assists in preparing the nursing department’s budget; prepares monthly variance report; monitors equipment and supplies. Maintains Medicare/Medicaid reimbursements according to established categories.
- Plans, develops, and implements safe practices for resident safety in accordance with state, federal, and OSHA regulations, and ensures that policies and procedures regarding resident safety are followed by staff and residents.
- Develops and implements safety standards and regulations for equipment, supplies, and resident care rooms.
- Assists the Quality Improvement Nurse in establishing infection control and immunization processes, and in developing and delivering training programs to meet continuing education requirements.
- Serves on and attends various committees of the community as appointed by the Health Care Administrator. Evaluates and implements recommendations from the various committees pertaining to Clinical Services.
- Oversees, manages, and delegates all roles and responsibilities of the Assistant Director of Clinical Services and the Quality Improvement Nurse, Clinical Services.
- Completes other duties as assigned.
Requirements
- Nursing Degree from an accredited college or university.
- Minimum of three to five years related supervisory experience; or equivalent combination of education and experience including one year of management experience.
- Long-term care experience preferred.
- Valid and current state (RN) license, issued by appropriate state licensing agency.
- CPR certified.
Skills
- Extensive knowledge of a distinct skill or function and a thorough understanding of the organization and work environment.
- Working knowledge of a functional discipline.
- Effective written and oral communication skills.
- Ability to work effectively in a team environment.
- Ability to maintain privacy and confidentiality with regard to patient and staff information.
- Basic level computer skills including Outlook, Word, and Excel.
- Ability to create and maintain an atmosphere of warmth, personal interest, positive emphasis, and a calm environment.
Benefits
Full suite of health insurance, life insurance, and retirement plans are available and vary by employment status.
Part- and Full-Time Benefits Eligibility
- Medical, Dental, Vision insurance
- 401(k)
- Associate assistance program
- Employee discounts
- Referral program
- Early access to earned wages for hourly associates (outside of CA)
- Optional voluntary benefits including ID theft protection and pet insurance
Full-Time Only Benefits Eligibility
- Paid Time Off
- Paid holidays
- Company-provided life insurance
- Adoption benefit
- Disability (short and long term)
- Flexible Spending Accounts
- Health Savings Account
- Optional life and dependent life insurance
- Optional voluntary benefits including accident, critical illness, hospital indemnity insurance, and legal plan
- Tuition reimbursement
To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year.
Pay
Base pay in range will be determined by applicant’s skills and experience. Full-time associates in this role are also eligible for an annual bonus incentive.
Schedule
- Occasional weekend, evening, or night work if needed to ensure shift coverage.
- On-call on an as-needed basis.
Physical Demands and Working Conditions
- Standing
- Walking
- Sitting
- Use hands and fingers to handle or feel
- Reach with hands and arms
- Stoop, kneel, crouch, crawl
- Talk or hear
- Ability to lift: up to 25 pounds
- Vision
- Requires interaction with co-workers, residents, or vendors
- Possible exposure to communicable diseases and infections
- Potential injury from transferring, repositioning, or lifting residents
- Exposure to latex
- Possible exposure to blood-borne pathogens
- Possible exposure to various drugs, chemical, infectious, or biological hazards
- Requires travel: Occasionally