Skilled Nursing Assistant Director of Nursing

Assistant Director of Nursing (ADON) – RN Spring River Rehabilitation & Care Center | Roswell, New Mexico Full-Time | Clinical Leadership Why Join Spring River Rehabilitation & Care Center? At Spring River Rehabilitation & Care Center, joining our leadership team means more than accepting a management position—it means having the opportunity to directly influence clinical quality, staff development, resident outcomes, and the overall culture of nursing. The ADON works alongside the Director of Nursing and nursing leadership to strengthen clinical systems, support frontline staff, and ensure consistent nursing oversight throughout the facility. Spring River is a skilled nursing and rehabilitation community in Roswell, New Mexico. ✔ Collaborative nursing leadership environment ✔ Opportunity to directly influence clinical outcomes and quality ✔ Leadership role with hands-on involvement in nursing operations ✔ Opportunities for professional growth and advancement ✔ Meaningful work developing and supporting nursing staff Position Overview Spring River Rehabilitation & Care Center is seeking an experienced, motivated, and resident-focused Assistant Director of Nursing (ADON) to join our clinical leadership team. The ADON is a key nursing leader responsible for assisting the Director of Nursing (DON) with the planning, coordination, implementation, and evaluation of nursing services throughout the facility. This position provides daily clinical leadership while supporting nursing operations, staffing, regulatory compliance, employee development, quality improvement, and resident-centered care. The ADON should be a highly visible and engaged leader who is comfortable working directly with nursing staff, residents, families, providers, and members of the interdisciplinary team. The position requires a balance of clinical expertise, leadership, accountability, problem-solving, and staff development. Key Responsibilities Clinical Leadership & Nursing Operations Assist the Director of Nursing with the daily management and oversight of nursing servicesProvide visible clinical leadership throughout the facility and regularly round on nursing unitsMonitor resident care and nursing practices to ensure established standards of care are maintainedSupport consistent nursing operations across shifts, units, weekends, and changing resident needsServe as a clinical resource for RNs, LPNs, CNAs, and other nursing personnelAssist nursing staff with complex resident-care situations and changes in conditionPromote timely communication with physicians/providers, residents, families, and interdisciplinary team membersParticipate in admissions, transfers, discharges, and significant changes in condition as appropriateAssist with emergency response and clinical decision-making when necessaryAssume nursing leadership responsibilities in the absence of the Director of Nursing as assigned Staffing & Workforce Management Assist with evaluating nursing staffing levels based on resident census, acuity, and facility needsWork collaboratively with nursing leadership and scheduling personnel to maintain appropriate coverageIdentify staffing gaps and assist with developing timely solutionsSupport efforts to minimize unnecessary overtime and agency utilization while maintaining appropriate resident careAssist with interviewing, selecting, onboarding, and retaining nursing employeesParticipate in nursing orientation and ensure new employees receive appropriate clinical supportProvide coaching, counseling, and performance feedback to nursing staffAssist with attendance, performance, and accountability concerns in collaboration with the DON and Human ResourcesPromote employee engagement, teamwork, accountability, and retention within the nursing department Clinical Quality & Resident Outcomes Monitor resident outcomes and identify opportunities for clinical improvementReview changes in condition, hospital transfers, falls, wounds, infections, weight changes, medication concerns, and other clinical indicators as appropriateAssist with identifying residents at increased risk and ensure appropriate interventions are implementedParticipate in clinical meetings and resident risk reviewsAssist with root-cause analysis and development of corrective interventions following adverse outcomesMonitor implementation and effectiveness of resident care plansPromote evidence-based clinical practices and resident-centered careWork collaboratively with nursing, therapy, dietary, social services, MDS, pharmacy, and medical providers to improve resident outcomes Documentation & Clinical Auditing Conduct routine clinical audits to evaluate documentation accuracy, completeness, and complianceReview nursing documentation, medication and treatment records, physician/provider orders, assessments, and care-related records as assignedIdentify documentation deficiencies and provide timely education and follow-upAssist with ensuring physician/provider orders are appropriately implemented and followedMonitor completion of required nursing assessments and documentationSupport accurate and timely communication of resident information across the interdisciplinary teamAssist with corrective action plans when documentation or clinical practice concerns are identified Regulatory Compliance & Survey Readiness Assist the Director of Nursing with maintaining ongoing survey readinessSupport nursing practices consistent with applicable federal, state, and facility requirementsParticipate in facility rounds and identify potential clinical or regulatory concernsAssist with preparation for regulatory surveys and other external reviewsParticipate in survey processes and assist with responding to identified concernsSupport implementation and monitoring of plans of correction when applicableEnsure nursing staff understand and consistently follow facility policies, procedures, and clinical expectationsPromote resident rights, dignity, privacy, safety, and freedom from abuse, neglect, and exploitation Quality Assurance & Performance Improvement Participate actively in the facility's Quality Assurance and Performance Improvement (QAPI) programReview clinical trends and performance indicators with nursing and facility leadershipAssist with developing measurable improvement plans when opportunities are identifiedMonitor the effectiveness and sustainability of corrective actionsParticipate in facility quality, risk-management, and clinical meetings as assignedHelp translate identified quality concerns into education and operational improvements for frontline nursing staff Staff Education & Development Identify nursing education and competency needsCollaborate with nursing leadership and Staff Development to provide education and trainingProvide hands-on coaching and mentorship to nursing staffAssist with competency evaluations and clinical skills validationSupport new graduate nurses and employees transitioning into skilled nursingPromote continuing education and professional developmentDevelop emerging nursing leaders and encourage advancement within the organizationFoster a culture of Caring, Truthful, Excellence, Outcome Oriented, and Willingness to Learn Resident & Family Relations Develop positive relationships with residents and familiesRespond professionally and promptly to clinical questions and concernsParticipate in resident and family meetings when nursing leadership involvement is appropriateAssist with resolving concerns before they escalate whenever possibleCommunicate significant clinical concerns to appropriate leadershipPromote resident choice, dignity, independence, and person-centered care Qualifications Graduate of an accredited school of nursingCurrent Registered Nurse (RN) license in the State of New Mexico in good standingCurrent CPR/BLS certification preferredPrevious skilled nursing, long-term care, rehabilitation, or post-acute nursing experience strongly preferredPrevious nursing leadership, supervisory, Charge Nurse, Unit Manager, or ADON experience preferredStrong clinical assessment and critical-thinking skillsKnowledge of skilled nursing clinical operations and regulatory expectationsStrong leadership, coaching, and employee-development abilitiesAbility to address performance and accountability concerns professionally and consistentlyStrong organizational and time-management skillsAbility to manage multiple priorities in a fast-paced clinical environmentStrong written and verbal communication skillsExperience with electronic health record systemsAbility and willingness to provide hands-on clinical leadership when necessary A current Spring River ADON posting likewise identifies an active New Mexico RN license as a qualification and emphasizes skilled nursing experience, leadership, clinical oversight, staff development, and regulatory compliance. Our Core Values Caring – We approach residents, families, and one another with compassion and empathy. Truthful – We communicate openly, respectfully, and honestly. Excellence – We maintain high standards for clinical care, leadership, and professional accountability. Outcome Oriented – We focus our efforts on measurable improvements in resident care, staffing, quality, and operations. Willingness to Learn – We encourage continued education, mentorship, professional development, and continuous improvement. Benefits Competitive compensation401(k) retirement planHealth, dental, and vision insurancePaid Time Off (PTO)Care Cash ProgramEmployee Referral Bonus ProgramEducation and training opportunitiesProfessional development and leadership supportOpportunities for continued career advancement Spring River's current clinical postings advertise benefits including 401(k), PTO, health/dental/vision coverage, referral opportunities, and professional advancement. Grow With Us The Assistant Director of Nursing position is an opportunity for an experienced RN to expand their leadership capabilities while directly influencing nursing operations and resident outcomes. At Spring River, we want our nursing leaders to do more than manage—we want them to teach, mentor, develop staff, strengthen systems, and build the next generation of clinical leaders. For an RN seeking continued advancement toward broader nursing leadership responsibilities, the ADON position provides meaningful exposure to clinical operations, staffing, regulatory compliance, quality improvement, employee development, and facility leadership. About Us Spring River Rehabilitation & Care Center proudly serves the Roswell, New Mexico community, providing skilled nursing, rehabilitation, long-term care, and post-acute services. Our mission is simple: To Make Every Resident Feel Cared For. We believe achieving that mission begins with strong nursing leadership, supported employees, consistent clinical standards, and an unwavering commitment to resident-centered care. Apply Today If you are an experienced RN who is ready to take the next step in nursing leadership and wants the opportunity to directly influence staff development, clinical quality, and resident outcomes, we encourage you to apply. Join Spring River Rehabilitation & Care Center and help us build a nursing team focused on accountability, growth, quality, and making every resident feel cared for. Equal Opportunity Employer Spring River Rehabilitation & Care Center is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to any protected characteristic in accordance with applicable federal, state, and local laws. Reasonable Accommodation Spring River Rehabilitation & Care Center is committed to providing reasonable accommodations to qualified individuals with disabilities throughout the application and hiring process. Applicants requiring assistance should contact Human Resources. Physical Requirements Ability to regularly move throughout the facility and nursing unitsAbility to stand and walk for extended periods while conducting clinical roundsAbility to assist with resident care, transfers, and repositioning using appropriate assistance and equipment when necessaryAbility to respond promptly to resident needs and emergency situationsAbility to perform direct clinical nursing responsibilities when necessaryAbility to perform the essential functions of the position with or without reasonable accommodation