Assistant Director of Nursing (ADON)

Kalesta Healthcare Group; Bellevue (WA); On-site; USD 105,000 - 135,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Paid time off

401(k)

Job summary

Bellevue Post Acute in Bellevue, WA is seeking an Assistant Director of Nursing (ADON) to partner with the Director of Nursing and lead the nursing team. You will drive quality, keep us survey-ready, guide admissions and Medicare programs, and develop the nurses who care for our residents every day.

If you're an RN ready to step into leadership, this role offers visibility, mentorship, and a clear path to further leadership.

Qualifications

• Current, active Washington State RN license is required.
• Graduate of an accredited school of nursing.
• At least 1 year of long-term care or geriatric nursing experience.
• Ability to supervise and direct nursing staff and resident care.

Responsibilities

• Partner with the DON on daily operations, including resident status, census, staffing, budget, and personnel.
• Lead infection control program, track surveillance trends, and report to QAPI committee.
• Oversee admissions process: review admissions, weigh acuity, and staff accordingly.
• Manage Medicare/PPS program, including eligibility, utilization review, MDS oversight, and monthly checks.
• Prepare for state surveys and gather documentation while surveyors are onsite.
• Develop staffing plans and conduct performance reviews for nursing staff.
• Provide on-call nursing leadership support and serve as Charge Nurse when needed.

Skills

RN licensure

Leadership & supervision

Communication

Regulatory knowledge

Education

Graduate of an accredited school of nursing

Washington State RN license

Job description

Assistant Director of Nursing (ADON) | $105,000–$135,000/yr | Bellevue Post Acute | Bellevue, WA

Lead with the DON, shape the care, and grow your leadership career.

At Bellevue Post Acute, our ADON is a true partner to the Director of Nursing and a hands-on leader for the entire nursing team. You'll drive quality, keep us survey-ready, guide admissions and Medicare programs, and develop the nurses who care for our residents every day. If you're an RN ready to step into (or grow in) nursing leadership, this is a role where your work is visible and your voice matters.

What You'll Do

• Partner with the DON on daily operations, including resident status, census, staffing, budget, and personnel
• Review 24-hour reports daily and lead timely responses to changes in condition, incidents, medication errors, and family concerns
• Round on all shifts to observe care, review records, and talk with staff, residents, and families
• Lead the infection control program, track surveillance trends, and report to the QAPI committee
• Drive quality assurance activities and compliance rounds, analyze trends, and put improvement plans into action
• Oversee the admissions process: review and approve admissions, weigh acuity, and match staffing to need
• Build strong relationships with hospital discharge planners to support referrals and census
• Manage the Medicare/PPS program, including eligibility, utilization review, MDS oversight, and the monthly Medicare Triple Check
• Help the DON prepare for and manage state surveys, including leading staff and gathering documentation while surveyors are onsite
• Develop staffing plans, interview and hire nurses, conduct performance reviews, and handle corrective action
• Oversee in-service education so the nursing team stays skilled and confident
• Provide on-call nursing leadership support, or designate qualified coverage
• Step in as Charge Nurse when needed

Why Work Here

• A leadership role with real authority and a direct line to the DON and Administrator
• A clear path toward Director of Nursing for leaders who want to keep growing
• A team that values clinical judgment and collaboration across departments
• The chance to build a culture where nurses want to stay
• A facility in the heart of Bellevue, with easy access to the greater Seattle area

Benefits

• $105,000–$135,000/year, based on experience
• Medical, dental, and vision insurance
• Paid time off
• 401(k)

What You'll Need

• Current, active Washington State RN license
• Graduate of an accredited school of nursing
• At least 1 year of long-term care or geriatric nursing experience
• Ability to supervise and direct nursing staff and resident care
• Working knowledge of state and federal long-term care regulations
• Working knowledge of MDS/RAI, Medicare/PPS, and payer sources (Medicare, Medicaid, HMO, private, hospice)
• Strong communication and leadership skills with staff, residents, families, and outside agencies

Work Location: 2424 156th Ave. NE, Bellevue, WA 98007

Bellevue Post Acute is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. This position requires adherence to HIPAA and may have access to Protected Health Information. Employment is contingent on TB screening and a physical exam.