Clinical - Area Director of Nursing

Cascadia Senior Living; Washington; On-site; USD 100,000 - 160,000; Full time

Job summary

Cascadia Senior Living seeks an Area Director of Nursing to provide executive nursing leadership across multiple communities in the United States. The role supports residents’ rights, coordinates with physicians, pharmacies, and care teams, and ensures compliant clinical operations.

Responsibilities include supervising staff, managing care plans, and guiding QA processes. Strong leadership, geriatric nursing expertise, and regulatory knowledge are essential for success.

Qualifications

• Bachelor degree or diploma in nursing and RN/LPN in good standing.
• Minimum of 2 years in geriatric nursing with meds delivery/pharmacy exposure.
• Knowledge of assisted living, memory care, and state regulations; survey experience preferred.
• One year of leadership or supervisory experience in senior living or healthcare.
• Computer literacy with Outlook, Excel, Word; office equipment experience.

Responsibilities

• Provide nursing leadership across assigned communities.
• Support residents’ rights and dignity in care planning and delivery.
• Coordinate with physicians, pharmacists, case managers, and state agencies.
• Lead staff training, scheduling, and clinical operations; supervise care tasks.
• Ensure proper documentation and compliance with policies and EHR/eMAR systems.
• Communicate with residents’ families and conduct regular health updates.
• Collaborate with Executive Director on QA and regulatory readiness.

Skills

Geriatric nursing

Leadership

Regulatory knowledge

Communication

Computer literacy

Problem solving

Education

Bachelor of Science in Nursing

Associate Degree in Nursing

Nursing Diploma

Tools

EHR systems

eMAR

Microsoft Office

Job description

Area Director of Nursing

POSITION SUMMARY

The Area Director of Nursing Services helps create a joyful and vibrant community by supporting the nursing function across assigned Fieldstone Communities.

This position requires frequent travel and assignment flexibility.

ESSENTIAL JOB FUNCTIONS

• Fosters a resident-centered approach to the planning and delivery of services to residents, supporting residents’ rights to participate in decision‑making and treating residents with dignity and respect.
• Provides interim nursing leadership and operational support to assigned communities during vacancies, leaves of absence, transitions, surveys, and other periods of clinical need.
• Assists with Quality Assurance in collaboration with the Executive Director
• Assesses health, functional and psychosocial status of residents, initiating individualized service plans, proactively managing care and services for each resident, and maximizing the resident’s opportunity to remain in the assisted living or memory care environment.
• Ensures that residents’ care needs are met by coordinating with other community professionals, including physicians, discharge planners, nurses, home health agency staff, case managers, and state agency personnel. Arranges ancillary services, such as pharmacy, podiatry, lab, and x‑ray as needed. Provides or arranges intermittent or temporary nursing services for the residents.
• Delegates nursing tasks as allowed under applicable nursing laws and practice acts, communicating regularly with residents, their families, and their health care practitioners.
• Seeks out additional expertise and advice when needed to assure residents’ needs are met and proper practices followed.
• Provides training, supervision, monitoring of staff as they provide personal care, medication management, and other health related services, assuring philosophy of care is practiced.
• Communicates regularly with residents’ families regarding health care needs. Provides instruction and reassurance for residents and families in maintaining health and managing medical conditions.
• Problem‑solves with Executive Director to manage residents with challenging needs. Assists in assessing urgent problems and advises, supports and problem‑solves with the Executive Director in actions to take when health concerns arise.
• Sees that all resident care is properly documented, that resident records are completed in a timely manner and maintained according to company policies.
• Provides support, training, and oversight related to electronic health records (EHR), electronic medication administration records (eMAR), clinical documentation systems, healthcare technology platforms, and related reporting tools to promote regulatory compliance, operational efficiency, and quality resident care.
• Maintains up‑to‑date knowledge of all rules and regulations pertaining to resident care. Applies new knowledge to meet the changing needs of residents.
• Attends and participates in required meetings and trainings. Stays current on all system assigned tasks and duties.
• Performs other tasks/duties as assigned.

Cascadia Senior Living is committed to providing a safe, inclusive, and supportive environment for our residents and team members.

EXPERIENCE, QUALIFICATIONS & SKILLS

• Bachelor of Science in Nursing, Associate Degree in Nursing, or a Diploma in Nursing from an accredited nursing program. RN or LPN license must be in good standing.
• Minimum of 2 years working in geriatric nursing, including experience with medication administration, delivery systems and pharmacies.
• Demonstrated knowledge of assisted living, memory care, and applicable state regulations. Experience with regulatory surveys, survey readiness, Plans of Correction, and quality assurance processes preferred.
• One year of leadership, supervisory, or management experience in senior living or healthcare settings, with experience in staff development, training, scheduling, and clinical operations preferred.
• General computer literacy and good knowledge of Microsoft Outlook, Excel, and Word. Working knowledge of office machines (copier, fax, phone system, etc.).
• Demonstrates basic computer knowledge and ability with an aptitude to learn company applications.
• Ability to creatively problem‑solve in resident care and healthcare operations.

• Maintains a current First Aid and CPR.

• Pass a Criminal Background and fingerprint check.
• Has compassion and a special interest in working with the senior population.
• Ability to work a flexible schedule, including weekends, holidays and overtime, to meet the requirements of the position.
• Ability to relate positively and communicate appropriately with residents, families, community members, volunteers and other employees.
• Maintains clean, neat, comfortable, safe environment for residents, staff, and visitors.
• Ability to read, write, speak and understand English
• Meets all mandatory health requirements by State regulations.
• Ability to work independently (with minimum supervision)
• Maintains current Food Handlers Card.

PHYSICAL DEMANDS

The physical demands described here are representatives of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee frequently is required to use hand to finger, handle, or feel, and reach with hands and arms. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move residents. Lifting 25-50 pounds occasionally. Reaching below shoulder height frequently. Kneel; stoop and squat are required occasionally. Standing long periods of time.