Director of Nursing

Saint John's On The Lake; Milwaukee (WI); On-site; USD 90,000 - 130,000; Full time

Job summary

Saint John’s On The Lake is seeking a Director of Nursing to provide clinical and operational leadership in a home-like, resident-centered environment. The role ensures regulatory compliance, quality care, and interdisciplinary collaboration across care neighborhoods.

The DON will oversee assessments, care planning, documentation, infection prevention, and staff development, while aligning with state and federal regulations and organizational standards.

Qualifications

• Baccalaureate degree in Nursing preferred; MS in Nursing strongly preferred.
• Active Wisconsin RN license in good standing.
• Minimum five years' nursing home experience with clinical and administrative practice.
• Ability to supervise, coach and evaluate staff and manage on-call duties.

Responsibilities

• Provide clinical oversight of all residents and ensure quality care.
• Lead nursing operations, including assessments, care planning and documentation accuracy.
• Maintain infection control, regulatory compliance and survey readiness.
• Direct supervision, hiring, onboarding and performance evaluations of nursing staff.
• Partner with interdisciplinary team to drive QAPI and performance improvement.
• Manage staffing, scheduling, and bed/flow considerations within budget.

Skills

RN license

Nursing leadership

Geriatrics

Regulatory knowledge

Staff supervision

On-call

Communication

Education

Bachelor of Science in Nursing

Master of Science in Nursing

Job description

SAINT JOHN’S COMMUNITIESJOB DESCRIPTIONJOB TITLE: Director of NursingREPORTS TO: AdministratorFLSA CATERGORY: ExemptJOB OBJECTIVE: The Director of Nursing plans, organizes, implements a quality care approach reflecting a person-centered model of care that promotes a home-like environment, supports family involvement, ensures compliance with State and Federal regulations and provides clinical and operational leadership to promote high-quality outcomes in the care neighborhoods.ESSENTIAL DUTIES:Clinical OversightAccountable for the overall quality of care which requires situational awareness of the clinical scenarios of all residents.Oversees clinical operations including, but not limited to, assessments, documentation accuracy and timeliness, care planning, medication processes, and infection prevention. Ensures alignment with community wide standards.Ensures all staff maintain clinical competencies, including annual training and skills validation.Collaborates with the Infection Preventionist to enforce infection control policies and outbreak management.Ensures adherence to infection control practices, safety, and emergency procedures.Oversee the establishment and updating of clinical standards of practice and standards of care, as well as clinical policies and procedures which are consistent with evidence-based practice, current nursing research WI Nursing Practice Act, DOH, DHS and/or CMS regulations.Continually strives to achieve clinical and operational performance improvement by motivation and inspiring nurses to practice at the top of their license.Implements efficient systems that enhance quality resident care delivery and outcomes.Establishes and strengthens the infrastructure to promote and support the utilization of evidence-based practiceCreates and maintains an environment of recognition, celebration and acknowledgment of the contributions of the clinical staff to resident care and to the clinical professions.Ensures resident rights and privacy by fostering a culture of dignity. Responsible for ensuring that resident rights, privacy, choice and preference are protected.SupervisoryProvides direct supervision to the Assistant Director of Nursing.Maintains overall responsibility for hiring, onboarding, coaching, evaluations, discipline and termination of nursing personnel.Ensures appropriate staff scheduling and adequate coverage.Functions in the role of professional nurse at the bedside to support staffing.Quality Assurance & Performance ImprovementAligns care processes with resident choices, dignity and personal goals.Implement and oversee systems that monitor performance, identify gaps. Develop action plans to enhance resident care in collaboration with the interdisciplinary team.Leads the neighborhood QAPI program, Falls Prevention Program, and Infection Prevention Program including data monitoring, performance improvement plans, and outcome tracking. Attends associated committee meetings.Ensures timely completion of investigations, incident reporting, and root-cause analysis.Implements neighborhood wide changes to policies or processes and provides training to resolve issues at their source.Regulatory Compliance & Survey PreparednessEnsures compliance with all regulatory agencies governing health care delivery and the rules of accrediting bodies by continually monitoring operations and its programs and physical properties, and initiating changes where required.In collaboration with the Administrator, leads survey preparedness activities, coordinates survey responses and completes Plan of Correction.Maintains up to date knowledge of regulatory changes and ensures timely policy updates.Financial & OperationalParticipates in strategic planning, goal setting, budget preparation and priority setting, and program development in collaboration with the Administrator and the Chief Clinical Officer.Responsible for fiscal stewardship, managing departmental staffing, supply expense, and operational costs within the approved budget.Ensures consistency and appropriate standardization related to staffing plans, staffing ratios, skill mix, and use of premium staffing. Responsible for processes related to resident flow and bed managementRepresents the organization at community and professional events.All Employees Must Foster Person Centered Care/Professional Integrity and ResponsibilityAct with honesty and openness in all resident/family/ responsible party and employee contacts. Function as Saint John’s Communities Ambassadors to maintain a working environment that values respect, fairness, inclusiveness, and integrity. Promote a responsible workplace in recognition and support of the boundaries of people with whom we work and serve.Demonstrate commitment to the person-first philosophy that gives residents the power of choice. Function as a community member within the principles and practices that guide care and services through knowing and honoring the person before the task. In this vein, we will:Foster relationships between residents, family and staff.Know each person as an individual who can and does make a difference.Nurture the spirit as well as the mind and body.Promote growth and development for all.Create an environment that meets the physical, social, emotional, intellectual, spiritual and occupational needs of individuals and the community.KNOWLEDGE, SKILLS, ABILITIES, QUALIFICATIONS:Baccalaureate Degree in Nursing from a program accredited by the National League for Nursing preferred, Master of Science in Nursing strongly preferred.Valid and current license as a Registered Nurse in the State of Wisconsin.Nursing home experience, which has provided opportunities to refine competencies in nursing practice and the application of administrative practices (minimum five years) clinical experience in geriatric and/or rehabilitation services preferred.Must be highly professional in actions and appearance and exhibit a warm, cheerful and caring manner.Must be knowledgeable of diverse State and Federal Regulations that impact on the nursing home industry and stay informed.Must be able to safely perform the essential job functions with or without reasonable accommodation.Must be able to function in the role of the professional nurse at the bedside to support staffing.Must be able to participate in an on-call rotation and work rare but occasional non-standard hours.