Director of Nursing

Upstate Services Group; New York; On-site; USD 110,000 - 140,000; Full time

Job summary

Upstate Services Group is seeking a Director of Nursing to provide clinical and administrative leadership in a skilled nursing facility. You will plan, organize, and direct day-to-day nursing services to ensure high quality care and compliance with applicable laws and facility standards.

You will oversee staffing, policy development, infection control, QA/QI, and collaboration with physicians, residents, and families to coordinate care plans.

Qualifications

• RN license in NY, in good standing.
• BSN or higher preferred.
• 3–5 years of nursing leadership experience, preferably in long-term care.

Responsibilities

• Oversee daily operations of the nursing department, including staff scheduling and clinical care coordination.
• Develop and implement nursing policies to ensure quality resident care and regulatory compliance.
• Ensure CMS, OSHA, and local health department regulatory compliance.
• Monitor QA/QI activities and participate in audits and inspections.
• Manage staffing to meet resident needs within budgeted hours and control overtime.
• Recruit, hire, train, and evaluate RN, LPN/LVN, and CNA staff.
• Provide leadership, mentorship, and performance feedback.
• Collaborate with physicians, residents, families to coordinate care plans.
• Oversee infection control and medication administration programs.
• Respond to emergencies and ensure proper incident reporting.
• Serve as clinical liaison during inspections and correct deficiencies.
• Maintain accurate records and reports as required.

Skills

Leadership

Communication

Problem solving

Multitasking

Regulatory knowledge

RN credential NY

EMR proficiency

Education

BSN or higher (preferred)

Tools

EMR systems

Job description

Position Summary:

The Director of Nursing (DON) is responsible for the overall clinical and administrative leadership of the nursing department in a skilled nursing facility (SNF). This includes planning, organizing, developing, and directing the day-to-day functions of the nursing services department to ensure the highest degree of quality care is maintained at all times in accordance with all applicable laws, regulations, and facility standards.

Key Responsibilities:

• Oversee the daily operations of the nursing department, including staff scheduling, supervision, and clinical care coordination.

• Develop and implement nursing policies and procedures to ensure quality resident care and regulatory compliance.

• Ensure compliance with federal, state, and local regulations, including CMS, OSHA, and state health department requirements.

• Monitor resident care for quality assurance and performance improvement (QAPI); participate in audits, surveys, and inspections.

• Manage staffing levels to meet resident needs while maintaining budgeted hours and controlling overtime.

• Recruit, hire, train, and evaluate nursing staff, including RN, LPN/LVN, and CNA team members.

• Provide leadership, mentorship, and performance feedback to nursing staff.

• Collaborate with interdisciplinary team members, physicians, residents, and families to coordinate care plans and resolve concerns.

• Oversee infection control and medication administration programs.

• Respond to emergency situations and ensure proper incident reporting and follow-up.

• Serve as the primary clinical liaison during inspections or surveys and ensure timely correction of deficiencies.

• Maintain accurate records and reports as required by facility policy and regulatory bodies.

Qualifications:

• Education: Graduate of an accredited school of nursing; BSN or higher preferred.

• Licensure: Current Registered Nurse (RN) license in the state of practice, in good standing.

• Experience: Minimum 3-5 years of nursing leadership experience, preferably in long-term care or a skilled nursing facility.

• Certifications: CPR/BLS certification required; additional certifications (e.g., DON certification, Infection Control) a plus.

Skills & Competencies:

• Strong knowledge of state and federal long-term care regulations (e.g., CMS guidelines).

• Proven leadership and team-building skills.

• Excellent communication, interpersonal, and problem-solving abilities.

• Ability to manage multiple priorities in a fast-paced healthcare environment.

• Proficient in electronic medical records (EMR) systems

Working Conditions:

• Full-time, on-site role with some evening, weekend, or on-call responsibilities as needed.

• May require lifting, bending, or standing for extended periods.