Director of Nursing

Ascent Healthcare Management; Salisbury (NC); On-site; USD 90,000 - 140,000; Full time

Job summary

The Overlook at Rowan is seeking a NC-licensed RN to serve as Director of Nursing, guiding the clinical team toward high standards of care in a patient-centered environment.

This role requires strong leadership, regulatory knowledge, and a commitment to excellence. You will build a collaborative culture, ensure survey readiness, and mentor frontline staff to deliver compassionate, high-quality care.

Qualifications

• Current North Carolina RN license in good standing.
• Previous successful Director of Nursing experience in a skilled nursing facility.
• Strong working knowledge of state and federal regulations, survey process, infection control, staffing, and quality measures.
• Proven ability to lead clinical teams, drive accountability, and improve performance.
• Strong assessment, critical thinking, and problem-solving skills.
• Strong communication skills with the ability to lead tough conversations clearly and professionally.

Responsibilities

• Lead day-to-day clinical operations in compliance with regulations.
• Create a culture of accountability, teamwork, clinical excellence, and resident-centered care.
• Hire, coach, develop, and hold nursing leaders and frontline staff accountable.
• Drive quality outcomes, survey readiness, infection prevention, and robust clinical systems.
• Partner with Administrator and interdisciplinary team to ensure clinical success.
• Monitor resident care, clinical documentation, incidents, and changes in condition.
• Ensure appropriate staffing and clinical oversight; follow up on concerns.
• Respond to problems professionally and promptly; build trust with residents and families.

Skills

Nursing Leadership

Regulatory Knowledge

Staff Development

Quality Improvement

Education

NC RN License

Job description

We aren’t hiring a placeholder. We’re hiring a leader.

If you are a NC Licensed RN with strong skilled nursing leadership experience and the grit, judgment, and heart to lead the clinical team in our beautiful revived facility in Salisbury, NC...we’d love to chat.

This role is for someone who can lead the clinical team from the front, raise the standard of care, build trust with staff and families, and create a culture where accountability, compassion, and excellence all live in the same building. The Director of Nursing will be responsible for the overall clinical operations of the facility, but more importantly, for building a nursing team that protects residents, supports one another, communicates well, and takes pride in the care they provide.

The right candidate will understand that this role is not just about staffing schedules, audits, and survey preparedness. It is about clinical leadership, critical thinking, follow-through, and setting the tone for what great care looks like every single day.

What You Will Do

The Director of Nursing serves as the clinical leader of the facility and is responsible for:

Leading the day-to-day clinical operations of the center in compliance with federal, state, and local regulations
Creating a culture of accountability, teamwork, clinical excellence, and resident-centered care
Hiring, coaching, developing, and holding nursing leaders and frontline staff accountable
Driving quality outcomes, survey readiness, infection prevention, and strong clinical systems
Partnering with the Administrator and interdisciplinary team to ensure operational and clinical success
Monitoring resident care, clinical documentation, incidents, infection control, weights, wounds, falls, medications, and changes in condition
Ensuring appropriate staffing, clinical oversight, and follow-up on identified concerns
Responding to problems directly, professionally, and quickly
Building trust with residents, families, physicians, providers, and team members
Setting the standard for urgency, professionalism, consistency, and compassion in the nursing department

Our Core Values

At The Overlook at Rowan, our leaders must live our core values every day:

Grit with Grace
We do hard things without losing our heart.

Relationship Rockstars
We build trust, listen well, and treat people like they matter—because they do.

Straight Shooters
We tell the truth, address problems directly, and communicate clearly.

Risk & Recovery
We are not afraid to take smart risks, learn fast, and keep moving forward.

Joy in the Journey
We believe this work matters, and even in hard seasons, we bring energy, hope, and purpose.

Why This Role Matters

The Director of Nursing will play a key role in shaping the future of The Overlook at Rowan. This is an opportunity to help rebuild with purpose, strengthen clinical systems, support and grow the nursing team, and create a culture of care that people can feel the minute they walk through the door.

This role is not for someone who wants to coast.
It is for someone who wants to lead.

Must Haves

Current North Carolina RN license, in good standing
Previous successful Director of Nursing experience in a skilled nursing facility
Strong working knowledge of state and federal regulations, survey process, infection control, staffing, and quality measures
Proven ability to lead clinical teams, drive accountability, and improve performance
Strong assessment, critical thinking, and problem-solving skills
Strong communication skills with the ability to lead tough conversations clearly and professionally
Ability to balance accountability with support and strong team development
High level of ownership, urgency, and follow-through
Commitment to resident dignity, quality care, employee engagement, and clinical excellence