Director of Nursing (DON) ($20K Sign-On Bonus + Relocation)

Horizon House; Seattle (WA); On-site; USD 125,000 - 140,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Life insurance and AD&D

403(b) retirement plan with company?m

Employee Assistance Program (EAP)

Paid time off

Student loan assistance

Tuition reimbursement up to 8000 USD

Free gym and saltwater pool access

ORCA card and parking discounts

Company paid training and professional

Job summary

Horizon House in Seattle seeks an experienced Director of Nursing (DON) to lead clinical operations for our Assisted Living and Memory Care units. You will guide a collaborative team to ensure safe, compliant, and person-centered care across the community.

This leadership role offers a $125,000–$140,000 yearly salary with a $20,000 sign-on and relocation package, plus a comprehensive benefits package, tuition reimbursement, and strong opportunities for professional growth within a nonprofit Life

Qualifications

• Active RN license in good standing with the State of Washington.
• 2+ years of recent experience working with a senior population.
• 2+ years of recent RN Delegator experience.
• 3+ years supervising 10+ direct reports in a healthcare environment.
• Current CPR certification and BLS training.
• Background working with dementia, aging-related needs, and complex family dynamics.

Responsibilities

• Serve as the primary clinical authority for our single-site community with Assisted Living and Memory Care.
• Lead the RN Delegation Program, including resident eligibility, task delegation, competency checks, and regulatory compliance.
• Lead, develop, and supervise Medication Technicians and nursing staff.
• Oversee care assessments, care planning, admissions, annual reviews, and change-of-condition evaluations.
• Manage incident reporting, investigations, documentation, and trend analysis.
• Ensure survey readiness through audits, corrective actions, and documentation integrity.
• Set clear expectations for clinical excellence, documentation, and safe practices.
• Partner with pharmacy, hospice, home health, and other providers to ensure coordinated care.

Skills

RN license

Senior care experience

RN Delegator experience

Leadership experience

CPR/BLS

Dementia care

MS 365

Communication

Teamwork

Clinical judgment

Job description

Where Residents and Staff Create True Community

At Horizon House, residents know that exceptional care starts with exceptional people. If you’re looking for a career where you’re valued, not just as an employee but as part of the community, you’re in the right place.

What Makes Working Here Different

Residents Who Care

Employees are part of the family here—and you’ll feel it from day one. Residents want to know about your life, your family, and your goals. Every December, they organize their own staff appreciation campaign—raising hundreds of thousands of dollars to thank the people who make Horizon House home. That level of respect and generosity is rare in senior living.

Stability You Can Count On

Many of our staff have worked here for years, some for decades. That consistency matters—to residents, to your coworkers, and to your own career growth. When you join Horizon House, you’re joining a team that stays.

A Mission That Matters

We’re a nonprofit Life Plan Community in Seattle’s First Hill neighborhood. There’s no corporate headquarters making decisions from another state. We’re local, independent, and focused on one thing: creating a community where older adults thrive on their own terms.

Benefits That Support You

• Competitive pay and regular performance reviews
• Comprehensive medical, dental, and vision coverage with low deductibles
• Life insurance, AD&D, legal protection, and pet insurance options
• 403(b) retirement plan with company match
• Employee Assistance Program (EAP)

Time Off & Work-Life Balance

• Generous paid time off: vacation, sick leave, and floating holidays
• Student loan assistance up to $1,200 annually

Education & Growth

• Up to $8,000 per year in tuition reimbursement for you and your dependents
• Company-paid training and continuing education support
• Clear pathways for career advancement
• Free gym and saltwater pool access
• ORCA card and parking discounts

Current Openings

Join Our Growing Team

Thank you for your interest in joining our team. Browse our open positions below. If you don’t see what you’re looking for, we encourage you to check back periodically. We’re always excited to connect with talented individuals.

Director of Nursing (DON) ($20K Sign-On Bonus + Relocation)

We’re seeking a highly skilled Director of Nursing (DON) to serve as the clinical leader for our single-site Assisted Living and Memory Care units. This is a meaningful opportunity to elevate resident care, strengthen clinical practice, and shape the culture of a dedicated team that values excellence, collaboration, and person-centered service. In this role, you’ll guide clinical operations, champion regulatory compliance, and ensure our caregiving teams provide safe, consistent, and compassionate care every day.

Join a collaborative nursing leadership team where the Director of Nursing is supported by an Assistant Director of Nursing and 24/7 coverage from LN/RN Resident Care Coordinators. Our shared leadership model ensures you are never carrying the responsibility alone, allowing you to focus on quality care, team development, and resident outcomes.

Starting Pay Range: $125,000 - $140,000 annually

Sign-on Bonus: $20,000 (paid in quarterly installments across the first year)

Relocation Package

What You’ll Get

• Make a visible impact. Lead change at a single-site community of 250 employees where your decisions directly improve resident and team experiences.
• Lead with clinical expertise. Oversee RN delegation, assessments, care planning, and change-of-condition evaluations to ensure safe, compliant, and person-centered care.
• Build and develop strong clinical teams. Supervise, coach, and develop Medication Technicians and nursing staff to deliver safe, confident, high-quality care.
• Drive meaningful change. Evaluate operations, strengthen processes, and implement improvements that truly make a difference.
• Champion collaboration in care delivery. Partner with pharmacy, hospice, home health, and interdisciplinary leaders to provide seamless, coordinated services.
• Lead with purpose. Support aging adults —one of the fastest-growing populations — in a community focused on dignity, compassion, and service excellence.
• Grow as a leader. Join a culture that values professional development and continuous improvement.

Key Responsibilities

• Serve as the primary clinical authority for our single-site community with Assisted Living and Memory Care.
• Lead the RN Delegation Program, including resident eligibility, task delegation, competency checks, and regulatory compliance.
• Lead, develop, and supervise Medication Technicians and nursing staff.
• Oversee care assessments, care planning, admissions, annual reviews, and change-of-condition evaluations.
• Manage incident reporting, investigations, documentation, and trend analysis.
• Ensure survey readiness through audits, corrective actions, and documentation integrity.
• Set clear expectations for clinical excellence, documentation, and safe practices.
• Partner with the Assisted Living Manager to align clinical and operational performance.
• Lead clinical quality assurance initiatives and performance improvement efforts.
• Strengthen medication management systems, infection prevention practices, and safety protocols.
• Track and resolve clinical grievances with timely follow-through.
• Partner with pharmacy, hospice, home health, and other providers to ensure coordinated care.
• Participate in committees and policy development to support organizational goals.
• Collaborate with Life Enrichment leadership to reinforce Memory Care practices.
• Develop and deliver training related to delegation, medication systems, safety, emergency procedures, and clinical risk management.
• Assess team learning needs and implement targeted training and coaching.
• Provide education to residents and families on clinical systems and care processes.
• Participate in the manager-on-call rotation to support clinical decision‑making.

Qualifications

• Active RN license in good standing with the State of Washington.
• 2+ years of recent experience working with a senior population.
• 2+ years of recent RN Delegator experience.
• 3+ years supervising 10+ direct reports in a healthcare environment.
• Current CPR certification and BLS training.
• Background working with dementia, aging-related needs, and complex family dynamics.

Skills

• Proficiency with Microsoft 365 applications.
• Strong communication and interpersonal skills.
• Ability to work collaboratively and independently in a fast-paced, 24/7 care environment.
• Demonstrates initiative, adaptability, and strong clinical judgment.

Benefits and Perks

• Highly Competitive Benefits Package with Low Deductibles: Medical, Dental, and Vision Benefits
• Paid Time Off and Sick Leave
• Discounted Costco Membership
• Discounted Meals
• 403(b) Retirement & Company Match
• Company Paid Training & Professional Development Opportunities
• ORCA Card Discount or Discounted Employer Paid Parking
• Staff Scholarship Program - up to $24,000 per year including dependents
• Free Gym and Pool access for employees
• Student Loan Assistance Program - up to $1,200 per year
• Fun and Exciting Staff Events

Horizon House is more than a place to work. It is an opportunity to build a career in a dynamic community dedicated to wellbeing, life fulfillment, and purposeful living in a diverse community. We are looking for future team members who understand that new ideas are welcomed and meant to build and improve on old traditions. We care, we listen, and we value our employees and demonstrate this in everything we do. At Horizon House we foster meaningful work on a diverse team by using the power of an employee driven workplace to enhance wellbeing. Join our team and help make a difference in someone’s life every day.

Physical Requirements: The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation.

Confidentiality Requirements: Employee accesses, uses and/or discloses Protected Health Information, as defined by HIPAA, only to the extent minimally necessary to accomplish essential job functions. Employee practices appropriate safeguards to prevent unauthorized access, use and/or disclosure of PHR (paper, electronic and oral) within his/her work area.

Equal Opportunity: Horizon House is an equal opportunity employer and seeks to attract and retain the most qualified individuals without regard to race, color, religion, national origin, gender or gender identity, sexual orientation, age, genetic information, disability, or veteran status. Learn more about what it means to be an Equal Opportunity Employer . Additional information can be found here .

All staff must demonstrate the legal right to work in the United States. Horizon House is an E-Verify employer. All applicants offered a role must pass a DSHS background check, and drug screening.

We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodations while seeking employment, please email [e-mail] or call [phone] with the nature of your request.

At Horizon House, we believe that exceptional resident experiences begin with exceptional employees. We foster meaningful work within a diverse team and demonstrate how we value you in everything we do—from competitive compensation to ongoing professional development. Your voice matters here, and we’re committed to creating an environment where you can grow, contribute, and make a difference every day.

Our Core Values

At Horizon House, our foundation rests on four core values that guide everything we do:

We all have valuable ideas to contribute

Respect

We honor the dignity of all individuals

Integrity

We believe in doing the right thing at all times

Stewardship

We commit our resources responsibly to ensure the future well‑being for all

Our Mission

Purposeful living in a diverse community.

Our Vision

Using the power of resident‑engaged community to enhance well‑being.

Frequently Asked Questions

What benefits am I eligible for as a new hire?

Full‑time employees are eligible for our comprehensive benefits package beginning the first of the month following 30 days from their date of hire. This includes medical, dental, vision and a variety of additional benefit options designed to support your well‑being and financial security. Many other benefits begin on day one, including paid time off accruals, retirement contributions, and additional programs that support you from the start.

Does Horizon House support professional development?

Absolutely. Beyond $8,000 in annual tuition reimbursement (for you and your dependents), we offer company‑paid training and support for continuing education relevant to your role. We invest in your growth.

What makes the culture here different?

The relationship between staff and residents. Residents don’t see you as “the help”—they see you as neighbors, as family. That respect shows up in everything. It’s a culture of mutual care that you won’t find at most senior living communities.

Ready to make a difference?

Browse our current openings and apply today—your rewarding career at Horizon House starts here.