Director of Nursing (DON) (24842)

Paycom; Gainesville (TX); On-site; USD 110,000 - 150,000; Full time

Benefits offered by this job

Competitive pay

Bonus opportunities

Health, dental, and vision insurance

401(k) with company match

PTO/Sick time

Career growth and advancement

Job summary

Renaissance Care Center in Gainesville, TX seeks a Director of Nursing Services (DON) to oversee clinical operations within the SNF, ensuring high-quality resident care and compliance with state and federal standards. You will lead nursing leadership, drive quality initiatives, and coordinate the Nursing Department in alignment with regulatory requirements.

The role requires an RN license and 2+ years of supervisory DON/ADON experience in a SNF, with 24/7 leadership responsibilities and

Qualifications

• RN license (state-specific) required.
• 2+ years supervisory experience as DON/ADON in SNF.

Responsibilities

• Provide clinical leadership to ensure high-quality resident care and regulatory compliance.
• Direct and support nursing staff in safe, effective care delivery.
• Oversee care planning and interdisciplinary coordination.
• Maintain resident rights, dignity, privacy, and safety.
• Coordinate communication with physicians, families, and responsible parties.
• Participate in admissions decisions with Administrator.

Skills

Leadership

Regulatory knowledge

Infection control

Staff development

Communication

English proficiency

Job description

Job Details

Job Location: Skilled Nursing at Renaissance Care Center - Gainesville, TX 76240, Position Type: Full Time, Job Category: Nursing , Location:1400 Black Hill Dr, Gainesville, TX 76240

Schedule: Full‑time, exempt role with 24/7 nursing leadership responsibility

Reports to: Administrator

What We Offer You

• Competitive pay
• Performance‑based bonus opportunities
• Comprehensive health, dental, and vision insurance
• Additional supplemental benefits (life insurance, disability, accident, etc.)
• 401(k) with company match
• Generous paid time off (PTO/Sick)
• Clear career growth and advancement opportunities
• A supportive and vibrant company culture
• Many more employee perks and benefits

Job Summary

The Director of Nursing Services (DON) oversees all clinical operations within the Skilled Nursing Facility (SNF), ensuring high‑quality resident care, regulatory compliance, and strong clinical outcomes. This role is responsible for planning, organizing, developing, and directing the Nursing Department in alignment with state, federal, and facility standards. The DON provides strategic leadership to nursing staff, drives quality improvement initiatives, and ensures that resident care is delivered safely, efficiently, and compassionately. This position is ideal for an experienced RN leader with a strong background in SNF operations, survey readiness, staffing management, and clinical excellence.

Qualifications

• Current and valid state‑specific Registered Nurse (RN) license
• Minimum of 2 years of supervisory experience as a DON or ADON in a Skilled Nursing Facility
• Strong knowledge of state and federal long‑term care regulations
• Experience with survey readiness, Plans of Correction (POCs), and quality improvement
• Demonstrated leadership skills with the ability to coach, mentor, and develop nursing staff
• Ability to read, write, and speak the English language

Essential Functions

Clinical Leadership & Resident Care

• Provide overall clinical leadership to ensure high‑quality resident care, regulatory compliance, and strong clinical outcomes
• Oversee, direct, and support nursing staff in the delivery of safe, effective, and compassionate care
• Oversee the comprehensive care planning process and ensure interdisciplinary coordination
• Uphold resident rights, including dignity, privacy, informed consent, and safety
• Ensure timely communication with physicians, families, and responsible parties regarding significant changes in condition
• Participate in pre‑admission assessments and approve admissions in coordination with the Administrator

Regulatory Compliance & Survey Readiness

• Ensure compliance with all federal, state, and local regulations governing SNF operations
• Lead regulatory surveys, complaint investigations, and Plans of Correction (POCs)
• Maintain continuous readiness for unannounced surveys and regulatory visits
• Ensure timely corrective actions for survey deficiencies and grievances
• Maintain compliance with health, fire, safety, sanitation, OSHA, and disaster‑preparedness standards

Infection Prevention & Safety

• Oversee the Infection Preventionist and Infection Control Program, including surveillance, reporting, and staff education
• Ensure compliance with antibiotic stewardship requirements
• Participate in emergency preparedness planning, drills, and response activities
• Ensure nursing staff readiness for disasters, evacuations, and emergency events

Quality Assurance & Risk Management

• Monitor clinical quality indicators (falls, pressure injuries, infections, hospitalizations)
• Implement corrective actions to reduce clinical risk and improve outcomes
• Support the development, implementation, and monitoring of the Quality Assurance Program
• Serve on committees including Quality Assurance, Infection Control, Patient Care, Safety, and Pharmaceutical Services

Staff Leadership, Training & Workforce Management

• Lead recruitment, hiring, evaluations, coaching, and disciplinary actions for nursing personnel
• Ensure nursing staff orientation, ongoing education, annual competencies, and scope‑of‑practice compliance for LVNs, CNAs, and Medication Aides
• Develop and maintain nursing schedules based on acuity, census, and staffing standards
• Provide clinical consultation and support to the Administrator and facility leadership team
• Maintain 24/7 responsibility for nursing operations and assume Administrator duties when delegated

Documentation, Communication & Administrative Oversight

• Ensure accurate, timely, and compliant clinical documentation across the Nursing Department
• Ensure all incidents and accidents are documented and reported per policy and regulation
• Maintain inventories of medications, supplies, and clinical equipment
• Participate in facility marketing efforts and community engagement
• Perform other essential functions as assigned

We are an Equal Opportunity Employer. We offer an excellent benefit plan to include 401(k) with match, CEU reimbursement, vacation, sick time, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package.

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