Director of Nursing RN

Trustwell Living, LLC; Hood River (OR); On-site; USD 95,000 - 130,000; Full time

Job summary

Trustwell Living, LLC in Hood River, Oregon, is seeking a licensed nurse leader to oversee clinical operations in a senior living community. You will coordinate resident care, supervise care partners, manage medications, and ensure compliance with state regulations and company policies.

The role requires 1+ year of leading clinical teams, CPR/First Aid certification, and an active RN/LPN/LVN license. On-call responsibilities, budget management, and collaboration with families and healthcare

Qualifications

• Must hold an RN/LPN/LVN license in good standing.
• Minimum 1 year leading clinical operations in a senior living setting.
• CPR/First Aid certification within 30 days of employment.

Responsibilities

• Conduct initial nursing assessments to determine the appropriate level of care.
• Coordinate administration of medications and treatments; observe results and document.
• Supervise staff, manage clinical budget, and ensure infection control practices.
• Collaborate with the Executive Director and designated agents to address Resident needs.

Skills

Nursing leadership

CPR/First Aid

Communication

Education

RN/LPN/LVN license

Job description

• Adheres to and conveys the philosophy of supporting dignity, privacy, independence, choice, individuality, and a home-like environment for Residents.
• Identifies ongoing needs and services for Residents through assessment and service planning utilizing the nursing process.
• Coordinates ancillary health care services for Residents in cooperation with the Executive Director.
• Adheres to all established policies and procedures.
• Responds to Resident or staff concerns and refers them to the Executive Director when appropriate.
• Manages and performs TB testing/screening for Residents and staff per state regulations.
• Monitors quality of work performance of Care Partners, Medication Staff, and Licensed Nurses and reports to the Executive Director.
• Ensures that staff know and follow infection control procedures. Directs the infection control measures for the community.
• Participates in service plan conferences; maintains medication and treatment records for each Resident.
• Works closely with staff and designated agent(s) to identify Resident problems/concerns/issues; follows up as needed and communicates same appropriately.
• Has 24/7 overall responsibility for the clinical operations. Is on call according to pre-established schedule. Oversees and/or completes monthly nursing schedule for nursing staff. Participates in the Manager on Duty program as directed by the Executive Director.
• Coordinates/provides treatments within the scope of the nursing license and state regulations.
• Observe all work, safety, and administrative rules.
• Clinical liaison with families, Residents, healthcare professionals, and team members.
• Manage labor costs, supplies, and other line items in the clinical budget.
• Develop strategies to eliminate/minimize the use of staffing agencies. Keeps the Executive Director apprised of staffing agency usage.
• Participates in the company quality assurance program.
• RESIDENT SERVICES
• Conduct initial nursing assessment(s)/evaluations to determine the appropriate level of care. This may be done in a prospective Resident’s home or alternative healthcare setting.
• Conducts reassessments per state/company requirements: this includes significant change of condition, and prior to readmission to the community.
• Works closely with the Executive Director to counsel the Resident and designated agent(s) meeting personal and related healthcare needs.
• Evaluate personal services rendered to Residents and coach staff on expectations
• Evaluate health emergencies and determine emergency medical measures taken regarding Resident care.
• Acts as Resident advocate in medical-social situations involving Resident and/or designated agents, physicians, other agents, or agencies.
• Coordinates administration of medications and treatments; observes results and documents same.
• Examines and gives first aid to Residents and staff, within scope of practice.
• Addresses physical, social, spiritual, and psychological needs of Residents.
• Completes required forms to ensure continuity of care.
• Notifies physician and/or designated agent(s) of Resident change in condition.
• Performs other duties as assigned.
• Consult with the Regional Director of Operations and Corporate Director of Quality & Clinical Services on Resident issues as needed.
• ADMINISTRATIVE
• Reads staff communications and maintains familiarity with other Resident records as required.
• Assures accurate transcription of physician orders into treatment/medication records.
• Assists as directed with move-in and orientation of new Residents and designated agent(s).
• Review resident service records, treatment, and medication books to assure the quality of care and documentation in the medical record is within nursing standards.
• Verifies physician orders, move-in/move-out information, and initiates appropriate action/follow-up.
• Supervises ordering of medications from pharmacy.
• Coordinates therapeutic diet orders with staff as required.
• Assures proper records are maintained including the use of EHR systems for care documentation, medication management, and quality initiatives.
• STAFF DEVELOPMENT
• Provide, plan, schedule, and monitor staff training programs and in-services for the clinical staff including statutory or regulatory required training.
• Attend/complete all required training, in-service, and staff meetings. Training of non-clinical staff may be required as needed.
• Trains, documents, and supervises Care Partners under the Nurse Delegation Act as appropriate.
• Training and supervision of staff to perform medication assistance services within best practices.

Position Responsibilities

• Adheres to and conveys the philosophy of supporting dignity, privacy, independence, choice, individuality, and a home-like environment for Residents.
• Identifies ongoing needs and services for Residents through assessment and service planning utilizing the nursing process.
• Coordinates ancillary health care services for Residents in cooperation with the Executive Director.
• Adheres to all established policies and procedures.
• Responds to Resident or staff concerns and refers them to the Executive Director when appropriate.
• Manages and performs TB testing/screening for Residents and staff per state regulations.
• Monitors quality of work performance of Care Partners, Medication Staff, and Licensed Nurses and reports to the Executive Director.
• Ensures that staff know and follow infection control procedures. Directs the infection control measures for the community.
• Participates in service plan conferences; maintains medication and treatment records for each Resident.
• Works closely with staff and designated agent(s) to identify Resident problems/concerns/issues; follows up as needed and communicates same appropriately.
• Has 24/7 overall responsibility for the clinical operations. Is on call according to pre-established schedule. Oversees and/or completes monthly nursing schedule for nursing staff. Participates in the Manager on Duty program as directed by the Executive Director.
• Coordinates/provides treatments within the scope of the nursing license and state regulations.
• Observe all work, safety, and administrative rules.
• Clinical liaison with families, Residents, healthcare professionals, and team members.
• Manage labor costs, supplies, and other line items in the clinical budget.
• Develop strategies to eliminate/minimize the use of staffing agencies. Keeps the Executive Director apprised of staffing agency usage.
• Participates in the company quality assurance program.
• RESIDENT SERVICES
• Conduct initial nursing assessment(s)/evaluations to determine the appropriate level of care. This may be done in a prospective Resident’s home or alternative healthcare setting.
• Conducts reassessments per state/company requirements: this includes significant change of condition, and prior to readmission to the community.
• Works closely with the Executive Director to counsel the Resident and designated agent(s) meeting personal and related healthcare needs.
• Evaluate personal services rendered to Residents and coach staff on expectations
• Evaluate health emergencies and determine emergency medical measures taken regarding Resident care.
• Acts as Resident advocate in medical-social situations involving Resident and/or designated agents, physicians, other agents, or agencies.
• Coordinates administration of medications and treatments; observes results and documents same.
• Examines and gives first aid to Residents and staff, within scope of practice.
• Addresses physical, social, spiritual, and psychological needs of Residents.
• Completes required forms to ensure continuity of care.
• Notifies physician and/or designated agent(s) of Resident change in condition.
• Performs other duties as assigned.
• Consult with the Regional Director of Operations and Corporate Director of Quality & Clinical Services on Resident issues as needed.
• ADMINISTRATIVE
• Reads staff communications and maintains familiarity with other Resident records as required.
• Assures accurate transcription of physician orders into treatment/medication records.
• Assists as directed with move-in and orientation of new Residents and designated agent(s).
• Review resident service records, treatment, and medication books to assure the quality of care and documentation in the medical record is within nursing standards.
• Verifies physician orders, move-in/move-out information, and initiates appropriate action/follow-up.
• Supervises ordering of medications from pharmacy.
• Coordinates therapeutic diet orders with staff as required.
• Assures proper records are maintained including the use of EHR systems for care documentation, medication management, and quality initiatives.
• STAFF DEVELOPMENT
• Provide, plan, schedule, and monitor staff training programs and in-services for the clinical staff including statutory or regulatory required training.
• Attend/complete all required training, in-service, and staff meetings. Training of non-clinical staff may be required as needed.
• Trains, documents, and supervises Care Partners under the Nurse Delegation Act as appropriate.
• Training and supervision of staff to perform medication assistance services within best practices.

Employment Requirements

• Willingness to adhere to assisted living principles in provided services.
• Ability to relate to the public, Residents, families, staff, and other professionals appropriately.
• Ability to communicate well, verbally and in writing.
• CPR/First Aid Certified within 30 days of employment.
• Ability to lift up to 50 pounds occasionally, and 30 pounds regularly.
• Maintains appropriate and required nursing license in the state where the community is located.

Training And Experience

Licensed Nurse with a minimum of at least one year of leading clinical operations in a senior living setting. Rehabilitative and restorative experiences are helpful. CPR/First Aid certification.

Education And Licensure

Graduate of accredited nursing school. Maintains current RN/LPN/LVN license in good standing in the state the community is located. Immediately report to the Executive Director any disruption to nursing license status. Provide a supervisor of all states you hold an active nursing license/compact license.