Mobile Director of Nursing (Mobile DON)

Engage Healthcare; Maryland; On-site; USD 110,000 - 140,000; Full time

Job summary

Engage Healthcare is seeking a Mobile Director of Nursing (Mobile DON) to provide clinical leadership and operational support for multiple Skilled Nursing Facilities across Maryland. You will collaborate with facility leadership, regional clinical teams, and corporate management to ensure high-quality resident care and regulatory compliance.

You will travel between facilities to evaluate performance, provide hands-on clinical leadership, develop nursing leadership, and implement best practices

Qualifications

• Current, active RN license in Maryland.
• BSN preferred.
• 5-7 years nursing experience, preferably in skilled nursing or long-term care.
• At least 3 years of nursing leadership experience.
• Demonstrated CMS/regulatory knowledge.
• Willingness to travel regularly across Maryland facilities.

Responsibilities

• Provide clinical oversight to nursing departments across multiple facilities.
• Conduct facility visits to evaluate nursing practices and performance.
• Support Directors of Nursing in daily operations.
• Identify deficiencies and implement corrective action plans.
• Ensure CMS/Maryland compliance and survey readiness.
• Lead infection prevention and quality improvement initiatives.
• Mentor and develop nursing leadership across facilities.
• Monitor staffing, scheduling, and labor costs.
• Communicate performance updates to regional and corporate leadership.

Skills

Nursing leadership

Regulatory compliance

CMS/Maryland regulations

Travel between facilities

Clinical oversight

Staff development

Education

RN license in MD

BSN preferred

Job description

Position Summary

The Mobile Director of Nursing (Mobile DON) is responsible for providing clinical leadership, nursing oversight, and operational support to multiple Skilled Nursing Facilities throughout Maryland. This position works closely with facility Directors of Nursing, Administrators, Regional Clinical Leadership, and corporate management to ensure the delivery of high-quality resident care and compliance with all applicable federal and Maryland state regulations.

The Mobile DON will travel between assigned facilities to evaluate nursing department performance, provide hands-on clinical support, address operational challenges, develop nursing leadership, and implement best practices to improve clinical outcomes and overall facility performance.

Key Responsibilities

Multi-Facility Clinical Oversight

• Provide clinical oversight and support to nursing departments across multiple skilled nursing facilities.

• Conduct regular facility visits to evaluate nursing practices, staffing, resident care, and clinical performance.

• Support facility Directors of Nursing in managing daily nursing operations.

• Identify clinical deficiencies and develop corrective action plans.

• Ensure consistent nursing standards and best practices across all assigned facilities.

• Assist facilities experiencing staffing shortages, clinical challenges, or leadership transitions.

• Provide hands-on nursing leadership and intervention when necessary.

Regulatory Compliance and Survey Readiness

• Ensure facilities maintain compliance with CMS regulations, Maryland Department of Health requirements, applicable COMAR regulations, and other governing standards.

• Assist facilities in preparing for annual surveys, complaint surveys, and other regulatory inspections.

• Participate in survey investigations, plans of correction, and follow-up activities.

• Monitor clinical documentation, care planning, infection prevention, medication administration, and resident rights.

• Conduct mock surveys and clinical audits to identify potential compliance concerns.

• Ensure timely implementation and monitoring of corrective action plans.

• Promote a culture of accountability and regulatory readiness.

Clinical Quality and Resident Care

• Monitor clinical indicators, including falls, pressure injuries, infections, hospital readmissions, weight loss, and medication errors.

• Review facility Quality Assurance and Performance Improvement (QAPI) activities.

• Assist with clinical investigations, adverse events, and significant changes in resident condition.

• Promote appropriate clinical interventions and individualized resident care.

• Work with interdisciplinary teams to improve resident outcomes and quality of life.

• Monitor infection prevention and control practices.

• Review trends and implement strategies to reduce preventable hospitalizations and adverse clinical outcomes.

Nursing Leadership and Staff Development

• Mentor, coach, and support facility Directors of Nursing and nursing management teams.

• Assist with recruiting, retaining, and developing qualified nursing leadership.

• Evaluate nursing department performance and establish accountability standards.

• Provide education and training to nursing leaders and staff.

• Assist with performance improvement initiatives and disciplinary matters when appropriate.

• Promote effective communication and teamwork between nursing, administration, and other departments.

• Identify leadership gaps and assist in developing succession plans.

Staffing and Operational Management

• Monitor nursing staffing levels and assist facilities in maintaining appropriate staffing coverage.

• Evaluate nursing schedules, productivity, overtime, and agency utilization.

• Assist with developing strategies to reduce nursing labor costs while maintaining quality resident care.

• Support facilities in addressing employee turnover and staffing challenges.

• Ensure appropriate nursing assignments and supervision based on resident acuity and facility needs.

• Assist with emergency staffing coverage and operational problem-solving.

Communication and Reporting

• Provide regular updates to regional and corporate leadership regarding facility clinical performance.

• Report significant clinical concerns, regulatory risks, and operational issues promptly.

• Prepare facility visit reports, clinical audit findings, and performance improvement recommendations.

• Monitor progress toward established clinical and operational goals.

• Collaborate with Regional Vice Presidents, Administrators, Human Resources, and corporate clinical leadership.

Qualifications

• Current, active Registered Nurse (RN) license in good standing in the State of Maryland.

• Bachelor's degree in Nursing (BSN) preferred.

• Minimum of 5-7 years of nursing experience, preferably in skilled nursing or long-term care.

• At least 3 years of nursing leadership experience, preferably as a Director of Nursing or Assistant Director of Nursing.

• Demonstrated experience managing clinical operations in skilled nursing facilities.

• Strong knowledge of CMS regulations, Maryland nursing home regulations, and survey processes.

• Experience with clinical audits, QAPI, infection prevention, and plans of correction.

• Strong leadership, communication, organizational, and problem‑solving skills.

• Ability to travel regularly between assigned facilities throughout Maryland.

• Valid driver's license and reliable transportation required.