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Director of Nursing AVCC Apple Valley, CA Job Details Full-time From $88,100 a year 1 hour ago Benefits Flexible schedule Qualifications Nursing Investigations regulatory compliance Abuse and neglect policy adherence RN License Quality of care (regulatory compliance area) Bachelor of Science BLS Certification Client rights in caregiving Patient safety measures implementation Incident Escalation Monitoring and managing IVs Nursing procedure compliance Team development Clinical staff training Bachelor of Science in Nursing Clinical staff recruitment Oxygen therapy Mandated reporting laws Clinical confidentiality policies Patient treatment Escalation handling Patient emergency assistance Staffing management Patient safety compliance management Full Job Description

POSITION SUMMARY

The Director of Nursing (DON) plans, organizes, directs, and evaluates nursing services within the Congregate Living Health Facility (CLHF). The DON provides clinical leadership and oversight to support safe, individualized care consistent with physician orders, professional nursing standards, facility policies, applicable California requirements, and the facility's licensed scope of services. The DON is accountable for nursing supervision, staff competency, care coordination, clinical documentation, quality improvement, and survey readiness.

REQUIRED QUALIFICATIONS

Must possess and maintain a current, active California Registered Nurse license, without restrictions that prevent performance of the position's duties. Must have verifiable prior experience serving as a Director of Nursing. Experience solely as a charge nurse, supervisor, or Assistant Director of Nursing does not satisfy this facility requirement. Must have at least one year of nursing supervisory experience within the preceding five years, as a facility hiring requirement. Must possess the education, training, clinical experience, professional qualifications, and demonstrated competency necessary to oversee the care of the facility's patient population. Must demonstrate knowledge of California CLHF requirements, applicable Title 22 provisions, the California Nursing Practice Act, patient rights, confidentiality, infection prevention, and mandated reporting responsibilities. Must demonstrate competency in assessing changes in condition, clinical escalation, physician notification, emergency response, medication management, and supervision of licensed and unlicensed nursing personnel. Must have experience overseeing medically complex patients and the treatments provided by the facility, which may include tracheostomy and ventilator care, oxygen therapy, enteral feeding, IV therapy, central lines, and complex wound care. Must possess strong leadership, communication, organizational, staff education, and problem-solving skills. Must maintain current BLS/CPR certification and any additional credentials required for assigned responsibilities. Must successfully complete applicable employment screening, health clearance, license verification, and competency validation. Must be able to perform the essential functions of the position, with or without reasonable accommodation.

PREFERRED QUALIFICATIONS

Previous DON experience in a California CLHF. Bachelor of Science in Nursing. Experience with regulatory surveys, investigations, plans of correction, and quality improvement. Additional training or certification in infection prevention, wound care, staff development, or respiratory care relevant to the patient population.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Nursing Leadership and Supervision Direct nursing services and establish clear expectations for safe care, professional conduct, accountability, and timely completion of assigned duties. Supervise and evaluate nursing personnel within their authorized scopes of practice. Collaborate with the Administrator regarding recruitment, staffing, performance evaluations, corrective action, and retention. Maintain written nursing responsibilities, delegation practices, and supervisory procedures. Patient Care and Clinical Oversight Oversee nursing assessments, individualized care plans, ongoing evaluations, and timely revisions following changes in condition. Ensure physician orders are reviewed, clarified when necessary, accurately implemented, and followed through to completion. Monitor medication administration, treatments, laboratory testing, diagnostic results, referrals, and follow-up appointments. Ensure changes in condition are promptly assessed, reported, documented, and escalated according to patient needs. Coordinate emergency response and transfers to a higher level of care when indicated. Evaluate referrals with the interdisciplinary team to determine whether patient needs can be safely met within the facility's licensed services, staffing, equipment, and staff competencies. Coordinate admissions, transfers, discharge planning, and continuity of care. Staffing and RN Coverage Develop and monitor staffing assignments based on patient acuity, census, required services, and applicable CLHF requirements. Verify that personnel maintain required licenses, certifications, training, and competencies. Coordinate required RN presence, patient visits, consultation, and emergency availability according to facility size and applicable requirements. Maintain an RN coverage plan that provides consultation and the ability for an RN to arrive within 30 minutes when required and no RN is on duty. Participate in the on-call rotation and arrange qualified coverage during absences. Clinical Safety and Infection Prevention Oversee medication and treatment safety, controlled medication accountability, and safe storage of medications, supplies, and equipment. Monitor infection prevention practices, isolation precautions, surveillance, and response to suspected infections or outbreaks. Oversee prevention and management of pressure injuries, falls, dehydration, malnutrition, and other identified clinical risks. Coordinate with physicians, pharmacy, respiratory therapy, rehabilitation, dietary services, hospice, and other providers. Documentation and Communication Ensure nursing records accurately reflect assessments, care provided, patient responses, notifications, refusals, and follow-up. Monitor handoff communication and follow-through on unresolved clinical concerns. Participate in interdisciplinary care conferences and communicate with patients, representatives, physicians, and case managers. Ensure care refusals are assessed and addressed through education, appropriate notifications, alternatives, and care-plan updates while respecting patient rights. Protect confidential information and maintain professional communication. Regulatory Compliance and Quality Improvement Monitor compliance with applicable California requirements, facility policies, and conditions of licensure. Maintain survey readiness and participate in inspections, complaint investigations, and regulatory responses. Identify deficiencies, implement corrective measures, and evaluate their effectiveness. Review incidents, medication errors, infections, hospital transfers, grievances, and other quality indicators. Ensure suspected abuse, neglect, exploitation, and other reportable events are addressed and reported within applicable timeframes. Assist with required documentation concerning designation or changes of nursing leadership. Staff Education and Competency Coordinate nursing orientation, ongoing education, and competency evaluations. Validate staff competency before independent assignment to specialized procedures or equipment. Provide coaching and remedial training when performance concerns are identified. Maintain documentation of education, competency validation, and follow-up.

WORKING CONDITIONS

The position involves work in a residential healthcare setting with medically complex patients. Duties may require standing, walking, bending, responding to emergencies, and assisting with patient care using appropriate equipment and assistance. Scheduling may include evenings, weekends, holidays, and on-call coverage according to operational needs.

Pay:

From $88,100.00 per year

Benefits:

Flexible schedule

Work Location:

In person