Director of Nursing

COLUMBIA HEALTH CARE CENTER WYOCENA, WISCONSIN

Click here for more employment opportunites: Columbia County - Human Resources - Employment Opportunities Columbia Health Care Center in Wyocena is recruiting for a full time Director of Nursing. This position will be responsible for planning, organizing, and directing the overall nursing department operations of our 85-bed person-centered care Skilled Nursing Facility.

Qualifications:

Current RN license in the State of Wisconsin and a minimum of five (5) years long-term care experience and three (3) years of supervisory experience preferred. CPR certification required. Hiring rate is $50.820 per hour. Application deadline is Friday, May 1st 2026.

JOB DESCRIPTION POSITION TITLE

Director of Nursing

SUPERVISOR

Administrator

POSITION OBJECTIVES

The primary purpose of this job position is to plan, organize, develop, and direct the overall operation of our Nursing Department in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be directed by the Administrator and Medical Director, to ensure that the highest degree of quality care is always maintained. All personnel at this facility are expected to maintain safe work habits and demonstrate kindness and respect to all residents and fellow employees.

QUALIFICATIONS AND REQUIREMENTS

Graduation from an accredited School of Nursing, with a strong preference for a Bachelor of Science Degree in Nursing (BSN). Current unencumbered Registered Nurse license in the State of Wisconsin and a minimum of five (5) years long-term care experience and three (3) years of supervisory experience. CPR certification required. Must pass background check as required by the Wisconsin Caregiver Law. Knowledge of federal and state regulations governing skilled nursing facilities. Ability to read, write, speak, and understand the English language. Ability to make independent decisions when circumstances warrant such action. Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the public. Leadership and supervisory ability and the willingness to work harmoniously with professional and non-professional personnel. Ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies, and procedures, etc., that are necessary for providing quality care. Must have patience, tact, a cheerful disposition, and enthusiasm, as well as willingness to handle difficult residents. Ability to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Ability to relate information concerning a resident's condition. Must not pose a direct threat to the health or safety of other individuals in the workplace. Acts as a liaison for the Medical Director in the community with ancillary services (lab and x-ray departments), hospitals, and other medical staff.

DELEGATION OF AUTHORITY

The Director of Nursing is delegated the administrative authority, responsibility, and accountability necessary for carrying out assigned duties. In the absence of the Medical Director, you are charged with carrying out the resident care policies established by this facility.

ADMINISTRATIVE FUNCTIONS

Plan, develop, organize, implement, evaluate, and direct the nursing service department, as well as its programs and activities, in accordance with current rules, regulations, and guidelines that govern the long-term care facility. Develop, maintain, and periodically update policies and procedures that govern the needs of the resident. Maintain a reference library of nursing material that will assist the nursing service department in meeting the needs of the resident. Develop, maintain, and periodically update the Nursing Service Policy and Procedure Manual and nursing service objectives and philosophies. Develop and implement a nursing service organization structure. Make written and oral reports/recommendations to the Administrator, as necessary/required, concerning the operation of the nursing service department. Develop, maintain, and periodically update written job descriptions for each level of nursing personnel. Develop methods for coordination of nursing services with other resident services to ensure the continuity of the residents' care. Develop, implement, and maintain an ongoing quality assurance program for the nursing service department. Participate in surveys (inspections) made by authorized government agencies. Assist in the Quality Improvement Committee in developing and implementing appropriate plans of action to correct identified deficiencies. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.

COMMITTEE FUNCTIONS

Serve on, participate in, and attend various committees of the facility as required, and as appointed by the Administrator. Provide written and/or oral reports of the nursing service programs and activities as required, or as may be directed by such committee(s). Serve as Quality Improvement Committee Chairperson. Evaluate and implement recommendations from established committees as they may pertain to nursing services.

PERSONNEL FUNCTIONS

Determine the staffing needs of the nursing service department necessary to meet the nursing needs of the residents. Recommend the number and level of nursing personnel to be employed. Recruit and select nursing service personnel with Human Resources and terminate employment of those who fail to meet the work standards. Assign enough licensed practical and/or registered nurses for each tour of duty to ensure quality care is maintained. Assign enough certified nursing assistants for each tour of duty to ensure routine nursing care is provided to meet the daily nursing care needs of each resident. Ensure all nurse aide trainees are under the direct supervision of a licensed nurse. Develop work assignments and schedule duty hours, and/or assist nursing supervisory staff in completing and performing such tasks. Delegate to nursing service supervisory personnel the administrative authority, responsibility, and accountability necessary to perform their assigned duties. Complete performance evaluation schedules, criteria, and annual reviews for the nursing service department (e.g., RNs, LPNs, CNAs, medication aides, etc.) Make daily rounds of the nursing service department to ensure nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Monitor absenteeism to ensure that an adequate number of nursing care personnel are always on duty. Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Administrator as required or as may be necessary, including departmental performance evaluations.

NURSING CARE FUNCTIONS

Participate in the selection of residents for admission to the facility. Provide the Administrator with information relative to the nursing needs of the resident and the nursing service department's ability to meet those needs. Inform nursing service personnel of new admissions. Ensure that direct nursing care is provided by a licensed nurse, a CNA, and/or a nurse aide trainee qualified to perform the procedure. Review nurses' notes to ensure they are informative and descriptive of the nursing care being provided, that they reflect the resident's response to the care, and that such care is provided in accordance with the resident's wishes. Schedule daily rounds to observe residents and determine if nursing needs are being met in accordance with the resident's request. Monitor medication passes and treatment schedules to ensure medications are administered as ordered and that treatments are provided as scheduled. Provide direct nursing care as necessary.

STAFF DEVELOPMENT

Develop and participate in the planning, conducting, and scheduling of timely in-service training for the nursing staff. Ensure that these programs meet the continuing education requirements which allow licensed personnel (e.g., RNs, LPNs, CNAs, etc) to keep their licenses on an active status. Develop, implement, and maintain an effective orientation program that orients the new employee to the facility, policies, and procedures, and his/her job position and duties. Provide leadership training that includes the administrative and supervisory principles essential for Nurse Managers/Charge Nurses. Encourage the nursing supervisory staff to attend and participate in outside training programs. Schedule times as appropriate. Assist the Administrator in developing and revising the nursing assistant training curriculum used by the facility. Conduct/coordinate annual mandated OSHA and CDC in-service training programs for hazard communication, TB management, and bloodboorne pathogens standard. Attend and participate in continuing educational programs designed to keep abreast of changes in profession, as well as to maintain license in a current status.

SAFETY AND SANITATION

Assist the Safety Committee in developing safety standards for the nursing service department. Identify, evaluate, and classify routine and job-related functions to ensure that tasks in which potential exposure to blood/body fluids are properly identified and recorded. Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in an inservice training program prior to performing such tasks. Ensure that adequate supplies of personal protective equipment are on hand. Monitor nursing service personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Verify that nursing service work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. Verify resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. Ensure all nursing service personnel follow established departmental policies and procedures. Ensure nursing service personnel participate in all fire safety and disaster preparedness drills in a safe and professional manner. Develop, implement, and maintain a program for monitoring communicable and/or infectious diseases. Ensure that nursing service personnel follow established infection control policies and procedures. Develop, implement, and maintain a procedure for reporting hazardous conditions or equipment. Ensure that personnel wear and/or use safety equipment and supplies when lifting or moving residents.

EQUIPMENT AND SUPPLY FUNCTIONS

Recommend to the Administrator the equipment and supply needs of the department. Ensure that a stock level of medications, medical supplies, equipment, etc. is always maintained on premises to adequately meet the needs of the resident. Assist the Director of Environmental Services in developing a preventive maintenance program for maintaining the nursing service department's equipment and supplies in a safe and operable manner. Develop and implement policies and procedures for the safe operation of all nursing service equipment. Ensure only trained and authorized personnel operate the department's equipment. Ensure that personnel operate nursing service equipment in a safe manner. Develop and implement policies and procedures that ensure nursing service supplies are used in an efficient manner to avoid waste. Ensure that personal protective equipment used in the handling of infectious materials is available and easily accessible to nursing service personnel.

CARE PLAN AND ASSESSMENT FUNCTIONS

Ensure a written plan of care for each resident identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care. Review nurses' notes to determine if the care plan is being followed. Assist Medical Records in planning, scheduling, and reviewing the MDS. Develop and maintain a good rapport with all personnel involved with care plans to ensure that a team effort is achieved in developing comprehensive plan of cares.

BUDGET AND PLANNING FUNCTIONS

Prepare and plan the nursing service department's budget and submit to the Administrator for his/her review, recommendations, and/or approval. Keep abreast of economic conditions/situations and recommend to the Administrator adjustments in nursing services that ensure the continued ability to provide quality care. Recommend to the Administrator the equipment and supply needs of the nursing service department.

RESIDENT RIGHTS

Maintain the confidentiality of all resident information. Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect. Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room. Ensure that all nursing care staff have knowledge of the residents' responsibilities and rights including the right to refuse treatment. Review complaints and grievances made by resident/family and make a written/oral report to the Administrator indicating what action(s) were taken to resolve the complaint or grievance. Follow facility's established policies and procedures. Report and investigate all allegations of resident abuse, neglect, mistreatment and/or misappropriation of resident property. Ensure that nursing staff personnel honor the resident's refusal of treatment request. . Ensure that the facility's policies and procedures governing advance directives are reviewed with the resident and/or representative.

WORKING CONDITIONS

Works in office area(s) as well as throughout the nursing service area (i.e., medication rooms, nurses' stations, resident rooms, etc.). Sits, stands, bends, lifts, and moves intermittently during working hours. Subject to frequent interruptions. Involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with the medical staff, nursing personnel, and other department supervisors. Works beyond normal working hours and on weekends and holidays when necessary. On call 24 hours per day, 7 days per week. Subject to falls, burns from equipment, odors, etc., throughout the workday. Subject to exposure to infectious waste, diseases, conditions, etc . Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs.

PHYSICAL AND SENSORY REQUIREMENTS

(With or Without the Aid of Mechanical Devices) Ability to move intermittently throughout the workday. Ability to speak, read and write the English language in an understandable manner. Ability to cope with the mental and emotional stress of the position. Ability to see and hear or use prosthetics that will enable these senses to function adequately to assure that the requirements of this position can be fully met. Must function independently, and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Ability to relate to and work with the ill, disabled, elderly, emotionally upset, and at times hostile people within the facility. Ability to regularly lift and/or move up to 20 pounds and occasionally lift and/or move more than 50 pounds. Ability to assist in the evacuation of residents during emergency situations.

WORKING HOURS

Generally, Monday - Friday, 8 hours per day, 40 hours per week, on call 24/7. This job description is not intended to be all-inclusive. This employee will also perform other reasonably related business duties as assigned by the Medical Director and/or Administrator. Management reserves the right to change job responsibilities, duties, and hours as needs prevail. This document is for management communications only is not intended to imply a written contract of employment.