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Nurse Manager (Director in Training) Adult Day Center
Career Insights for Preschool / Childcare Director
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Scorecard
Based on Kentucky data
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What they do
A Preschool or Childcare Director manages and directs programs for very young children. Supervises child care workers and pre-school teachers. Proposes policies, program fees and budgets for approval by a program board or administrative agency or implements policies of a national organization. Meets with parents and staff to discuss the development, learning and behavior of children in the program or center. Orders supplies and monitors maintenance and cleaning at a facility. Ensures that the program or center meets state and federal guidelines.
$50,913 / year median in Kentucky
+13% projected growth
Job Description
The ideal candidate is a compassionate, organized, and visionary nurse who is passionate about caring for older adults and individuals with chronic medical conditions while developing the skills necessary to lead an interdisciplinary adult day program. Essential Responsibilities Clinical Leadership Provide oversight and supervision of all nursing services within the Adult Day Center's health program. Conduct participant nursing assessments, reassessments, and individualized care planning. Monitor participants' medical conditions and coordinate interventions as needed. Administer or oversee medication administration and treatments according to physician orders and organizational policies. Collaborate with physicians, therapists, social workers, dietitians, and other interdisciplinary team members. Ensure compliance with infection prevention, medication management, and clinical documentation standards. Respond appropriately to participant emergencies and oversee emergency preparedness procedures. Staff Leadership Supervise certified nursing assistants and/or medication technicians. Foster a collaborative, respectful, and participant-centered culture. Provide health education to participants, families, and staff as needed Quality & Compliance Ensure compliance with all federal, state, and local Adult Day Health regulations. Participate in quality assurance and quality improvement initiatives. Participate in surveys, audits, and accreditation activities. Maintain accurate clinical documentation and regulatory records. Operational Leadership (Director Development) As part of the leadership succession plan, the Nurse Manager will progressively assume responsibilities including: Daily center operations Budget planning and fiscal oversight Census growth and participant retention Community outreach and referral development Strategic planning Staff scheduling and workforce management Vendor and contract management Regulatory readiness Program development Customer service initiatives Family engagement Risk management Leadership of interdisciplinary team meetings Transition to Day Center Director Upon successful completion of the leadership development program and demonstration of competency, the Nurse Manager will transition into the role of floating Adult Day Center Director. Responsibilities will expand to include overall operational, financial, and administrative oversight of the Adult Day Health Center while maintaining excellence in participant care and regulatory compliance. QualificationsRequired Active Registered Nurse (RN) license in good standing. Bachelor's degree in Nursing (BSN) or higher. Minimum of three years of nursing leadership experience. Experience working with older adults, geriatrics, chronic disease management, rehabilitation, or long-term care. Strong knowledge of state and federal healthcare regulations. Excellent communication, leadership, and organizational skills. Preferred Experience in Adult Day Health, PACE, home health, geriatrics, or skilled nursing. Experience managing multidisciplinary teams. Budgeting and operational management experience. Quality improvement and regulatory survey experience. Knowledge, Skills & Abilities Clinical judgment and critical thinking Leadership and team development Conflict resolution Regulatory compliance Program planning Financial stewardship Strategic decision-making Customer service excellence Strong written and verbal communication Electronic Health Record (EHR) proficiency Time management and organizational skills Physical Requirements Ability to stand, walk, bend, and assist participants as needed. Ability to lift up to 40 pounds with or without reasonable accommodation. Ability to respond quickly during participant emergencies. Why Join Our Team? This is more than a Nurse Manager position—it's a leadership pathway. We are committed to developing future healthcare leaders who are passionate about serving older adults while building the operational expertise necessary to lead a successful Adult Day Center. Candidates will receive mentorship, leadership development, and hands-on operational experience in preparation for promotion to Day Center Director.