Compare your current skills to what this opportunity needs—we'll show you what you already have and what could strengthen your application.
Job Description
Director of Nursing Services (RN) Gateway Center of Monterey County, Inc. - 3.0 Pacific Grove, CA Job Details Full-time $120,000 - $150,000 a year 4 days ago Benefits Health insurance Dental insurance 401(k) Flexible spending account Paid time off Vision insurance Qualifications CPR Certification Nursing Staff supervision Program management RN License Program development Team development Driver's License Bachelor's degree First Aid Certification Bachelor of Science in Nursing Health information management Community relationship building General management Full Job Description Please note it is required to submit a cover letter and résumé to:
COMPANY OVERVIEW
Gateway Center for Monterey County is a nonprofit organization dedicated to supporting individuals with intellectual and developmental disabilities through residential, intermediate care, and community-based programs. The organization focuses on person-centered services that promote dignity, independence, and quality of life. Team members collaborate with families, advocates, and interdisciplinary professionals to deliver safe, respectful, and effective care. Gateway Center values continuous improvement, regulatory compliance, and a supportive work environment where staff are trained and empowered to make a positive impact.
GENERAL DESCRIPTION
Under the general supervision of the Executive Director, the Director of Nursing Services provides strategic, clinical, and operational leadership for Gateway Center's Intermediate Care Facilities (ICF-1 and ICF-2), serving adults with intellectual and developmental disabilities within a highly regulated healthcare environment. In addition to overseeing nursing services within the ICF Service line, the Director of Nursing Services serves as a clinical resource and consultant to other Gateway Center programs as assigned. The Director of Nursing Services is responsible for the overall administration, coordination, and oversight of nursing services, resident healthcare needs, clinical quality assurance, regulatory compliance, survey readiness, interdisciplinary collaboration, and continuous quality improvement efforts across both facilities. As a member of Gateway Center's leadership team, the Director of Nursing works in close partnership with the Director of ICF Services, Qualified Intellectual Disabilities Professionals (QIDP), leadership staff, Direct Support Professionals, consultants, physicians, families, conservators, and community partners to ensure residents receive high-quality, person-centered care that promotes health, safety, dignity, independence, and quality of life. The Director of Nursing plays a critical role in advancing Gateway Center's mission while fostering a culture of collaboration, integrity, transparency, accountability, inclusion, and continuous improvement.
LEADERSHIP PHILOSOPHY AND ORGANIZATIONAL CULTURE
Gateway Center seeks leaders who are deeply committed to supporting individuals with intellectual and developmental disabilities in living healthy, meaningful, and fulfilling lives. The Director of Nursing Services is expected to model the organization's values of integrity, collaboration, accountability, transparency, and person-centered care. The successful candidate will embrace a leadership approach that values teamwork, open communication, shared problem-solving, and continuous improvement. They will actively build positive relationships with residents, families, employees, consultants, healthcare providers, regulatory agencies, and community partners while fostering an inclusive workplace culture where employees feel supported, valued, and empowered to succeed. The Director of Nursing Services is expected to lead with integrity, humility, professionalism, emotional intelligence, and a genuine commitment to service. The successful candidate must possess the ability to build trust, navigate complex situations, foster collaboration across disciplines, and support a culture of accountability, respect, and continuous learning. Gateway Center seeks leaders who value transparency, embrace constructive feedback, communicate openly, and are committed to creating an environment where employees, residents, families, and community partners feel heard, respected, and supported.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Leadership and Organizational Management Serve as a member of Gateway Center's leadership team and participate in organizational planning, strategic initiatives, and operational improvement efforts. Serve as a strategic partner in advancing Gateway Center's mission, organizational goals, and long-term service delivery objectives. Partner closely with the Director of ICF and QIDP leadership staff to ensure alignment between clinical services, active treatment programs, regulatory compliance, and resident outcomes. Foster a culture of collaboration, accountability, professionalism, transparency, and continuous improvement. Provide leadership, coaching, mentorship, and support to clinical staff and interdisciplinary team members. Participate in organizational committees, leadership meetings, and quality improvement initiatives. Support recruitment, onboarding, training, performance management, succession planning, and professional development efforts related to nursing and clinical staff. Clinical & Resident Health Services Direct and oversee all nursing services for ICF-1 and ICF-2 and provide clinical consultation, training, and support to other Gateway Center programs, including Adult Residential Facilities (ARF), Medical Day Programs, and future service lines as assigned. Conduct, review, or oversee nursing assessments, health evaluations, and resident healthcare reviews as required by regulation and organizational policy. Develop and maintain effective working relationships with attending physicians, medical directors, and healthcare providers to ensure timely coordination of healthcare services, implementation of physician orders, continuity of care, and compliance with applicable regulatory requirements. Serve as Gateway Center's primary nursing liaison to physicians and healthcare providers. Ensure quarterly nursing summaries, annual assessments, healthcare plans, physician orders, medication reviews, and related clinical documentation are completed accurately and timely. Monitor implementation of physician recommendations, treatment plans, dietary recommendations, healthcare interventions and resident-centered supports, ensuring appropriate follow-up and evaluation of outcomes. In collaboration with QIDP leadership staff and consultants, develop and support the formal and informal implementation of person-centered active treatment goals and objectives that are meaningful to each resident. Participate in Interdisciplinary Team (IDT) meetings and support the development of resident-centered healthcare goals and services. Provide clinical guidance, education, and support to staff to promote resident health, prevent avoidable complications, and maximize resident independence and functional abilities. Review resident healthcare trends and intervene when significant health concerns, changes in condition, or risk factors are identified. Monitor healthcare documentation systems and clinical records to ensure accuracy, continuity of care, regulatory compliance, and timely implementation of healthcare recommendations. Monitor resident health outcomes and identify opportunities for clinical improvement. Ensure continuity of care and timely follow-up on all healthcare recommendations. Regulatory Compliance and Survey Readiness Maintain compliance with all applicable federal, state, and local regulations governing Intermediate Care Facilities (ICFs) and other lines of business as needed. Ensure ongoing readiness for surveys, audits, investigations, and licensing reviews conducted by California Department of Public Health (CDPH), Department of Developmental Services (DDS), Centers for Medicare & Medicaid Services (CMS), Regional Center, and other regulatory agencies. Lead clinical preparation, response, and follow-up activities associated with surveys, audits, investigations, and corrective action plans involving resident healthcare services. Lead development and implementation of Plans of Correction (POC's) and corrective action initiatives when required. Participate in investigations involving Serious Incident Reports (SIRs), unusual incidents, injuries, medication errors, allegations, and healthcare-related concerns. Support annual, quarterly, monthly, and ongoing reporting requirements as required by licensing agencies and organizational leadership. Participate in emergency preparedness planning, disaster response activities, infection prevention initiatives, and organizational risk management efforts. Interdisciplinary Leadership & External Relations Serve as a key member of the Interdisciplinary Team (IDT). Collaborate with the Director of ICF Services, QIDP's, consultants, therapists, physicians, behavioral specialists, and direct support staff to ensure coordinated resident care. Provide clinical consultation and support to Gateway Center programs outside of the ICF service line, including Adult Residential Facilities (ARF), Day Services, Medical Day Services, and other organizational initiatives as assigned. Provide clinical consultation and education to staff and interdisciplinary team members. Promote effective communication and shared decision-making across departments. Develop and maintain positive working relationships with residents, families, conservators, advocates, Regional Center representatives, healthcare providers, and community partners. Support family engagement and communication regarding resident healthcare needs and services. Serve as a clinical representative of Gateway Center with physicians, healthcare providers, families, Regional Center representatives, regulatory agencies, and other external stakeholders. Participate in Human Rights Committee reviews and support implementation, monitoring, and evaluation of approved healthcare-related recommendations. Quality Assurance, Data, and Documentation Oversee healthcare documentation systems, including Therap and other electronic health record platforms utilized by Gateway Center. Monitor clinical indicators, healthcare trends, incident data, medication systems, and quality measures. Develop and implement quality improvement initiatives designed to improve resident outcomes and organizational performance. Ensure accurate, timely, and compliant documentation practices throughout the organization. Financial and Administrative Partnership Collaborate with Finance, Human Resources, Facilities, and Executive Leadership to support organizational goals and operational effectiveness. Assist in budget planning, resource allocation, purchasing recommendations, and fiscal stewardship related to healthcare services. Ensure efficient utilization of healthcare resources while maintaining high standards of resident care.
MINIMUM QUALIFICATIONS
Current California Registered Nurse (RN) license in good standing. Bachelor's degree in Nursing or a related field from an accredited college or university. Valid California Driver's license with an acceptable driving record and proof of automobile insurance. Minimum five (5) years of progressively responsible nursing experience in healthcare, residential services, long-term care, developmental services, behavioral health, skilled nursing, intermediate care facilities, or related settings. Minimum three (3) years of supervisory, management, or leadership experience overseeing staff, programs, or clinical operations.
REQUIRED LICENSES & CERTIFICATIONS
CPR/First Aid certification as required. Compliance with organizational vaccination and health requirements. Must maintain a valid California Registered Nurse (RN) license throughout employment. Knowledge of Qualified Intellectual Disabilities Professional (QIDP) responsibilities, active treatment principles, interdisciplinary team processes, and person-centered planning is required. Must be able to respond to urgent clinical, regulatory, and operational matters outside of normal business hours as needed. Must possess excellent assessment skills for health care concerns and ongoing preventive measures. Excellent interpersonal and communication skills, along with leadership and problem-solving.
PREFERRED QUALIFICATIONS
Master's degree in Nursing, Healthcare Administration, Public Health or related field. Experience supporting individuals with intellectual and developmental disabilities (IDD). Experience in Intermediate Care Facilities (ICF/DD-H), developmental services, Regional Center-funded programs, skilled nursing facilities, or other highly regulated healthcare environments. Qualified Intellectual Disabilities Professional (QIDP) certification or eligibility preferred. Experience utilizing electronic health record systems (EHR), electronic medication administration records (eMAR), Therap, or Similar healthcare documentation platforms preferred. Knowledge of California Department of Public Health (CDPH), Department of Developmental Services (DDS), Regional Center systems, and applicable state and federal regulations. Bilingual English/Spanish preferred.
PHYSICAL EFFORT AND WORK ENVIRONMENT
Physical, mental, and emotional stamina to perform the duties and responsibilities of the position Mental acuity to collect and interpret data, evaluate, reason, define problems, establish facts, draw valid conclusions, make valid judgments and decisions. Ability to perform under stressful situations Ability to insure the safety and welfare of an individual with physical, medical or behavioral challenges Vision sufficient to read handwritten and printed materials, and the display screen of various office equipment and machines Hearing sufficient to communicate in person and hold telephone conversations in normal range (approximately 60 decibels) Physical agility to sit, stand, kneel, walk, push/pull, squat, twist, turn, bend, stoop, and to reach overhead Physical stamina sufficient to sustain light physical labor for up to 8 hours, sit and/or walk for prolonged periods of time Physical mobility sufficient to move about the work environment for sustained periods of time on hard flooring, climb slopes, stairs, ramps, and to respond to emergency situations. The employee must regularly lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds On rare occasions may be required to lift a client, up to 200 pounds with assistance Disclaimer The information presented indicates the general nature and level of work expected of employees in this classification. It is not designed to contain, nor is it to be interpreted as, a comprehensive inventory of all duties, responsibilities, qualifications and objectives required of employees assigned to this job. All employees of Gateway Center are considered to be at-will for the duration of their employment. Equal Opportunity Employer Gateway Center of Monterey County, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Job Type:
Full-time, exempt position with an annual salary range of $120,000 to $150,000, depending on experience.
Benefits:
401(k) Dental insurance Flexible spending account Health insurance Paid time off Vision insurance Ability to
Commute:
Pacific Grove, CA 93950 (Required) Ability to
Relocate:
Pacific Grove, CA 93950: Relocate before starting work (Required) Please submit your cover letter and résumé to:
