Director of Nursing (DON) - Full-Time

Director of Nursing (DON) - Full-Time Gateway Vista - 3.5 Lincoln, NE Job Details Full-time 1 day ago Benefits Health savings account Disability insurance Tuition reimbursement 401(k) matching Qualifications Employee onboarding Nursing department supervision Skilled nursing facility experience Clinical supervision RN License Managing healthcare operations budgets Staff scheduling Regulatory compliance Employee retention Healthcare infection prevention and control expertise Long-term care facility experience Team development Hiring CMS regulatory compliance RN experience Quality assurance Team management Quality improvement Centers for Medicare and Medicaid Services (CMS) Mentoring Clinical staff recruitment Healthcare team management Charge experience Healthcare financial management Budget management in healthcare Financial management Employee engagement Senior level Onboarding process management Leadership Communication skills Staffing management Quality resident care Staff development Post-acute care experience Full Job Description Lead clinical excellence and set the standard for care as our Director of Nursing, where your leadership directly impacts resident outcomes, team engagement, and regulatory success! In this role, you will drive quality initiatives, mentor and develop nursing staff, and partner with campus leadership to ensure consistent, high-level care delivery. Join a team where your expertise is valued, your voice is heard, and your leadership shapes the future of care. Mission for the Role The Director of Nursing (DON) is responsible for ensuring safe, compliant, and high-quality nursing care across both Short Stay Rehabilitation and Traditional Skilled/Long-Term Care services. This role is a highly visible, hands-on clinical leader who sets clear expectations, drives accountability, and develops strong nurse leaders. The DON leads survey readiness, quality outcomes, labor management, and team engagement while fostering a culture of trust, consistency, and clinical excellence. Key Accountabilities Success Metrics The DON is accountable for delivering measurable results in the following areas:

CMS Five-Star Rating:

Maintain or improve to a 5-Star QM rating

Survey Outcomes:

Annual state and federal surveys with fewer than 5 tags

Quality Measures Call Light Response:

Average response time of 3 minutes or less

Retention Engagement:

Visible leadership presence and improved nursing team engagement

Labor Management:

Meet campus-specific HPPD goals

Hospital Readmissions:

Reduced return-to-acute-care percentage Leadership Expectations Culture Fit Be highly visible on the floor, rounding multiple times daily Lead daily clinical stand-ups and participate in campus stand-up meetings Chair or actively lead

QUAPI, PIP

teams, bed management discussions, and quality forums Address issues head-on with confidence and clarity Coach and mentor nurse leaders through regular 1:1 cadences Establish consistent processes and expectations across all shifts Essential Responsibilities Lead and oversee all nursing operations, ensuring high-quality, resident-centered care Maintain continuous survey readiness and lead state and federal surveys, including POCs Direct quality assurance, risk management, infection prevention, and incident response Conduct daily rounding and drive accountability to clinical standards Manage nursing staffing, scheduling, labor performance, and HPPD Oversee the nursing budget, including supplies, equipment, and capital needs Set clear expectations and coach nurse leaders through meetings and 1:1s Partner with HR on hiring, onboarding, development, and retention Participate in the on-call leadership rotation

Required Preferred Experience Required:

Active, unencumbered Registered Nurse (RN) license in the state of Nebraska Extensive experience in Skilled Nursing and Long-Term Care Proven leadership experience as a Charge Nurse, Clinical Coordinator, ADON, or similar role Strong working knowledge of CMS regulations and survey processes

Preferred:

Prior DON experience in a skilled nursing or rehabilitation setting Demonstrated success improving quality measures, survey outcomes, and labor metrics Core Competencies Clinical leadership and oversight Regulatory compliance and survey readiness Quality improvement and risk management Nurse leader coaching and development Labor and staffing management (HPPDs) Strong communication and relationship-building skills Execution-focused, results-driven leadership

Compensation, Incentives Schedule Compensation:

Competitive annual salary commensurate with experience

Incentive Opportunity:

Significant annual incentive potential Incentives are earned quarterly and tied to key performance indicators, including: Resident and family satisfaction survey outcomes Hours Per Patient Day (HPPD) performance Return-to-acute-care metrics Overall CMS Five-Star Quality Measures On-Call Rotation Why Join Us? Competitive benefits package including low premiums, short-term disability, long-term disability, HSA contribution matching, 401(k) with company match, and more! Competitive wage scales and tuition reimbursement and scholarship programs up to $3,000 per year! Financial wellness and freedom through access to your earned wages prior to your pay date! A great culture where we live out our mission "to celebrate life in environments we create by delivering exceptional service and superior value through innovative leadership in personalized care." In 1989, Nye Health Services was founded on the philosophy that people deserve services that recognize individuality and are tailored to their unique needs. Today, Nye Health Services remains family-owned with campuses in Fremont, Lincoln, Louisville, and Norfolk, Nebraska. Nye Health Services is blessed with dedicated and compassionate people who believe in our vision and deliver on our mission every day. Having a great work environment while providing the best quality services so people feel cared for is of the utmost importance to us. We give passionate people a purpose! We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.