Health Services Director / Director of Nursing – Assisted Living

Compensation:
Starting at (salary range)

About the Community

Join our leadership team and make a meaningful difference in the health, safety, and quality of life of older adults.

We are seeking an experienced and compassionate Health Services Director / Director of Nursing to lead the Wellness department within our assisted living and memory care community.

This position is responsible for the overall coordination and oversight of resident health services, nursing operations, medication management, resident assessments, service planning, clinical documentation, staff development, and regulatory compliance.

This is a highly visible leadership position that works closely with residents, families, providers, pharmacies, hospice agencies, community leadership, and the resident-care team to ensure residents receive appropriate, individualized, and compassionate support.

Position Details

• Job Type: Full-time

• Work Setting: Assisted living and memory care community

• Work Location: In person

• Reports To: Executive Director

• License Required: Current nursing license as required by the state and position

Benefits

• Medical insurance for eligible employees

• Dental insurance

• Vision insurance

• Life insurance

• Paid time off for eligible employees

• 401(k)

• 401(k) matching

• Employee assistance program

• Employee referral program

• Paid training

• Retention incentives

• Flexible scheduling where available

• Supportive and team-oriented work environment

• Meaningful work serving older adults

What You'll Do

Resident Health & Nursing Services

• Provide leadership and oversight of the community's Wellness and resident-care services

• Monitor the overall health and wellness needs of residents

• Complete and oversee resident nursing assessments and required reviews

• Identify changes in resident physical, cognitive, behavioral, and functional status and ensure appropriate follow-up

• Participate in the development, implementation, review, and updating of resident service plans

• Ensure resident services remain appropriate based on each resident's current needs and the community's level of care

• Coordinate resident care with physicians, advanced practice providers, pharmacies, hospitals, rehabilitation providers, home health agencies, and hospice providers

• Review hospital and rehabilitation returns and help coordinate safe transitions back to the community

• Provide nursing consultation and clinical guidance to community leadership and resident-care staff

• Respond to significant changes in condition and ensure appropriate escalation, documentation, and communication

• Support residents and families through changes in health status and level-of-care needs

• Promote resident independence, dignity, choice, safety, and quality of life

Assessments & Service Planning

• Complete or oversee nursing assessments as required

• Participate in determining whether resident needs can be safely and appropriately supported within the community

• Review resident health information prior to and following move-in

• Partner with Sales and community leadership during the assessment, admission and move-in process

• Ensure appropriate follow-up when a resident experiences a significant change in condition

• Participate in service-plan meetings and communicate changes to appropriate team members

• Maintain accurate and timely nursing documentation

• Identify when a resident may require additional services, outside providers, or a different level of care

Medication Management

• Oversee medication-management practices within the community

• Ensure medications are administered or assisted with according to provider orders, applicable law, community policy, and the community's licensing level

• Review medication orders and medication records for accuracy and appropriate follow-up

• Coordinate medication concerns with pharmacies and prescribing providers

• Monitor medication errors, omissions, refusals, adverse reactions, and other medication-related concerns

• Conduct medication-cart, medication-record, and documentation audits

• Ensure medication storage, security, documentation, and disposal procedures are followed

• Provide oversight and required evaluation of medication aides and other authorized medication personnel

• Identify medication-management trends and implement corrective action or additional training when needed

Wellness Team Leadership

• Lead, support, and develop the Wellness and resident-care team

• Participate in recruiting, interviewing, hiring, on-boarding, and retention of Wellness employees

• Assist with staffing plans and ensure appropriate resident-care coverage

• Provide direction, coaching, and performance feedback to nursing and resident-care employees

• Monitor employee attendance, performance, competency, and compliance with community expectations

• Ensure employees receive required orientation, training, competency reviews, and continuing education

• Promote accountability, teamwork, communication, and a resident-centered culture

• Ensure staff understand resident service plans, care needs, safety concerns, and required interventions

• Provide appropriate nursing supervision and delegation in accordance with applicable law and nursing standards

• Maintain appropriate documentation of employee training and competencies

Quality, Compliance & Risk Management

• Help ensure Wellness operations comply with applicable assisted living regulations, nursing requirements, and community policies

• Maintain required nursing, resident-care, and clinical documentation

• Participate in quality improvement activities and identify opportunities to improve resident outcomes and service delivery

• Review incidents, falls, medication errors, hospital transfers, infections, wounds, and other clinical trends

• Develop and implement corrective actions when needed

• Participate in regulatory surveys, inspections, audits, and plans of correction

• Ensure resident rights, privacy, dignity, and confidentiality are protected

• Monitor infection prevention and control practices

• Support emergency preparedness and resident safety initiatives

• Ensure clinical concerns are appropriately communicated to the Executive Director and other members of the leadership team

Resident & Family Communication

• Build strong relationships with residents and families

• Serve as a clinical resource for resident and family questions

• Communicate professionally and compassionately regarding changes in condition, level of care needs, and health-related concerns

• Participate in resident and family meetings as appropriate

• Address concerns promptly and work collaboratively toward resolution

• Help families understand changes in resident needs and available care options

Hospice & Outside Provider Coordination

• Coordinate with hospice, home health, therapy, pharmacy, and other outside healthcare providers

• Ensure outside services are appropriately documented and communicated to the community team

• Support residents and families receiving hospice or end-of-life services

• Promote coordination between community staff and outside healthcare professionals

• Ensure services provided within the community remain consistent with applicable law and the community's licensing level

What We're Looking For

• Current and active nursing license in good standing as required by the state and position

• Previous nursing experience working with older adults

• Assisted living, memory care, long-term care, home care, or similar experience strongly preferred

• Previous nursing leadership, supervisory, or management experience preferred

• Strong knowledge of geriatric nursing and the aging process

• Knowledge of medication management, dementia care, fall prevention, infection prevention, hospice services, and common chronic conditions affecting older adults

• Strong resident-assessment and clinical-monitoring skills

• Ability to recognize and respond appropriately to changes in resident condition

• Experience supervising, coaching, and developing nursing or resident-care staff

• Strong knowledge of nursing documentation and service planning

• Proficient in Microsoft Office, including Word, Excel, and Outlook
• Experience with applicant tracking software or the ability to learn it quickly
• Able to manage supply ordering and inventory tracking within budget
• Experience processing bi-weekly/semi-monthly payroll accurately and on schedule

• Ability to interpret and implement provider orders

• Strong organizational and time-management skills

• Ability to manage multiple priorities and respond effectively to changing resident needs

• Ability to communicate professionally and compassionately with residents, families, providers, pharmacies, employees, and leadership

• Ability to communicate clearly and effectively in English, verbally and in writing, as required to understand provider orders, document nursing services, communicate changes in condition, supervise employees, and respond during emergencies

• Strong problem-solving, leadership, and decision-making skills

• Ability to maintain resident and employee confidentiality

• Dependable attendance and strong follow-through

• Ability to stand, walk, bend, reach, and remain active throughout the workday

• Ability to safely lift, transfer, push, or pull up to (physical requirement) pounds with assistance or available equipment

• Ability to successfully complete required background checks, health screenings, and employment requirements

Licensing & Compliance Requirements

• Must maintain all licenses, certifications, and credentials required by the state and community

• Nursing services must be performed within the individual's lawful scope of practice

• Resident assessments, service planning, medication management, delegation, and supervision must comply with applicable state requirements

• Responsibilities requiring a specific licensed professional must be referred or escalated appropriately

• Delegation must consider the resident's condition, the nature of the task, employee competency, and the level of supervision required

• Required nursing documentation, medication records, assessments, and clinical records must be maintained accurately and timely

• The Health Services Director will participate in regulatory compliance, quality improvement, and survey readiness activities

Apply Today

The Health Services Director / Director of Nursing is an important member of the community leadership team and plays a central role in ensuring residents receive safe, compassionate, and appropriate care.

We are looking for a nursing leader who combines strong clinical knowledge with compassion, accountability, staff development, and a genuine commitment to older adults.

Apply today to join our leadership team.

We are an equal opportunity employer.