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Director of Nursing

Dousman, WI, USA | American Nurses Association

  • Industry:
    Non-Profit / Social Enterprise
  • Position Type:
  • Functions:
    General Management
    Operations / Production
  • Experience:
    3-5 years
Job Description:
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The Director of Nursing assumes authority, responsibility, and accountability for the delivery of nursing services in the facility. In collaboration with facility Administration, allocates department resources in an efficient and economic manner to enable each resident to attain or maintain the highest practical physical, mental, and psychosocial well-being. Collaborates with other departments, medical professionals, consultants, and organizations, including government agencies and advocacy groups, to develop, support and coordinate resident care, related administrative functions, and to represent the interests of the facility.

Principle Accountabilities:



Weight (%)

A.Manage Department



1.Develops, maintains, and implements nursing policies and procedures that conform to current standards of nursing practice, facility philosophy, and operational policies while maintaining compliance with state and federal laws and regulations.

2.Communicates and interprets policies and procedures to nursing staff, and monitors staff practices and implementation.

3.Participates in all admission decisions, and may visit prospective residents before admission.

4.Participates in daily and weekly management team meetings to discuss resident status, census changes, personnel, or resident complaints or concerns.

5.Evaluates the work performance of all nursing personnel, assists in the determination of wage increases, and implements discipline according to operational policies.

6.Ensures delivery of compassionate quality care and nursing supervision as evidenced by adequate services and staff coverage on unit, absence of odors, general cleanliness, prevention of pressure wounds, and apparent maintenance of optimal resident functions.

7.Demonstrates knowledge of and application of Key Clinical Quality Indicators, and proactively monitors and implements systems to achieve and/or surpass company thresholds.

8.Exercises overall supervision of resident assessments and care plans.

9.Reviews 24-hour report from every unit daily to monitor and ensure timely, effective responses to significant changes in condition, transfers, discharges, use of restraints, unexplained injuries, falls, behavioral episodes, and medication errors.

10.Collaborates with physicians, consultants, community agencies, and institutions to improve the quality of services and to resolve identified problems.

11.Coordinates nursing services with all other departments.

12.Oversees nursing schedules to assure they meet resident needs and regulatory and budgetary standards.

13.Participates in the recruitment and selection of nursing personnel and assures sufficient staff are hired.

14.Oversees and supervises development and delivery of in service education to equip nursing staff with sufficient knowledge and skills to provide compassionate, quality care and respect for resident rights.

15.Proactively develops positive employee relations, incentives, and recognition programs. Promotes teamwork, mutual respect, and effective communication.

16.Performs rounds to observe care and to interview staff, residents, families or other interested parties.

17.Monitors staff for compliance with OSHA mandates and facility policies on workplace safety. Proactively develops procedures and incentives to promote workplace safety and safe work practices.

18.Oversees the infection control program designed to provide a safe, sanitary, and comfortable environment designed to prevent the devilment and transmission of disease and infection

19.Is an active member of the QA Committee.

20.Coordinates and/or develops on-going QA activities for nursing services to monitor nursing compliance with standards and regulatory requirements through rounds, interviews, and record reviews. Compiles summary of findings for the Quality Assurance committee.

21.Participates in budget development for the nursing department, and for medical, nursing, and central supplies.

22.Ensures survey readiness for all nursing staff.

23.Participates in the preparation of the Plan of Correction response to an inspection survey, and implements any follow-up QA required for any nursing allegations.

24.Promotes customer service and hospitality and responds to and adequately resolves complaints or concerns from residents or families about nursing services.

25.Monitors facility incidents and complaints daily to identify those defined as unusual occurrences by State policy and promptly reports such occurrences to Administrator/Executive Director for appropriate action

26.Acts in an administrative capacity in the absence of the Administrator

27.Be on call at all times or designate another Registered Nurse to be on call.

28.Achieve satisfactory performance in all performance evaluation areas.

29.Other duties as assigned by Administrator.




1.Assist with resident and employee incident and injury investigations.

2.Be familiar with the operation and function of all equipment used by department staff.Demonstrate and reinforce proper use by staff.

3.Follow safety, security infection control (including Standard Precautions) and hazardous materials policies and procedures.



Minimum education, certification and/or licensure: Licensed RN in Wisconsin; BSN preferred. Must have valid CPR certification.

Physical requirements: Lift, push, pull objects weighing minimum of 60 pounds and 100 pounds in an emergency. Sit, stand, walk and bend frequently.Visual acuity up to 100 feet.Hearing ability within high decibel range and the normal range of a voice.

Mental requirements: Working knowledge of federal, state and local standards and regulations. Strong interpersonal skills.Read, write and speak English fluently.Handle hostile or emotionally upset residents, staff, etc.

Experience: Three years’ experience in long term care with a background in management or supervision and knowledge of OBRA regulations.

Computer knowledge: Microsoft office.

Working Conditions:

Exposure to bloodborne pathogens risk 

Work primarily: Indoors 

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