Director of Nursing

The Director of Nursing position is responsible for performing a variety of duties to provide quality nursing care to residents and coordinate total nursing care for residents; implementing specific procedures and programs; participating with the director of nursing and the nurse manager in establishing specific goals; determining work procedures and expediting workflow; ensuring compliance with all operating policies and procedures and Virginia Department of Health regulations and Federal Health Care Administration regulations; communicating with and supervising appropriate personnel; providing daily reports and other periodic reports; and for performing all the duties of a certified nursing assistant when required.

The primary purpose of your job position is to plan, organize, develop and direct the overall operation of our Nursing Service Department in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be directed by the Administrator and the Medical Director, to ensure that the highest degree of quality care is maintained at all times.

Administrative Functions

  1. Plan, develop, organize, implement, evaluate, and direct the nursing service department, as well as its programs and activities, in accordance with current rules, regulations, and guidelines that govern the long-term care facility.
  2. Develop, maintain, and periodically update written policies and procedures that govern the day-to-day functions of the nursing service department.
  3. Maintain a reference library of written nursing material (i.e., PDR’S, Federal and State Regulations, etc.) that will assist the nursing service department in meeting the day-to-day needs of the resident.
  4. Develop, maintain, and periodically update the Nursing Service Procedures Manual and nursing service objectives and philosophies.
  5. Develop and implement a nursing service organization structure.
  6. Make written and oral reports/recommendations to the Administrator, as necessary/required, concerning the operation of the nursing service department.
  7. Develop, maintain, and periodically update written job descriptions for each level of nursing personnel in accordance with the Americans with Disabilities Act.
  8. Develop methods for coordination of nursing services with other resident services to ensure the continuity of the residents’ total regimen of care.
  9. Develop, implement, and maintain an ongoing quality assurance program for the nursing service department.
  10. Participate in surveys (inspections) made by authorized government agencies.
  11. Assist the Quality Assessment & Assurance Committee (QAPI) in developing and implementing appropriate plans of action to correct identified deficiencies.
  12. Assist the Discharge Planning Coordinator in developing, implementing and periodically updating the written procedures for the Discharge Planning Program.
  13. Assist the resident and Discharge Planning Coordinator in planning the nursing services portion of the resident’s discharge plan.
  14. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.

Committee Functions

  1. Serve on, participate in, and attend various committees of the facility. (i.e., Infection Control, Policy Advisory, Pharmaceutical, Budget, Quality Assessment and Assurance (QAPI), etc.) as required, and as appointed by the Administrator.
  2. Provide written and/or oral reports of the nursing service programs and activities as required, or as may be directed by such committee(s).
  3. Assist Pharmaceutical Services in developing, maintaining, implementing, and periodically updating written policies and procedures for the administration, storage, and control of medications and supplies.
  4. Schedule, attend, and participate in developing the agenda for Care Plan meetings as necessary.
  5. Participate in regularly scheduled reviews of the Discharge Plans and make such plans available to the Utilization Review Committee (PPS) as required or necessary.
  6. Evaluate and implement recommendations from established committees as they may pertain to nursing services.

Personnel Functions

  1. Determine the staffing needs of the nursing service department necessary to meet the total nursing needs of the residents.
  2. Recommend the number and level of nursing personnel to be employed.
  3. Assist the Administrator and/or the Personnel Director in the recruitment and selection of nursing service personnel.
  4. Ensure that all nursing assistants are enrolled in or have graduated from an approved training program.
  5. Assign a sufficient number of licensed practical and/or registered nurses for each tour of duty to ensure that quality care is maintained.
  6. Assign a sufficient number of certified nursing assistants for each tour of duty to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident.
  7. Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse.
  8. Develop work assignments and schedule duty hours, and/or assist nursing supervisory staff in completing and performing such tasks.
  9. Delegate to nursing service supervisory personnel the administrative authority, responsibility, and accountability necessary to perform their assigned duties.
  10. Assist the Personnel Director in developing performance evaluation schedules, criteria, and annual reviews for the nursing service department (e.g., RNs, LPNs, CNAs, medication aides, etc.).
  11. Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards.
  12. Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times.
  13. Develop, maintain, and periodically update the written procedure for ensuring that professional nursing personnel, including private duty nurses, have valid and current licenses as required by this State.
  14. Review complaints and grievances made or filed by department personnel.
  15. Make appropriate reports to the Administrator as required or as may be necessary, including departmental performance evaluations.
  16. Ensure that disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.
  17. Assist the Infection Control Coordinator in establishing a TB management program for employees.

Nursing Care Functions

  1. Participate in the interviewing and selection of residents for admission to the facility, including PASARR screenings.
  2. Provide the Administrator with information relative to the nursing needs of the resident and the nursing service department’s ability to meet those needs.
  3. Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc.
  4. Ensure that rooms are ready for new admissions.
  5. Greet newly admitted residents upon admission. Escort to room as necessary.
  6. Make rounds with physicians as necessary. Schedule physician visits as necessary.
  7. Encourage attending physicians to record and sign progress notes, physicians’ orders, etc., on a timely basis and in accordance with current regulations.
  8. Ensure that direct nursing care be provided by a licensed nurse, a CNA, and/or a nurse aide qualified to perform the procedure.
  9. Review nurses’ notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident’s response to the care, and that such care is provided in accordance with the resident’s wishes.
  10. Schedule daily rounds to observe residents and to determine if nursing needs are being met in accordance with the resident’s request.
  11. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled.
  12. Provide direct nursing care as necessary.
  13. Ensure that residents who are unable to call for help are checked frequently.

Staff Development

  1. Develop and participate in the planning, conducting, and scheduling of timely in-service training classes that provide instructions on “how to do the job”, and ensure a well-educated nursing service department.
  2. Develop, implement, and maintain an effective orientation program that orients the new employee to the facility, its policies and procedures, and to his/her job position and duties.
  3. Provide leadership training that includes the administrative and supervisory principles essential for Nurse Supervisors/Charge Nurses.
  4. Encourage the nursing supervisory staff to attend and participate in outside training programs. Schedule times as appropriate.
  5. Assist the Administrator in developing and revising the nursing assistant training curriculum used by the facility. Submit to state agency for approval as required.
  6. Assist the training coordinator in developing annual mandated OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard.
  7. Assist the training coordinator in developing advance directive in-service training programs for the staff and community.
  8. Assist support services in developing, implementing, and conducting in-service training programs that relate to the nursing service department.
  9. Assist the training coordinator in the development of in-service training programs for the nursing staff. Ensure that these programs meet the continuing education requirements which allow licensed personnel (e.g., RNs, LPNs, CNAs, etc.) to keep their licenses on an active status.
  10. Attend and participate in continuing educational programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.
  11. Assist the Infection Control Coordinator in the development of a TB management program.

Safety and Sanitation

  1. Assist in developing safety standards for the nursing service department.
  2. Assist the Infection Control Designee in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which potential exposure to blood/body fluids are properly identified and recorded.
  3. Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in an inservice training program prior to performing such tasks.
  4. Ensure that adequate supplies of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids.
  5. Monitor nursing service personnel to ensure that they are following established safety regulations in the use of equipment and supplies.
  6. Ensure that nursing service work areas (i.e., nurses’ stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner.
  7. Ensure that all resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner.
  8. Ensure that all nursing service personnel follow established departmental policies and procedures, including appropriate dress codes.
  9. Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner.
  10. Assist the Infection Control Committee in the development, implementation, and revision of written policies and procedures.
  11. Develop, implement and maintain a program for monitoring communicable and/or infectious diseases, including TB, among the residents and personnel.
  12. Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary.
  13. Develop, implement, and maintain a procedure for reporting hazardous conditions or equipment.
  14. Ensure that personnel wear and/or use safety equipment and supplies (e.g., back brace, lifter, etc.) when lifting or moving residents.

Equipment and Supply Functions

  1. Recommend to the Administrator the equipment and supply needs of the department.
  2. Ensure that a stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to adequately meet the needs of the resident.
  3. Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing service department’s equipment and supplies in a safe and operable manner.
  4. Develop and implement procedures for the safe operation of all nursing service equipment.
  5. Ensure that only trained and authorized personnel operate the department’s equipment.
  6. Ensure that all personnel operate nursing service equipment in a safe manner.
  7. Develop and implement procedures that ensure nursing service supplies are used in an efficient manner to avoid waste.
  8. Ensure that personal protective equipment used in the handling of infectious materials are available and easily accessible to nursing service personnel.

Care Plan and Assessment Functions

  1. Assist in the development of preliminary and comprehensive assessments of the nursing needs of each resident.
  2. Develop a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care.
  3. Insofar as practical, encourage the resident and his/her family to participate in the development and review of the resident’s plan of care.
  4. Assist the Resident Assessment/Care Plan Coordinator in the scheduling of care plans and assessments to be presented and discussed at each committee meeting.
  5. Ensure that all personnel involved in providing care to the resident are aware of the resident ‘s care plan. Ensure that nursing personnel refer to the resident’s care plan prior to administering daily care to the resident.
  6. Review nurses’ notes to determine if the care plan is being followed.
  7. Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers.
  8. Review and revise care plans and assessments as necessary, but at least quarterly.
  9. Develop and maintain a good rapport with all services involved with the care plan to ensure that a team effort is achieved in developing a comprehensive plan of care.
  10. Ensure that medical and nursing care is administered in accordance with the resident’s wishes, including the implementation of advance directives.

Budget and Planning Functions

  1. Monitor spending in accordance with the budget.
  2. Keep abreast of economic conditions/situations, and recommend to the Administrator adjustments in nursing services that ensure the continued ability to provide quality care.
  3. Recommend to the Administrator the equipment and supply needs of the nursing service department in preparation for budget purposes.

Job Requirements

Required Education and Experience

  1. Graduate of an accredited school of nursing.
  2. Valid registration as a Registered Nurse in Virginia.
  3. Current AHA health care provider training (BCLS).
  4. Knowledge regarding the nursing process and its application, including the assessment, planning, implementation, and evaluation of nursing care.
  5. Demonstrated experience with the production of specialized materials and documents.
  6. Proofreading and editing skills.

Applicants may FAX their resumes to 757-257-0188.


Company Info

Company Name



Hampton Roads, VA