Assistant Director of Nursing

Job Description


This position is responsible for assisting immediate supervisor in organizing, planning and directing daily operations of the Nursing Department.  Included is oversight of nursing personnel who are designated as PRN or “Float” and are not regularly assigned to a specific unit.    

Management Responsibilities

  • Supervises performance and behavior of staff holding them accountable for caregiving practices, job performance, customer service, record-keeping, dress code standards, attendance, policy compliance, etc.  
  • Provides “on the spot” training, guidance, coaching and counseling as needed to correct and improve staff performance.
  • Responds to staff questions / concerns and provides instruction and/or education to promote quality care and service
  • Participates in the interview process and selects or makes recommendations for selection of staff for department or unit of responsibility
  • Completes assigned performance appraisals in a timely manner and provides appropriate and effective feedback during performance appraisal discussion with staff
  • Collaborates with immediate supervisor to develop annual operating and capital budgets
  • Operates within established budgetary guidelines.  As assigned, develops and implements corrective action plans to reduce or eliminate budget variances
  • Reviews employee time records to ensure compliance with labor budget and to address staff non-compliance with time-keeping requirements (like “punching in and out” appropriately).  
  • Principle Duties and Responsibilities
  • Uses sound professional judgment to appropriately advise immediate supervisor or Administrator of non-rout Reviews 24 hour report in each unit daily
  • Monitors compliance with notifications and documentations; initiates corrective measures for noncompliance.      
  • As a complement to direction and leadership provided by immediate supervisor and Unit Managers, provides supervision to all levels of nursing personnel. 
  • Attends Unit Manager and Department Head meetings
  • Makes daily rounds on all nursing units to assist in determining resident needs.  Works with Unit Managers to initiate and coordinate required nursing interventions
  • Monitors Nursing Department compliance with established policies and procedures; initiates corrective measures as necessary and advises immediate supervisor of issues regarding significant or persistent noncompliance.      
  • Provides appropriate and timely communication to other disciplines to help ensure that resident needs are addressed
  • Helps ensure efficient and appropriate information flow throughout the Nursing Department; identifies and addresses incorrect and/or nonproductive communication. 
  • Identifies and addresses activities and practices that don’t match established company standards including those that are not cost effective
  • Reports to immediate supervisor any new or unusual problems noted regarding staff, residents, responsible parties, physicians or physical resources such as equipment and supplies
  • Provides direct supervision to nursing personnel designated as PRN or “Float”.
  • Participates in administrative nurse call rotation schedule
  • Maintains regular communication with Human Resources Department and Staffing Coordinator regarding nursing personnel vacancies, absences that may be FMLA qualified, excessive overtime, resignations, etc.  
  • In absence of the DON, serves in this role in an acting or interim capacity
  • Completes additional facility-specific ongoing tasks and projects as assigned by immediate supervisor.   



Job Qualifications

Experience: Clinical Nursing in SNF environment – 3 to 5 years

     Management – 1 to 3 years

Other Requirements:

  • Must be a Registered Nurse licensed by the Virginia Board of Nursing or compact state
  • Demonstrates verbal and written communication skills (in the English language) sufficient to perform the principle duties and responsibilities outlined in this position description.‚Äč
  • Capable of performing the following minimum physical requirements:
    • heavy lifting such as transferring residents from bed to wheelchair and / or lifting and carrying heavy objects
    • stooping, bending, kneeling, and reaching such as bathing a resident, wiping spills off floor, making a bed, lifting food trays from a cart, placing materials on shelves, etc.;
    • frequent walking;
    • pushing and pulling heavy carts such as food carts, medication carts, hand trucks, etc.;
    • climbing stairs; f. frequent use of hands for writing, keyboarding, and using computer mouse