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Paycom - ATS

Director of Nursing (DON)

gainesville, TX

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Job description

Job Details

Job Location: Skilled Nursing at Renaissance Care Center - Gainesville, TX 76240, Position Type: Full Time, Job Category: Nursing , Location:1400 Black Hill Dr, Gainesville, TX 76240

Schedule: Full‑time, exempt role with 24/7 nursing leadership responsibility

Reports to: Administrator

What We Offer You

Competitive pay

Performance‑based bonus opportunities

Comprehensive health, dental, and vision insurance

Additional supplemental benefits (life insurance, disability, accident, etc.)

401(k) with company match

Generous paid time off (PTO/Sick)

Clear career growth and advancement opportunities

A supportive and vibrant company culture

Many more employee perks and benefits

Job Summary

The Director of Nursing Services (DON) oversees all clinical operations within the Skilled Nursing Facility (SNF), ensuring high‑quality resident care, regulatory compliance, and strong clinical outcomes. This role is responsible for planning, organizing, developing, and directing the Nursing Department in alignment with state, federal, and facility standards. The DON provides strategic leadership to nursing staff, drives quality improvement initiatives, and ensures that resident care is delivered safely, efficiently, and compassionately. This position is ideal for an experienced RN leader with a strong background in SNF operations, survey readiness, staffing management, and clinical excellence.

Qualifications

Current and valid state‑specific Registered Nurse (RN) license

Minimum of 2 years of supervisory experience as a DON or ADON in a Skilled Nursing Facility

Strong knowledge of state and federal long‑term care regulations

Experience with survey readiness, Plans of Correction (POCs), and quality improvement

Demonstrated leadership skills with the ability to coach, mentor, and develop nursing staff

Ability to read, write, and speak the English language

Essential Functions

Clinical Leadership & Resident Care

Provide overall clinical leadership to ensure high‑quality resident care, regulatory compliance, and strong clinical outcomes

Oversee, direct, and support nursing staff in the delivery of safe, effective, and compassionate care

Oversee the comprehensive care planning process and ensure interdisciplinary coordination

Uphold resident rights, including dignity, privacy, informed consent, and safety

Ensure timely communication with physicians, families, and responsible parties regarding significant changes in condition

Participate in pre‑admission assessments and approve admissions in coordination with the Administrator

Regulatory Compliance & Survey Readiness

Ensure compliance with all federal, state, and local regulations governing SNF operations

Lead regulatory surveys, complaint investigations, and Plans of Correction (POCs)

Maintain continuous readiness for unannounced surveys and regulatory visits

Ensure timely corrective actions for survey deficiencies and grievances

Maintain compliance with health, fire, safety, sanitation, OSHA, and disaster‑preparedness standards

Infection Prevention & Safety

Oversee the Infection Preventionist and Infection Control Program, including surveillance, reporting, and staff education

Ensure compliance with antibiotic stewardship requirements

Participate in emergency preparedness planning, drills, and response activities

Ensure nursing staff readiness for disasters, evacuations, and emergency events

Quality Assurance & Risk Management

Monitor clinical quality indicators (falls, pressure injuries, infections, hospitalizations)

Implement corrective actions to reduce clinical risk and improve outcomes

Support the development, implementation, and monitoring of the Quality Assurance Program

Serve on committees including Quality Assurance, Infection Control, Patient Care, Safety, and Pharmaceutical Services

Staff Leadership, Training & Workforce Management

Lead recruitment, hiring, evaluations, coaching, and disciplinary actions for nursing personnel

Ensure nursing staff orientation, ongoing education, annual competencies, and scope‑of‑practice compliance for LVNs, CNAs, and Medication Aides

Develop and maintain nursing schedules based on acuity, census, and staffing standards

Provide clinical consultation and support to the Administrator and facility leadership team

Maintain 24/7 responsibility for nursing operations and assume Administrator duties when delegated

Documentation, Communication & Administrative Oversight

Ensure accurate, timely, and compliant clinical documentation across the Nursing Department

Ensure all incidents and accidents are documented and reported per policy and regulation

Maintain inventories of medications, supplies, and clinical equipment

Participate in facility marketing efforts and community engagement

Perform other essential functions as assigned

We are an Equal Opportunity Employer. We offer an excellent benefit plan to include 401(k) with match, CEU reimbursement, vacation, sick time, holidays, medical, dental, and supplemental insurance plans, as well as a highly competitive compensation package.

#CBON

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Worksite address

gainesville, TX, 76240, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.

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