About This Position
Lead clinical excellence and set the standard for care as our Director of Nursing, where your leadership directly impacts resident outcomes, team engagement, and regulatory success! In this role, you will drive quality initiatives, mentor and develop nursing staff, and partner with campus leadership to ensure consistent, high-level care delivery. Join a team where your expertise is valued, your voice is heard, and your leadership shapes the future of care.
Mission for the Role
The Director of Nursing (DON) is responsible for ensuring safe, compliant, and high-quality nursing care across both Short Stay Rehabilitation and Traditional Skilled/Long-Term Care services. This role is a highly visible, hands-on clinical leader who sets clear expectations, drives accountability, and develops strong nurse leaders. The DON leads survey readiness, quality outcomes, labor management, and team engagement while fostering a culture of trust, consistency, and clinical excellence.
Key Accountabilities & Success Metrics
The DON is accountable for delivering measurable results in the following areas:
CMS Five-Star Rating: Maintain or improve to a 5-Star QM rating
Survey Outcomes: Annual state and federal surveys with fewer than 5 tags
Quality Measures
Call Light Response: Average response time of 3 minutes or less
Retention & Engagement: Visible leadership presence and improved nursing team engagement
Labor Management: Meet campus-specific HPPD goals
Hospital Readmissions: Reduced return-to-acute-care percentage
Leadership Expectations & Culture Fit
Be highly visible on the floor, rounding multiple times daily
Lead daily clinical stand-ups and participate in campus stand-up meetings
Chair or actively lead QUAPI, PIP teams, bed management discussions, and quality forums
Address issues head-on with confidence and clarity
Coach and mentor nurse leaders through regular 1:1 cadences
Establish consistent processes and expectations across all shifts
Essential Responsibilities
Lead and oversee all nursing operations, ensuring high-quality, resident-centered care
Maintain continuous survey readiness and lead state and federal surveys, including POCs
Direct quality assurance, risk management, infection prevention, and incident response
Conduct daily rounding and drive accountability to clinical standards
Manage nursing staffing, scheduling, labor performance, and HPPD
Oversee the nursing budget, including supplies, equipment, and capital needs
Set clear expectations and coach nurse leaders through meetings and 1:1s
Partner with HR on hiring, onboarding, development, and retention
Participate in the on-call leadership rotation
Required & Preferred Experience
Required:
Active, unencumbered Registered Nurse (RN) license in the state of Nebraska
Extensive experience in Skilled Nursing and Long-Term Care
Proven leadership experience as a Charge Nurse, Clinical Coordinator, ADON, or similar role
Strong working knowledge of CMS regulations and survey processes
Preferred:
Prior DON experience in a skilled nursing or rehabilitation setting
Demonstrated success improving quality measures, survey outcomes, and labor metrics
Core Competencies
Clinical leadership and oversight
Regulatory compliance and survey readiness
Quality improvement and risk management
Nurse leader coaching and development
Labor and staffing management (HPPDs)
Strong communication and relationship-building skills
Execution-focused, results-driven leadership
Compensation, Incentives & Schedule
Compensation: Competitive annual salary commensurate with experience
Incentive Opportunity: Significant annual incentive potential
On-Call Rotation
Why Join Us?
Competitive benefits package including low premiums, short-term disability, long-term disability, HSA contribution matching, 401(k) with company match, and more!
Competitive wage scales and tuition reimbursement and scholarship programs up to $3,000 per year!
Financial wellness and freedom through access to your earned wages prior to your pay date!
A great culture where we live out our mission "to celebrate life in environments we create by delivering exceptional service and superior value through innovative leadership in personalized care."
In 1989, Nye Health Services was founded on the philosophy that people deserve services that recognize individuality and are tailored to their unique needs. Today, Nye Health Services remains family-owned with campuses in Fremont, Lincoln, Louisville, and Norfolk, Nebraska. Nye Health Services is blessed with dedicated and compassionate people who believe in our vision and deliver on our mission every day. Having a great work environment while providing the best quality services so people feel cared for is of the utmost importance to us. We give passionate people a purpose!
We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.
Job Type: Full-time
Pay: $95,000.00 - $115,000.00 per year
Benefits:
401(k)
401(k) matching
Dental insurance
Disability insurance
Employee assistance program
Flexible spending account
Health insurance
Health savings account
Life insurance
Loan repayment program
Paid time off
Professional development assistance
Referral program
Retirement plan
Tuition reimbursement
Vision insurance
Medical Specialty:
Geriatrics
Schedule:
8 hour shift
Rotating weekends
Work Location: In person
Mission for the Role
The Director of Nursing (DON) is responsible for ensuring safe, compliant, and high-quality nursing care across both Short Stay Rehabilitation and Traditional Skilled/Long-Term Care services. This role is a highly visible, hands-on clinical leader who sets clear expectations, drives accountability, and develops strong nurse leaders. The DON leads survey readiness, quality outcomes, labor management, and team engagement while fostering a culture of trust, consistency, and clinical excellence.
Key Accountabilities & Success Metrics
The DON is accountable for delivering measurable results in the following areas:
CMS Five-Star Rating: Maintain or improve to a 5-Star QM rating
Survey Outcomes: Annual state and federal surveys with fewer than 5 tags
Quality Measures
Call Light Response: Average response time of 3 minutes or less
Retention & Engagement: Visible leadership presence and improved nursing team engagement
Labor Management: Meet campus-specific HPPD goals
Hospital Readmissions: Reduced return-to-acute-care percentage
Leadership Expectations & Culture Fit
Be highly visible on the floor, rounding multiple times daily
Lead daily clinical stand-ups and participate in campus stand-up meetings
Chair or actively lead QUAPI, PIP teams, bed management discussions, and quality forums
Address issues head-on with confidence and clarity
Coach and mentor nurse leaders through regular 1:1 cadences
Establish consistent processes and expectations across all shifts
Essential Responsibilities
Lead and oversee all nursing operations, ensuring high-quality, resident-centered care
Maintain continuous survey readiness and lead state and federal surveys, including POCs
Direct quality assurance, risk management, infection prevention, and incident response
Conduct daily rounding and drive accountability to clinical standards
Manage nursing staffing, scheduling, labor performance, and HPPD
Oversee the nursing budget, including supplies, equipment, and capital needs
Set clear expectations and coach nurse leaders through meetings and 1:1s
Partner with HR on hiring, onboarding, development, and retention
Participate in the on-call leadership rotation
Required & Preferred Experience
Required:
Active, unencumbered Registered Nurse (RN) license in the state of Nebraska
Extensive experience in Skilled Nursing and Long-Term Care
Proven leadership experience as a Charge Nurse, Clinical Coordinator, ADON, or similar role
Strong working knowledge of CMS regulations and survey processes
Preferred:
Prior DON experience in a skilled nursing or rehabilitation setting
Demonstrated success improving quality measures, survey outcomes, and labor metrics
Core Competencies
Clinical leadership and oversight
Regulatory compliance and survey readiness
Quality improvement and risk management
Nurse leader coaching and development
Labor and staffing management (HPPDs)
Strong communication and relationship-building skills
Execution-focused, results-driven leadership
Compensation, Incentives & Schedule
Compensation: Competitive annual salary commensurate with experience
Incentive Opportunity: Significant annual incentive potential
On-Call Rotation
Why Join Us?
Competitive benefits package including low premiums, short-term disability, long-term disability, HSA contribution matching, 401(k) with company match, and more!
Competitive wage scales and tuition reimbursement and scholarship programs up to $3,000 per year!
Financial wellness and freedom through access to your earned wages prior to your pay date!
A great culture where we live out our mission "to celebrate life in environments we create by delivering exceptional service and superior value through innovative leadership in personalized care."
In 1989, Nye Health Services was founded on the philosophy that people deserve services that recognize individuality and are tailored to their unique needs. Today, Nye Health Services remains family-owned with campuses in Fremont, Lincoln, Louisville, and Norfolk, Nebraska. Nye Health Services is blessed with dedicated and compassionate people who believe in our vision and deliver on our mission every day. Having a great work environment while providing the best quality services so people feel cared for is of the utmost importance to us. We give passionate people a purpose!
We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.
Job Type: Full-time
Pay: $95,000.00 - $115,000.00 per year
Benefits:
401(k)
401(k) matching
Dental insurance
Disability insurance
Employee assistance program
Flexible spending account
Health insurance
Health savings account
Life insurance
Loan repayment program
Paid time off
Professional development assistance
Referral program
Retirement plan
Tuition reimbursement
Vision insurance
Medical Specialty:
Geriatrics
Schedule:
8 hour shift
Rotating weekends
Work Location: In person
