Director of Nursing - Adult Services

MAJOR RESPONSIBILITIES/ESSENTIAL FUNCTIONS Position Summary: The Director of Nursing - Adult Services is responsible for the operational, clinical, regulatory, and financial performance of all assigned adult inpatient nursing units. Reporting to the Chief Nursing Officer, this role ensures safe, high-quality, patient-centered care delivery consistent with organizational mission, regulatory standards, and evidence-based practice. The Director provides strategic and operational leadership to Nurse Managers and frontline leaders, drives quality improvement initiatives, ensures regulatory compliance, manages budgets and productivity, and promotes a culture of accountability, engagement, and professional practice excellence. MAJOR RESPONSIBILITIES 1. Clinical Operations & Quality * Ensures delivery of safe, effective, evidence-based nursing care. * Oversees unit performance related to: * Patient safety indicators * Infection prevention metrics * Falls, pressure injury, CAUTI, CLABSI * Sepsis, stroke, and other regulatory core measures * Leads quality improvement initiatives and action plans. * Ensures adherence to Joint Commission, CMS, CDPH, and other regulatory standards. * Investigates patient complaints and clinical incidents. * Monitors documentation quality and compliance. 2. Leadership & Staff Management * Directly supervises Nurse Managers and/or Clinical Coordinators. * Ensures appropriate staffing plans aligned with census and acuity. * Oversees hiring, coaching, performance management, and corrective action. * Develops succession planning strategies. * Promotes shared governance and frontline engagement. * Fosters a culture of accountability, collaboration, and professional growth. 3. Financial Stewardship * Develops and manages departmental budgets. * Monitors labor productivity, overtime, premium pay, and agency utilization. * Analyzes FTE management and cost containment strategies. * Participates in capital equipment planning and resource allocation. * Ensures financial performance aligns with organizational targets. 4. Strategic & Regulatory Alignment * Aligns unit goals with hospital strategic priorities. * Participates in service line growth initiatives. * Leads regulatory survey readiness efforts. * Ensures compliance with union agreements (if applicable). * Maintains readiness for accreditation inspections. 5. Patient Throughput & Care Coordination * Oversees patient placement and level-of-care appropriateness. * Collaborates with case management, physicians, and interdisciplinary teams. * Drives LOS and throughput optimization initiatives. JOB QUALIFICATIONS Minimum Education (Indicate minimum education or degree required.) * MSN, MHA, or MBA required * BSN degree required if graduate degree is MHA or MBA * Graduate of an accredited RN Nursing Program. Preferred Education (Indicate preferred education or degree required.) Advanced degree (DNP, FNP, DHA) strongly preferred Minimum Work Experience and Qualifications (Indicate minimum years of job experience, skills or abilities required for the job.) * Minimum 5 years acute care RN experience * Minimum 3 years progressive nursing leadership experience * Demonstrated experience managing multiple units preferred * Strong knowledge of hospital KPIs and quality metrics Preferred Work Experience and Qualifications (Indicate preferred years of job experience, skills or abilities required for the job.) * NE-BC, NEA-BC, CNL, FACHE or equivalent Professional Nursing Leadership Certification from a nationally recognized organization upon hire preferred Required Licensure, Certification, Registration or Designation (List any licensure or certification required and specify name of agency.) * Current CA Registered Nurse license * Current BLS certification * Current ACLS certification * Current Fire Card * NIH Stroke Certification within 30 days of hire * Assault Response Competency (ARC) required (within 30 days of hire) * NE-BC, NEA-BC, CNL, or FACHE required within 6 months of hire Full-Time, Exempt

Created: 2026-04-19