Job Description
Job Description
Assistant Director of Nursing (ADON)
Location: Washington, DC
Setting: Skilled Nursing Facility (SNF)
Position Summary
The Assistant Director of Nursing (ADON) supports the Director of Nursing in overseeing all clinical operations within the facility. This role ensures high-quality resident care, regulatory compliance, staff performance, and clinical outcomes. The ADON is a working clinical leader who can step in, stabilize operations, and drive accountability across the nursing team.
Key Responsibilities
Clinical Operations & Quality
- Support oversight of daily nursing operations across all shifts
- Ensure delivery of high-quality resident care consistent with federal and DC regulations
- Monitor clinical outcomes, including hospital readmissions, infection control, and quality measures
- Participate in QAPI initiatives and performance improvement planning
Staff Leadership & Development
- Supervise, coach, and hold accountable nursing staff including RNs, LPNs, and CNAs
- Assist with hiring, onboarding, and ongoing staff development
- Address performance issues promptly and appropriately
- Provide floor support as needed to maintain clinical standards
Regulatory Compliance
- Maintain compliance with CMS, DC Department of Health, and facility policies
- Assist with survey preparedness and lead response efforts during surveys
- Ensure accurate and timely clinical documentation
Care Coordination
- Collaborate with interdisciplinary team (therapy, social services, physicians)
- Support care planning process and resident assessments
- Assist with oversight of MDS process and reimbursement alignment
Operational Support
- Step in for the Director of Nursing when needed
- Assist with staffing, scheduling, and labor management
- Participate in family communication and resident issue resolution
Qualifications
Required:
- Active Registered Nurse license in Washington, DC in good standing OR ability to obtain within 30 days
- Minimum 2+ years of nurse management experience in a skilled nursing facility (SNF)
- Strong working knowledge of CMS regulations, survey process, and long-term care operations
- Proven ability to lead teams and drive accountability
Preferred:
- Prior experience as ADON, Unit Manager, or Nurse Supervisor in SNF
- Experience with MDS, case mix, and reimbursement processes
- BSN preferred