Director Of Nursing Services

General Information
Location  6640 IOLA AVE
Lubbock, TX 79424
United States
Employee Type  Exempt - FT
Job Category  RN, Director of Nurses
Industry  Skilled Nursing, Long Term Care
Minimum Experience  2 Years
Manage Others  Yes
Contact Information
Name  Terri Ruble
Phone  806-687-6640


Purpose of this position:


The purpose of this position is to provide nursing management, set resident care standards for all direct care providers and provide complete supervision and management for the nursing department. 


Job duties include but are not limited to:

  1. Assume responsibility for the development of nursing service objectives and performance standards of nursing practice for each category of nursing personnel.
  2. Assume accountability for the development, organization and implementation of approved policies and procedures.
  3. Direct, evaluate and supervise all resident care and initiate corrective action as necessary.
  4. Assess resident care needs and assist in the development of individualized plans of resident care.
  5. Assume responsibility for implementation of Clinical and Prospective Payment System Minimum Data Set completion schedule.
  6. Oversee the assessment of resident pre-admission and/or admission information and determine appropriate level of care.
  7. Assume responsibility for development and implementation of nursing rehabilitation and restorative programs.
  8. Analyze Quality Indicator reports, identify concerns and implement corrective action to improve resident care.
  9. Assume responsibility for analysis of incident and accident investigation reports to determine cause(s) and implement corrective action(s), when appropriate.
  10. Assess resident needs and make recommendations for special rehabilitation programs.
  11. Evaluate resident care as related to individualized resident needs, family involvement and the physician’s plan of care for the resident.
  12. Conduct or participate in resident care conferences as indicated.
  13. Assess resident responses to medication and treatments and make appropriate recommendations for nursing action to be implemented.
  14. Report problems to Administrator, conduct daily resident rounds and initiate corrective action as necessary.
  15. Identify safety hazards and initiate corrective action.
  16. Enforce Resident Rights policies.
  17. Enforce all facility policies and procedures. 
  18. Direct and implement nursing service educational programs including, but not limited to, orientation and in-service for licensed and unlicensed nursing personnel.
  19. Conduct staff meetings with all shifts for purposes of planning, coordinating and implementing nursing service policies and procedures.
  20. Demonstrate consistent management of nursing service problems, emergency situations, and initiate “life-saving” measures in the absence of a physician.
  21. Assume responsibility for nursing service compliance with federal, state and local regulations.
  22. Participate in the planning and implementation of the nursing service budget.
  23. Consistently operate nursing service within the established budget guidelines.
  24. Direct allocation of nursing service equipment and supplies within the facility and establish guidelines for efficient, economical utilization of supplies and equipment.
  25. Ensure availability of equipment for nursing personnel.
  26. Assess equipment and supply needs and make recommendations to Administrator.
  27. Direct and supervise scheduling of employees within established guidelines for allocation of nursing service personnel on duty.
  28. Recommend to the Administrator the number and level of personnel to be employed.
  29. Conduct interviews, hire nursing service employees, conduct counseling interviews and initiate disciplinary action as necessary.
  30. Prepare written employee performance evaluations and initiate recommendations for salary increases, promotions and terminations.
  31. Control angry feelings and take disciplinary action(s) privately.
  32. Participate in facility committee meetings and function on committees as assigned.
  33. Direct, organize and schedule required resident assessments and related documentation for Medicare, Medicaid, managed care, private insurance and Health Maintenance Organization (HMO) reimbursement.
  34. Consistently make accurate level of care determinations, based on the physician’s recommendations and the resident’s plan of care.
  35. Make management reports and special assignments and adhere to established time schedules.
  36. Establish open lines of communication with consultants and consistently take follow-up action on recommendations.
  37. Take inquiries for resident placement as assigned by the Administrator and initiate procedures for proper placement of residents and level of care determinations.
  38. Coordinate resident admissions, transfers and discharge with community agencies and other facilities.
  39. Establish good public relations with hospital discharge coordinators and social service consultants.
  40. Communicate daily with nursing personnel providing clear, concise information as well as specific assignments.
  41. Consistently demonstrate responsibility, accountability and dependability.
  42. Maintain confidentiality of resident and facility information.
  43. Consistently work cooperatively with administration, all facility staff, ancillary personnel and consultants.
  44. Come to work clean, neat, and consistently present a professional appearance.
  45. Be responsible for safety of residents under his/her supervision.
  46. Assume accountability for all data contained in the employees’ handbook.
  47. Accept assigned duties in a cooperative manner.
  48. Perform other related duties as directed by the Administrator and/or governing body.
  49. Perform all duties assigned in an effective, timely and professional manner.
  50. Perform other related duties as directed by Administrator.
  51. Come to work as scheduled and consistently demonstrate dependability and punctuality.
  52. Consistently work cooperatively with residents, residents’ representatives, facility staff, physicians, consultants and ancillary service providers.
  53. Maintain a reference library of written nursing material (e.g., Regulations, Standards of Practice, PDR, etc.) that will assist the nursing service department in meeting the day-to-day needs of residents.
  54. Participate in facility surveys (and/or delegate key staff) made by authorized government agencies as necessary.
  55. Ensure that all nursing assistants are enrolled in or have graduated from a state approved training program.
  56. Assure that there are sufficient nursing staff for each tour of duty to ensure that quality care is maintained.
  57. Assure that competency evaluations are completed as required for all nursing service personnel to assure resident safety.

58. Follow emergency preparedness procedures during all drills and actual occurrences.   


Qualifications: Must be a Registered Nurse with a current, unencumbered, active license to practice issued by the Board of Nurse Examiners for the State of Texas. Must have at least 2 years’ experience as a Registered Nurse. Must be able to read, write, speak and understand the English language. 

Specific Requirements

  • Must possess a current, unencumbered, active license to practice as a Registered Nurse in this state.
  • Must demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.
  • Must be able to read, write, speak, and understand the English language.
  • Must be a supportive team member, contribute to and be an example of team work and team concept.
  • Must possess the ability to make independent decisions when circumstances warrant such action.
  • Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
  • Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities.
  • Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
  • Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care.
  • Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
  • Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
  • Must be able to relate information concerning a resident’s condition.
  • Must not pose a direct threat to the health or safety of other individuals in the workplace.