Alliance Health Group is seeking an experienced Interim/Floating Director of Nursing (DON).
Position Title: Interim/Floating Director of Nursing (DON)
Department: Nursing
Reports To: Regional Director of Nursing and VP of Operations
Position Type: Full-Time
The Interim/Floating Director of Nursing (DON) provides critical nursing leadership and support across our portfolio of long-term care facilities. This position is responsible for stepping into various nursing home locations as needed, either as an interim DON during vacancies or to provide additional nursing leadership and operational support.
The ideal candidate is an experienced nursing leader who is flexible, adaptable, and comfortable working in different facility environments. This role requires strong clinical knowledge, leadership skills, regulatory expertise, and the ability to quickly assess facility needs and implement effective solutions.
Interim Nursing Leadership
Step into Director of Nursing roles on a temporary basis during vacancies, transitions, or planned leaves of absence
Provide strong clinical and operational nursing leadership to ensure continuity of resident care
Oversee nursing department operations and ensure appropriate staffing and coverage
Monitor quality of care and address clinical concerns promptly
Support and mentor nursing leadership and staff
Nursing Operations & Support
Oversee daily nursing operations and coordinate with department leaders
Assist with recruitment, onboarding, training, and performance management of nursing staff
Review staffing needs and help develop effective schedules and staffing plans
Monitor nursing practices to ensure compliance with facility policies and procedures
Assist with quality improvement initiatives and nursing department goals
Provide hands-on leadership and support during periods of increased facility need
Clinical Oversight
Ensure residents receive safe, compassionate, and high-quality nursing care
Monitor resident conditions and ensure appropriate assessments, interventions, and follow-up
Review clinical documentation and ensure accurate and timely completion
Oversee medication management, infection prevention, wound care, falls, and other key clinical programs
Collaborate with physicians, nurse practitioners, rehabilitation staff, and other members of the interdisciplinary team
Participate in care planning and ensure resident care plans are appropriately implemented
Regulatory Compliance
Ensure compliance with federal, state, and local regulations governing skilled nursing facilities
Prepare nursing departments for state surveys, inspections, and audits
Assist with responding to deficiencies and developing plans of correction
Monitor compliance with nursing policies, procedures, and regulatory requirements
Ensure required clinical documentation and reporting are completed accurately and timely
Staff Development & Leadership
Provide coaching, mentoring, and support to nursing staff and leadership
Assist with staff education and competency development
Promote accountability, teamwork, and professional development
Support facility leadership in addressing performance and staffing concerns
Help establish and maintain a positive nursing department culture
Resident & Family Relations
Build positive relationships with residents and their families
Respond to resident and family concerns in a timely and professional manner
Promote resident-centered care and advocate for resident needs
Ensure concerns are appropriately investigated, addressed, and documented
Quality Assurance & Performance Improvement
Participate in QAPI initiatives and nursing quality improvement programs
Monitor clinical outcomes and identify opportunities for improvement
Review trends related to falls, infections, wounds, rehospitalizations, and other quality indicators
Develop and implement strategies to improve nursing outcomes
Ad-Hoc Support
Provide additional nursing leadership and support based on facility needs
Assist with onboarding new DONs and nursing leadership
Support facilities through transitions, staffing challenges, surveys, and other operational priorities
Take on special projects and initiatives as assigned
Education: Bachelor’s degree in Nursing (BSN) preferred; ADN considered based on experience
Licensure: Current, unrestricted RN license in the applicable state(s)
Experience: Minimum of 3–5 years of nursing leadership experience in long-term care, skilled nursing, or a similar healthcare setting
Previous experience as a Director of Nursing, Assistant Director of Nursing, or senior nursing leader strongly preferred
Experience with state and federal skilled nursing regulations and surveys
Strong knowledge of clinical standards, nursing practices, and quality improvement
Excellent leadership, communication, and interpersonal skills
Strong organizational, problem-solving, and critical-thinking abilities
Ability to work independently and make sound decisions in a variety of facility environments
Willingness and ability to travel between facilities as needed
Ability to quickly adapt to different facility cultures, leadership teams, and operational needs
Flexibility to work occasional evenings, weekends, or holidays based on facility requirements
Ability to manage multiple priorities in a fast-paced environment
Reliable transportation and willingness to travel as required
This position requires working in multiple skilled nursing and long-term care facilities. The Interim/Floating DON must be comfortable adapting to different teams, resident populations, staffing structures, and operational challenges while maintaining consistent standards of nursing care.
Competitive salary based on experience and qualifications
Travel reimbursement or transportation support
Health, dental, and vision benefits
Paid time off
Retirement benefits
Professional development and continuing education opportunities
This role is ideal for an experienced Director of Nursing or nursing leader who thrives in dynamic environments and enjoys the opportunity to make an immediate impact. As an Interim/Floating DON, you will provide essential leadership during periods of transition while helping facilities maintain strong clinical outcomes, regulatory compliance, and quality resident care.
If you are an experienced nursing leader looking for a rewarding role with variety, flexibility, and the opportunity to make a difference across multiple facilities, we’d love to have you join Alliance Health Group.
