Assistant Director of Nursing – Skilled Care
Tulsa, OK
Full-Time | On-Site / Field-Based Leadership
This is not a traditional Assistant DON role.
We are looking for a nurse who is ready for more.
Maybe you are already the RN that other nurses come to when they have a question.
You are clinically strong. You care about documentation being right. You notice problems before someone has to point them out. You understand that good nursing is not just about completing the visit — it is about making sure the entire clinical picture makes sense.
But you are ready to move beyond managing only your own patients.
You want the opportunity to help lead a clinical organization.
We are a rapidly growing healthcare company based in Tulsa, and we are looking for an Assistant Director of Nursing – Skilled Care who can help us build the clinical infrastructure behind our next stage of growth.
You will still need to understand what is happening in the field.
But this is not primarily a field nurse position.
It is a leadership position for someone who wants to help create the standard everyone else follows.
We are looking for someone who sees that opportunity and thinks:
“Give me the responsibility. I’ll make it better.”
What You’ll Own
You will work directly with the Director of Nursing and clinical leadership to help oversee the quality, consistency and execution of our skilled nursing services.
Your responsibilities will include:
- Supporting clinical oversight of our skilled nursing program
- Reviewing nursing documentation for completeness, accuracy and timeliness
- Helping ensure services are delivered according to established plans of care
- Identifying documentation deficiencies and following them through to resolution
- Reviewing clinical records for quality and compliance
- Providing coaching and clinical guidance to RNs and LPNs
- Helping establish clear documentation and clinical performance expectations
- Supporting nurse orientation, education and competency development
- Identifying trends in documentation, clinical performance and patient care
- Assisting with quality assurance and performance-improvement initiatives
- Helping investigate and resolve clinical concerns
- Supporting preparation for audits, surveys and regulatory reviews
- Working with the Director of Nursing to develop and improve clinical policies and procedures
- Ensuring clinical practices remain consistent with Oklahoma requirements and agency standards
- Helping improve communication between field clinicians, clinical leadership and operations
- Participating in case review when clinical complexity or performance concerns require additional oversight
- Helping build clinical systems that can scale as patient census continues to grow
What Success Looks Like
This role has a straightforward mandate:
Our clinical operation should get stronger as we grow — not harder to control.
You should know:
- Whether documentation is being completed on time
- Where clinical records are falling short
- Which nurses need additional coaching
- Whether care is being delivered according to the plan of care
- What recurring clinical problems are developing
- Where processes are creating unnecessary friction
- What needs to be corrected before it becomes a larger compliance or operational issue
- Whether our clinical systems can support the next stage of growth
We are not looking for someone who waits until a problem becomes serious before addressing it.
We want someone who sees the pattern early and starts solving it.
Who We Are Looking For
You may be a great fit if you are currently an experienced RN and feel ready to take the next step into nursing leadership.
Ideally, you have:
- An active Oklahoma Registered Nurse license in good standing
- Several years of professional nursing experience
- Home health, home care, hospice, community-based nursing or similar experience
- Experience reviewing clinical documentation and plans of care
- Strong understanding of professional nursing standards
- Strong clinical judgment
- Excellent documentation habits
- The ability to coach another nurse without avoiding difficult conversations
- Strong organization and follow-through
- Comfort reviewing clinical records and identifying inconsistencies
- The ability to balance clinical judgment with operational realities
- A high level of personal accountability
- The confidence to raise concerns when something does not meet the standard
Previous management experience is helpful.
It is not necessarily required.
We are more interested in finding an exceptional nurse with leadership ability than someone who simply has the right management title on their résumé.
The Person We Think Will Thrive Here
You have high standards.
When you sign your name to something, you want it to be right.
Incomplete documentation bothers you.
A clinical question that does not have a clear answer bothers you.
You don't walk past problems because technically they belong to someone else.
You can be supportive without lowering expectations.
You are comfortable telling another professional:
“This isn't where it needs to be. Let's fix it.”
You understand that accountability and compassion are not opposites.
You can coach someone when coaching is appropriate and hold someone accountable when accountability is required.
You enjoy building processes.
You ask why something keeps happening instead of repeatedly fixing the same problem.
And you want your next position to give you the opportunity to grow into meaningful nursing leadership.
The Opportunity
We are building a rapidly growing skilled-care operation.
That means the clinical leadership structure must grow with it.
This position is intended to become more than an experienced nurse helping the DON.
The right person will have an opportunity to assume greater responsibility as the clinical organization expands.
That may mean progressing from:
Assistant Director of Nursing
to
Senior Clinical Leadership
to
Director-level responsibility
as the organization, clinical census and geographic footprint continue to grow.
Your opportunity here will be tied to the level of responsibility you demonstrate you can successfully carry.
We want someone who eventually looks back and can say:
“I helped build the clinical organization this became.”
What This Role Is Not
This is not a staffing or scheduling position.
You will work closely with the people responsible for scheduling and operations, but your primary responsibility is clinical leadership.
Your focus is:
Patients.
Nurses.
Documentation.
Quality.
Clinical standards.
Accountability.
Compliance.
And making sure those things remain strong as the organization grows.
Our Model
Our skilled-care model is different from a traditional Medicare-certified home health agency.
Our focus includes community-based skilled nursing services, including care provided to veterans and other patients under our established payer and service arrangements.
We want someone capable of understanding the regulations and clinical standards that actually apply to our organization rather than simply assuming every home-health operation functions the same way.
That distinction matters.
Why This Role Exists
We are growing quickly.
More patients means more nurses.
More nurses means more documentation, more clinical decisions, more opportunities for inconsistency and more responsibility for leadership to make sure standards remain high.
We do not want growth to dilute clinical quality.
We want the opposite.
We want to build a clinical organization where expectations are clear, nurses are supported, problems are addressed quickly and the quality of the operation improves as the company gets larger.
That requires leadership.
That is why we are not simply looking for another RN.
We are looking for someone who is ready to help lead the nurses who will help build what comes next.
If you are hungry for that opportunity, we would like to meet you.
Pay: $85,000.00 - $90,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Application Question(s):
- Talk to us about how you solved your last QAPI and or QA issue.
- What is a hobby that you are passionate about?
Experience:
- Home health: 3 years (Required)
- QAPI: 1 year (Required)
- QA/QC: 1 year (Required)
- Asst DON/DON: 1 year (Preferred)
- Wound care: 1 year (Required)
License/Certification:
Location:
- Tulsa, OK 74137 (Preferred)
Ability to Commute:
- Tulsa, OK 74137 (Required)
Work Location: In person
