ADON - Assistant Director of Nursing SNF

Assistant Director of Nursing (RN)

Lead with purpose. Support with compassion. Grow with Elderwood.

Elderwood is seeking a dedicated and dynamic Assistant Director of Nursing (ADON – RN) to join our leadership team. This is an opportunity to make a meaningful impact by guiding nursing excellence, supporting a talented team, and ensuring the highest quality of care for our residents.

As ADON, you’ll partner closely with our Director of Nursing and Administrator to drive quality initiatives, support staff development, and uphold regulatory excellence - all within a community known for teamwork, respect, and clinical pride.

• Reputation for Excellence: A trusted name in long-term care and rehabilitation, known for compassionate care and clinical integrity.

• Collaborative Leadership: Work alongside an experienced Administrator and DON who value mentorship and open communication.

• Growth & Support: Enjoy a strong network of clinical leaders across the Elderwood family, with access to training, development, and advancement opportunities.

• Mission-Driven Culture: Every day, you’ll see the impact of your leadership in residents’ lives and staff success stories.

Proudly Rated 4 Stars by CMS!

Elderwood at North Creek has earned a 4-star rating from the Centers for Medicare and Medicaid Services (CMS)—exceeding both the New York state average (3.33) and the national average (3.32). This distinction reflects our commitment to quality care, strong staffing,

• Partner with the Director of Nursing to oversee daily nursing operations and ensure exceptional resident outcomes.

• Supervise and develop nursing staff - fostering engagement, accountability, and professional growth.

• Serve as Infection Control Preventionist, leading compliance and safety initiatives.

• Participate in audits, quality improvement, and interdisciplinary care planning.

• Step in as Director of Nursing when needed to ensure continuity of leadership and care.

• Support staffing, onboarding, and training - helping maintain 24-hour nursing coverage and high-quality service.

Benefit Preview:

• NEW! Gas Allowance Stipend for qualifying commuters!
• Full Suite of Health Benefits - Medical, Dental, Vision
• Tuition Reimbursement and PAID Continued Education  
• 401K with Employer Matching
• Full Suite of Health Benefits - Medical, Dental, Vision
• Employee Referral Bonus - UP TO $2,000
• Generous PTO & Holiday Package 
• Flexible Scheduling
• And more!

At Elderwood, we know that strong leadership builds strong teams - and strong teams create better outcomes. If you’re a nurse leader who thrives on mentorship, collaboration, and meaningful work, we’d love to meet you.

Apply today and take the next step in your leadership journey with Elderwood. 

Assistant Director of Nursing (RN) Responsibilities:

• Assume duties of the Director of Nursing in his/her absence under the direction of the Administrator.
• Assist the resident and Social Services in planning the nursing services portion of the resident discharge plan.
• Assumes duties of personnel within nursing department as needed or directed by DON and/or Administrator.
• Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.
• Recruit, interview, select, hire, train, schedule, supervise, and evaluate nursing personnel, delegating as necessary. This also includes counseling and recommending suspension or termination of employees to Director of Nursing or Administrator as necessary, maintaining documentation to support the same.
• Ensure adequate 24-hour nursing coverage in the facility.
• Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program.
• Assist the DON in determining the staffing needs of the nursing service department.
• Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse.
• Recommend to the DON the number and level of nursing personnel to be employed.
• Resolve personnel problems and build into the nursing program maximum employee motivation, keeping employees informed of current changes that effect their ability in providing quality patient care.
• Develop work assignments and schedule duty hours, and/or assist nursing supervisory staff in completing or performing such tasks.
• Delegate to the Charge Nurse(s) and Nurse Supervisor(s) the administrative authority, responsibility, and accountability to perform their assigned duties.
• Nursing Care Functions:
• Supervise all admissions and readmissions for eligibility or denial of Medicare Skilled services regulations.
• Notify all providers, in writing, within 24  hours of resident status of eligibility for skilled services and changes.
• Ensure that written physician certification for skilled services per Medicare guidelines are obtained.
• Coordinate therapeutic services, Physical Therapy, Occupational Therapy, Speech Therapy, etc., for residents with therapeutic needs.
• In addition, be responsible for monitoring resident progress and eligibility when no longer are eligible for Medicare skilled services. Notification will be timely -- within 24-hours upon determination.
• Make daily rounds of the nursing department to ensure that all nursing personnel are performing their work assignment in accordance with acceptable nursing standards. Report findings to DON.
• Provide residents with a comfortable, clean, orderly, and safe environment.
• Assess resident's condition and care needs through daily resident rounds.
• Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled.
• Report medication errors per policy.
• Provide direct nursing care as necessary.
• Ensures that residents who are unable to call for help are checked frequently. 

Assistant Director of Nursing (RN) Qualifications:

• Must possess, as a minimum, a degree in Nursing from an accredited school.
• Must possess a current, unencumbered, active license to practice as in state.
• Baccalaureate degree preferred.
• Working knowledge of the needs of geriatric complex care requiring long term care, the principles of management, supervision, organizational behavior and structure, and communication systems.
• A physical examination and/or evidence from a physician indicating free of communicable disease to be available upon employment.
• Must be in good physical and mental health.
• Ability to work independently or part of a group.
• Effectively communicate with others.
• If expected to drive company vehicle- must have valid driver's license with good driving record and be at least 21 years of age. (In order to comply with company Driving Standards P&P).
• Must have, as a minimum, 2 years of experience as a supervisor in a hospital, long-term care facility, or other related health care facility.
• Previous long-term care experience is desirable.
• Computer knowledge preferred.
• This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level.