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Director Of Nursing Services - 100% Medicaid ALF in Old Town PDX

Macdonald Residence Portland ,OR
  • Expired: over a month ago. Applications are no longer accepted.
Job Description


SUMMARY: Director of Nursing Services (DNS) is a Registered Nurse who is responsible for the day to day care of the residents, support services, quality assurance, and the direct supervision of the health care given within the residence.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned from time to time.

·       Manages all aspects of the nursing department.

·       Hires nursing staff.

·       Assists with or writes the Caregiver and Medication Supervisor schedules each month.

·     Performs new assisted living resident admission assessments prior to admission and determines appropriateness of the admission based on the needs of the resident.

·      Performs a full body assessment on each assisted living resident upon admission within 7 days of admit

·      Manages the Negotiated Services Agreements system for all assisted living residents in the building in accordance with state guidelines.

·      Performs on-going assessments of each assisted living residents physical and psycho-social needs and coordinates with dietary, activities, pharmacy, physicians and other disciplines to assure quality care.

·      Manages the self-medication assessment system in accordance with state guidelines.

·      Manages the quality assurance program within the facility.

·      Performs care conferences for residents and families as needed.

·      Acts as a liaison between assisted living resident, family, and physician to coordinate the care needs of each resident.

·      Ensures that each staff member has the opportunity to attend 10 hours of clinical continuing education each year.

·      Supervises the maintenance of assisted living resident’s charts and reviews documentation performed by staff.

·      Responds to urgent situations as they arise based on nursing standards.

·      Monitor’s the weights of each assisted living resident and identifies significant weight losses.

·      Assesses each resident with significant weight loss at least once per month until resolved.

·      Ensures that all staff receives their T.B. testing per state guidelines.

·      Ensures that each staff member receives their fundamentals of care giving, first aid, CPR, and HIV training per state guidelines.

·      Will remain on-call 24 hours per day 7 days per week.

·      Will assess residents with skin breakdown or skin at risk every week.

·      Will initiate home health services for residents as needed and act as liaison between resident, home health agency, and physician regarding those services.

·      The Director of Nursing Services will be responsible for following the regulations and guidelines as set forth by the state of Oregon.


·       Supports a dignified and caring atmosphere with residents, residents' families, visitors and staff.

·        Protects privacy and confidentiality of information pertaining to the resident, employee, residence, company information and records.

·        Maintains a safe and secure working environment and practices safe working habits.

·        Complies with the attendance policy.

·        Maintains neat appearance, good personal hygiene and appropriate attire.

·        Participates in training, in services, and attends meetings as required.

·        Assists with projects as assigned and performs other related duties.


Responsible for RN's, LPN's and care staff. 


 To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential Functions.


Must have a Bachelors Degree,  a valid and active OR Registered Nurse License.  Moderate to Exceptional Software & PC knowledge. 


Ability to read, and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization. Ability to effectively communicate in English and understand and follow written and oral instructions.


Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.


Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.


First Aid and CPR

Registered in Oregon State as current Licensure for RN.


The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to use hands to finger, handle or feel and to talk and hear. The employee frequently is required to sit and reach with hands and arms. The employee is occasionally required to stand; walk; walk; and stoop, kneel and crouch. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, depth perception, and ability to adjust focus.


The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The environment is characteristic of a facility in which healthcare is provided to the frail elderly. The noise level is usually moderate.

Macdonald Residence


Portland, OR