Assistant Director of Nursing - LTC

(Finger Lakes Region) Salary: $99,300–$115,150 (based on years of leadership experience in long-term care)

The Opportunity

You'll serve as Assistant Director of Nursing at a skilled nursing and long-term care facility in Waterloo, New York, working under the administrative guidance of the Director of Nursing to establish and enhance clinical and operational systems. This role carries 24-hour responsibility and accountability for the facility, ensuring nursing excellence, regulatory compliance, and positive outcomes for residents, families, and staff. You'll lead performance improvement initiatives, oversee MDS and PRI processes to maximize reimbursement, and support a compassionate, resident-centered care environment.

Your Day-to-Day

You'll oversee the facility's Performance Improvement Program , ensuring care delivery meets regulatory standards and aligns with organizational mission, vision, and values. You'll participate in the long-term care divisional Performance Improvement Committee and represent the Nursing Department on the LTC Safety Committee.

Your responsibilities include:

• Provide oversight of PRI and MDS processes to maximize reimbursement and support financial sustainability
• Coordinate employee safety initiatives and oversee the LTC attendance procedure process
• Deliver daily supervisory oversight of nursing staff and clinical operations
• Assume Nurse Manager responsibilities when another Nurse Manager is absent
• Participate in recruitment and interview processes for Certified Nursing Assistant (CNA) candidates
• Support fiscal responsibility through budgeting, financial analysis, cost control, and revenue enhancement
• Plan, implement, and evaluate strategies that ensure nursing competency, excellence in practice, and effective use of technology
• Chair and actively participate in committees related to nursing operations and organizational performance

You'll work full-time day shift with on-call responsibilities as needed to fulfill 24-hour accountability.

What We're Looking For

Education:

• Bachelor of Science in Nursing (BSN) required
• Master of Science in Nursing preferred
• Graduate of an accredited school of Registered Professional Nursing

Licensure:

• Current New York State Registered Professional Nurse (RN) license required

Experience:

• Four (4) years of managerial experience with demonstrated leadership abilities in a Long-Term Care setting
• Two (2) years of nursing experience
• Knowledge and application of New York State Department of Health (NYSDOH) regulations, including successful experience with the survey process
• Prior experience at the Assistant Director of Nursing level preferred

Skills:

• Proven ability to build and maintain effective working relationships with medical staff, department leaders, residents, families, and the public in a resident- and family-centered environment
• Ability to function effectively in high-stress or challenging situations
• Strong organizational and multitasking skills
• Ability to manage confidential information with discretion and professionalism
• Computer proficiency, including word processing, spreadsheets, and presentation software
• PRI and MDS knowledge and/or experience preferred
• Proficiency with Microsoft Word, Excel, and PowerPoint preferred

Ready to Apply?

This is your opportunity to lead nursing operations in a skilled nursing facility committed to quality, compassion, and regulatory excellence. You'll shape clinical outcomes, support staff development, and ensure sustainable, resident-centered care in the beautiful Finger Lakes region. Apply today to bring your long-term care leadership experience to this direct hire, full-time role with an excellent benefits package.