Assistant Director of Nursing (ADON)

Director of Nursing

Employment Type: Full Time (Exempt)

Reports To: Director of Healthcare Services

Supervises: RN Supervisors, RN Consultants, LPN Coordinators, LPN Nurses, LPN Consultants, TME Staff, and CMT Staff

Performance Reviews

• 90-Day Probationary Review
• Annual reviews thereafter
• Additional reviews as needed

Essential Responsibilities

Clinical Oversight & Nursing Operations

• Assist the DON in overseeing daily nursing operations and clinical service delivery
• Ensure services align with person-centered planning and Individual Service Plans (ISPs)
• Ensure services support active treatment standards and are not custodial in nature
• Monitor nursing documentation, assessments, and care plans for compliance
• Assist nurse supervisors/case managers in care decisions
• Coordinate educational training for the nursing department
• Participate in hiring, evaluations, and corrective actions
• Oversee improvements based on evaluations and DOH guidelines
• Coordinate quality assurance activities via interviews and record reviews
• Assist in budget development and oversee medical supply procurement
• Communicate with residents, families, staff, and IDT to coordinate care
• Assist DON with acuity preparation and submission
• Assist DON with annual Medicaid recertification
• Develop and implement policies and documentation procedures
• Review infection control reports and implement prevention strategies
• Develop and publish nursing schedules aligned with ratios and budgets
• Provide supervision and mentoring schedules for nursing staff
• Oversee TME training and follow-up competency validation
• Assist DON with departmental meetings and documentation
• Perform other duties as assigned

Regulatory Compliance & Survey Readiness

• Ensure compliance with 42 CFR Part 483 Subpart I (ICF/IDD federal regulations)
• Ensure adherence to DC DDS Provider Standards and DOH regulations
• Maintain continuous survey readiness for unannounced inspections
• Participate in surveys, audits, and Plans of Correction (POCs)
• Conduct mock surveys, record reviews, and staff interviews

Quality Assurance & Infection Control

• Participate in QAPI initiatives
• Review infection control surveillance and implement corrective actions
• Ensure compliance with DOH infection control standards

Medication & Clinical Compliance

• Ensure compliance with medication administration standards (TME/CMT oversight)
• Monitor MAR documentation accuracy
• Ensure proper delegation and oversight of nursing tasks
• Ensure compliance with incident reporting and follow-up procedures

Interdisciplinary Coordination

• Collaborate with QIDPs, physicians, and therapists
• Ensure integration of medical services into ISPs
• Promote interdisciplinary participation in care planning

Administrative & Operational Support

• Assist with Medicaid recertification and acuity submissions
• Support policy development and implementation
• Maintain staffing ratios per regulatory requirements

Requirements

Essential Competencies

• Strong clinical leadership
• Ability to manage in regulated environments
• Strong communication skills
• High attention to detail

Required Education & Experience

• BSN required
• Master's preferred
• Strong written and verbal communication skills
• 5+ years of IDD nursing experience
• ICF/IDD experience preferred

Required Certifications & Training

• Active RN License
• BLS (Required)
• Crisis Prevention/Intervention
• DDNA preferred
• DDS, DOH required training

Mandatory Pre-Employment Training

• 5-day in-person training required
• Statewide and National Criminal Background Investigation
• DMV Record Review

Physical & Environmental Requirements

• Ability to work in regulated residential healthcare setting
• Ability to travel within DC required
• Ability to respond to urgent clinical needs