Assistant Director of Nursing

Assistant Director of Nursing Services (ADNS)
We're Looking for a Nursing Leadership Superstar!

Are you the kind of nurse leader who brings energy to the building, builds up the people around you, and knows how to get things done? Manchester Rehabilitation & Healthcare Center is looking for a dynamic, hands-on Assistant Director of Nursing Services who wants a leadership role that is both fun and genuinely fulfilling.

Manchester is a 126-bed, Five-Star skilled nursing facility with a strong reputation, generous staffing, and a team that believes excellent care and a positive workplace should go hand in hand.

This is not a sit-behind-the-desk position. You will be out in the building, connecting with residents, supporting staff, developing our CNAs, solving problems, and helping create a nursing department where people feel valued and accountable. You will oversee nursing schedules and staffing, strengthen clinical systems, celebrate successes, and help your team grow.

As a key partner to the Director of Nursing Services, you will have the opportunity to make a real difference every day. You will lead clinical operations when the DNS is unavailable and share nursing leadership on-call responsibilities.

If you are approachable but accountable, confident without an ego, and serious about resident care while still believing work can be enjoyable, you may be the superstar we're looking for!

Key Responsibilities
Nursing Leadership and Clinical Oversight

• Support the DNS in the daily management and operation of the nursing department.
• Assume responsibility for nursing services and clinical operations in the absence of the DNS.
• Conduct regular rounds to monitor resident care, staff performance, documentation, infection-control practices, and overall unit operations.
• Ensure residents receive safe, compassionate, person-centered care in accordance with their care plans.
• Respond promptly to changes in condition, clinical concerns, incidents, grievances, and family questions.
• Participate in clinical meetings, morning huddles, care-plan meetings, risk-management reviews, and interdisciplinary conferences.
• Assist with investigations involving incidents, accidents, allegations, medication concerns, and potential regulatory reportable events.
• Support survey readiness and participate in federal, state, and other regulatory surveys.

CNA Management and Accountability

• Provide direct leadership, supervision, and accountability for the facility's CNAs.
• Monitor CNA attendance, assignments, performance, professionalism, and compliance with facility expectations.
• Ensure CNA assignments are appropriate, clearly communicated, and completed.
• Coach, counsel, educate, and evaluate CNA staff in collaboration with the DNS and Human Resources.
• Address performance concerns promptly and consistently, including attendance, refusal of assignments, resident-care concerns, and failure to follow policies.
• Promote teamwork, professionalism, resident dignity, and accountability among CNA staff.
• Assist with CNA orientation, competency validation, ongoing education, retention, and employee engagement.
• Ensure CNA staffing meets resident acuity, care-plan requirements, and applicable staffing standards.

Staffing and Scheduling Oversight

• Oversee nursing schedules for CNAs and licensed nurses to ensure accuracy, appropriate coverage, and equitable assignments.
• Work closely with the Scheduler, nursing supervisors, and DNS to address vacancies, call-outs, shift changes, and staffing needs.
• Review schedules in advance and ensure open positions and coverage concerns are addressed promptly.
• Monitor overtime, agency utilization, attendance patterns, and scheduling practices.
• Hold the Scheduler and nursing supervisors accountable for following established scheduling and staffing procedures.
• Assist with recruitment, interviewing, hiring, orientation, and retention of nursing personnel.
• Ensure staffing decisions support safe resident care while remaining operationally and financially responsible.

Quality, Compliance, and Staff Development

• Monitor compliance with physician orders, care plans, nursing documentation, medication-management practices, and facility policies.
• Assist with audits, quality-assurance activities, performance-improvement initiatives, and corrective action plans.
• Review falls, wounds, infections, weight changes, hospital transfers, psychotropic-medication use, and other clinical risk indicators.
• Identify trends and work with the interdisciplinary team to implement appropriate interventions.
• Provide education and competency training based on identified needs, regulatory requirements, survey findings, and performance concerns.
• Ensure new nursing employees receive a thorough and effective orientation.
• Reinforce compliance with resident rights, abuse prevention, infection control, HIPAA, and state and federal regulations.
• Assist in maintaining complete, accurate, and timely clinical records.

On-Call Responsibilities

• Share nursing administrative on-call responsibilities with the DNS and other designated nursing leaders.
• Remain available during assigned on-call periods to provide direction regarding staffing, changes in condition, incidents, emergencies, and other clinical or operational concerns.
• Respond promptly and provide on-site support when the situation requires leadership presence.

Qualifications

• Current, active Connecticut Registered Nurse license required.
• Bachelor of Science in Nursing preferred.
• Previous nursing leadership or supervisory experience required.
• Skilled nursing or long-term-care experience strongly preferred.
• Strong knowledge of state and federal skilled-nursing regulations, infection control, quality assurance, and clinical documentation.
• Demonstrated ability to manage CNAs, licensed nurses, staffing, scheduling, and daily clinical operations.
• Strong leadership, communication, organization, and problem-solving skills.
• Ability to provide clear expectations, maintain accountability, and address performance concerns consistently.
• Ability to remain calm, decisive, and professional in urgent or challenging situations.
• Must be available to share rotating on-call responsibilities.

Why Join Manchester?

• Five-Star skilled nursing facility
• Supportive and collaborative leadership team
• Generous staffing
• Competitive compensation
• Paid weekly
• Health and dental insurance
• Paid time off
• 401(k) with employer match
• Opportunities for professional growth

Manchester Rehabilitation & Healthcare Center is an equal opportunity employer. Qualified applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other legally protected status.