Senior Level Associate Director of Nursing Jobs
Senior level associate director of nursing jobs place experienced nursing leaders in charge of department strategy, clinical quality outcomes, and the multidisciplinary teams that carry them out. Most openings are on-site, with 0% offering remote or hybrid options, concentrated in Healthcare & Medical Services, Education, and Technology & Software, with employers like PruittHealth, Ciena Healthcare, and Justice Resource Institute hiring at this level now.
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Director of Nursing (DON)
Location: Alturas, CA
Job Type: Full-Time | On-Site | Day Shift
Annual Salary: $120,785 – $182,707 (Depending on Experience)
Sign-On Bonus: $10,000
Relocation Assistance: Up to $5,000
Position Overview
We are seeking an experienced and dedicated Director of Nursing (DON) to lead nursing operations across our skilled nursing and long-term care facilities in Alturas, California.
This leadership opportunity is ideal for a motivated nursing professional with strong clinical expertise, staff management capabilities, and a passion for delivering exceptional resident-centered care. The successful candidate will oversee nursing services, promote operational excellence, ensure regulatory compliance, and foster a positive and collaborative healthcare environment.
Key Responsibilities
- Provide strategic leadership, supervision, and direction to nursing staff.
- Oversee daily nursing operations, staffing schedules, payroll, and performance evaluations.
- Ensure high-quality, individualized, and resident-centered patient care.
- Monitor compliance with federal and state healthcare regulations and facility policies.
- Lead quality improvement initiatives and support the development of nursing policies and procedures.
- Build effective relationships with residents, families, physicians, and interdisciplinary healthcare teams.
- Collaborate with the Chief Nursing Officer (CNO) to improve nursing services and operational efficiency.
- Participate in staff recruitment, orientation, training, and professional development.
- Provide hands-on clinical support when necessary.
- Support emergency response activities and maintain a safe care environment.
Minimum Qualifications
- Active and unrestricted California Registered Nurse (RN) license.
- Current CPR certification.
- Previous experience in long-term care or skilled nursing facilities.
- Demonstrated nursing leadership, supervisory, and team management experience.
- Strong communication, organizational, and problem-solving skills.
- Proficiency in Microsoft Word, Excel, and PowerPoint.
Preferred Qualifications
- Bachelor's degree in Nursing (BSN) or higher.
- Director of Nursing certification.
- Previous Director of Nursing or nursing management experience in a skilled nursing or long-term care environment.
Compensation & Benefits
- Competitive annual salary of $120,785 – $182,707, based on experience.
- $10,000 sign-on bonus.
- Relocation reimbursement up to $5,000 for eligible candidates.
- Medical, dental, vision, and life insurance options.
- 457(b) retirement plan with employer match.
- Pension benefits.
- Paid time off (PTO).
- Educational assistance and professional development opportunities.
- Employee assistance program.
- Uniform allowance and additional employee benefits.
Why Consider This Opportunity?
Leadership opportunity within a community-focused healthcare environment.
Opportunity to make a meaningful impact on resident care and nursing operations.
Supportive and collaborative clinical leadership team.
Attractive compensation package with sign-on bonus and relocation assistance.
Opportunity to enjoy a peaceful lifestyle in scenic Northern California.
Interested candidates are encouraged to apply or share their updated resume to learn more about this leadership opportunity.
Pay: $120,000.00 - $182,707.00 per year
Benefits:
- 403(b)
- Dental insurance
- Health insurance
- Paid time off
- Relocation assistance
- Vision insurance
Work Location: In person
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Who's Hiring



Top Industries Hiring
- Healthcare & Medical Services15
- Education5
- Technology & Software1
- Electronics & Hardware1
- Distribution & Wholesale1
Senior Level Associate Director of Nursing Jobs: Frequently Asked Questions
How do I get a senior level associate director of nursing job?
Employers at this level look for candidates who have already owned department-wide outcomes, not just contributed to them. Demonstrating a record of improving clinical quality metrics, managing budgets, and developing charge nurses or managers sets you apart. Strong candidates also bring cross-functional experience, such as collaborating with physicians, finance, and operations leadership to implement systemwide initiatives.
Which companies hire senior level associate director of nursings?
Companies hiring senior level associate director of nursings right now include PruittHealth, Ciena Healthcare, and Justice Resource Institute, based on current listings on Migrate Mate as of November 2026. At this level, hiring tends to come from large health systems, academic medical centers, long-term care networks, and regional hospital groups that require seasoned nursing leadership to oversee complex, multi-unit operations.
Are there remote senior level associate director of nursing jobs?
Yes, though most positions are on-site given the hands-on nature of nursing leadership. About 0% of senior level associate director of nursing openings are remote or hybrid as of November 2026, and these tend to be concentrated in telehealth organizations, managed care companies, and health system consulting roles that do not require direct unit oversight.
What makes an associate director of nursing role senior level?
A senior level associate director of nursing role carries strategic ownership rather than operational support. That means setting department-wide standards, leading performance improvement initiatives, managing nurse managers or supervisors directly, and contributing to executive decisions on staffing models, capital budgets, and accreditation readiness. Senior roles are defined by the scope of accountability and the complexity of the teams and units involved.
Which industries hire the most senior level associate director of nursings?
Senior level associate director of nursing roles concentrate in Healthcare & Medical Services, Education, and Technology & Software, based on current listings on Migrate Mate as of November 2026. These sectors drive hiring at this level because they operate large, regulated care environments that require experienced nursing leadership to maintain compliance, care quality, and workforce stability across multiple units or service lines.