Regional Director of Nursing Jobs
Regional Director of Nursing jobs are open across hospital systems, long-term care, and home health organizations, with specializations in clinical operations, compliance, and staff development, from nurse manager to executive leadership. Find a role that fits below and apply directly.
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Superior Adult Daycare – Missouri
Hourly Rate: $45.00/hour
Job Type: Full-Time
Schedule: Monday–Friday
Location: St. Louis, Missouri – Regional / Multiple Facilities
Travel: Required between Superior Adult Daycare locations
POSITION OVERVIEW
Superior Adult Daycare is seeking an experienced and qualified Registered Nurse (RN) to serve as our Regional Director of Nursing.
The Regional Director of Nursing will provide clinical leadership and nursing oversight across multiple adult daycare facilities. This individual will be responsible for monitoring participant health and safety, supervising nursing personnel, ensuring appropriate clinical documentation, coordinating participant assessments, and maintaining compliance with applicable Missouri healthcare regulations.
The position will work closely with facility Administrators, Program Directors, nurses, CNAs, caregivers, and corporate management to ensure consistent clinical standards and quality participant care across all locations.
KEY RESPONSIBILITIES
1. Regional Nursing Operations
- Oversee nursing operations across multiple adult daycare locations.
- Conduct regular facility visits and clinical reviews.
- Supervise and support facility nurses and nursing personnel.
- Establish consistent nursing policies and clinical procedures.
- Monitor nursing staff performance and clinical responsibilities.
- Identify clinical operational issues and implement corrective action plans.
- Coordinate nursing coverage and staffing needs.
- Provide regular clinical updates to regional and corporate management.
2. Participant Health & Clinical Oversight
- Monitor participants' overall health and medical needs.
- Ensure appropriate nursing assessments are completed.
- Review changes in participants' physical and cognitive conditions.
- Coordinate with physicians and healthcare providers.
- Monitor chronic conditions and identify potential health risks.
- Ensure appropriate follow-up for medical concerns.
- Oversee documentation of incidents, injuries, and changes in condition.
- Ensure appropriate emergency response procedures are followed.
3. Nursing Assessments & Care Plans
- Oversee participant nursing assessments.
- Review medical histories, diagnoses, medication lists, and physician orders.
- Coordinate with the RN Assessment & Care Plan Coordinator.
- Ensure individual plans of care reflect identified nursing needs.
- Monitor assessment and care-plan review deadlines.
- Ensure appropriate documentation of participant health status.
- Review participant records for accuracy and completeness.
4. Medication Management
- Oversee medication-related policies and procedures.
- Ensure medication administration is performed by appropriately authorized personnel.
- Monitor medication documentation and records.
- Review medication errors and discrepancies.
- Coordinate with physicians and pharmacies regarding medication concerns.
- Ensure appropriate medication storage and safety procedures.
- Provide guidance and training to nursing personnel.
5. Staff Supervision & Training
- Supervise and mentor nurses and nursing personnel.
- Assist with recruiting and onboarding nursing staff.
- Monitor nursing staff attendance and performance.
- Ensure required licenses and certifications are current.
- Coordinate clinical training and competency assessments.
- Provide guidance on infection prevention and participant safety.
- Conduct nursing meetings and performance reviews.
- Work with HR regarding nursing staff concerns and disciplinary matters.
6. Regulatory Compliance & Quality Assurance
- Ensure nursing practices follow applicable Missouri regulations.
- Monitor compliance with clinical policies and procedures.
- Prepare facilities for DHSS inspections and regulatory reviews.
- Conduct clinical chart audits.
- Review incident reports, medication errors, and complaints.
- Monitor infection prevention and control procedures.
- Participate in QAPI activities and quality improvement initiatives.
- Develop corrective action plans for identified clinical deficiencies.
7. Coordination With Administrators & Management
- Work closely with facility Administrators and Program Directors.
- Coordinate with the Business Office Manager regarding clinical documentation.
- Work with the Social Services Designee on participant needs.
- Coordinate with admissions regarding new participant medical information.
- Communicate clinical concerns to ownership and regional management.
- Establish consistent clinical standards across all facilities.
Daily responsibilities may vary depending on participant needs, facility operations, and regional priorities.
REQUIRED QUALIFICATIONS
- Active and unrestricted Missouri Registered Nurse (RN) license – REQUIRED.
- Bachelor's degree in Nursing (BSN) preferred.
- Minimum 3–5 years of nursing experience.
- Minimum 2 years of nursing supervisory or management experience preferred.
- Previous Director of Nursing, Assistant Director of Nursing, or Clinical Nurse Manager experience strongly preferred.
- Experience in adult daycare, skilled nursing, long-term care, home health, or community-based healthcare.
- Knowledge of nursing assessments and care-plan development.
- Familiarity with Missouri DHSS requirements and healthcare regulations.
- Knowledge of infection control, medication safety, and clinical documentation.
- Experience with quality assurance and QAPI.
- Strong leadership and communication skills.
- Ability to travel between multiple facilities.
PREFERRED EXPERIENCE
Candidates with experience in the following areas are strongly encouraged to apply:
- Adult day health services
- Nursing home / skilled nursing facility
- MDS coordination
- Clinical assessments and care planning
- MO HealthNet / Medicaid
- HCBS programs
- Medication administration and oversight
- QAPI and clinical audits
- Nursing staff supervision
- Infection prevention and control
- Healthcare compliance
IDEAL CANDIDATE
The ideal candidate is an experienced nursing leader who can provide clinical direction, supervise nursing personnel, and maintain consistent standards of participant care across multiple adult daycare facilities.
This individual must be comfortable conducting facility visits, reviewing clinical records, addressing nursing concerns, training staff, and working directly with facility Administrators and corporate management.
COMPENSATION & BENEFITS
$45.00 PER HOUR
- Full-time employment.
- Paid time off, subject to company policy.
- Health insurance, subject to eligibility.
- Professional development opportunities.
- Mileage reimbursement for approved regional travel.
- Leadership and career advancement opportunities.
Superior Adult Daycare is an Equal Opportunity Employer.
Pay: $45.00 per hour
Expected hours: 40.0 per week
Benefits:
- Dental insurance
- Health insurance
Work Location: In person
Regional Director of Nursing Jobs by Experience Level
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Find JobsRegional Director of Nursing Job Market
Who's Hiring
What Employers Look For
The qualifications that appear most often in regional director of nursing jobs.
- Active registered nurse license with multistate or state-specific endorsement as required
- Five or more years of progressively responsible nursing leadership across multiple facilities
- Demonstrated experience with CMS survey preparation and regulatory compliance
- Bachelor of Science in Nursing required, master's degree in nursing or healthcare administration preferred
- Proficiency with electronic health record systems and clinical quality reporting tools
- Proven ability to manage budgets, staffing models, and clinical outcomes across a region
Tips for Your Regional Director of Nursing Job Search
Quantify outcomes across your facilities
Your resume should show measurable results at the facility level: survey outcomes, turnover rates you improved, or staff ratios you managed. Regional directors oversee multiple sites, so hiring teams want evidence you've moved numbers at scale, not just one building.
Tailor your resume to setting type
Long-term care, home health, and acute care regional roles have different compliance priorities. Lead with the setting that matches the posting, and mirror the language around survey readiness, Joint Commission standards, or PDPM depending on which applies.
Apply early to roles that fit
Migrate Mate lists regional director of nursing openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Prepare a site-visit style interview answer
Many panels ask you to walk through how you'd assess an underperforming facility on day one. Prepare a structured answer covering your first observation priorities, how you identify root causes, and how you communicate findings to administrators without creating defensiveness.
Get your nursing home administrator knowledge current
Even if you don't hold an NHA license, regional director candidates are expected to speak fluently about CMS regulatory cycles, Five-Star ratings, and state survey processes. Gaps here surface quickly in interviews, so refresh yourself before any panel conversation.
Negotiate relocation terms before accepting
Regional roles often require frequent travel across a territory or occasional relocation. Clarify mileage reimbursement, home-base flexibility, and overnight travel expectations during the offer stage, not after, since these terms vary widely and are rarely posted in the job description.
Regional Director of Nursing Jobs: Frequently Asked Questions
Which companies are hiring the most regional director of nursings?
The most active employers for regional director of nursings right now are Longterm Health Management Services, Centurion Health, and Resorts at Chester River Manor, and the most openings are in Massachusetts, Georgia, and Maryland, based on current listings on Migrate Mate as of November 2026. Demand is strongest among large post-acute and long-term care networks managing multiple facilities under one operational structure.
How many regional director of nursing jobs are remote?
About 50% of regional director of nursing openings are fully remote or hybrid as of November 2026, reflecting the fundamentally site-based nature of the role. The sub-areas most likely to offer remote flexibility are quality improvement consulting, telehealth-focused organizations, and corporate clinical operations roles that do not require weekly facility visits.
How do you become a regional director of nursing?
Start with an active RN license and build several years of experience as a director of nursing at a single facility, demonstrating strong survey outcomes and staff leadership. Pursue a BSN if you haven't already, and many employers expect a master's degree in nursing or healthcare administration for regional roles. From there, seek out multi-site project work, serve on corporate quality committees, and build familiarity with CMS regulatory processes across different care settings before applying.
Can I get a regional director of nursing job without prior multi-site experience?
It's competitive but possible if your single-facility track as a director of nursing includes measurable turnaround results, strong survey history, and exposure to corporate-level projects. Employers hiring for their first regional expansion sometimes promote high-performing DONs internally. If you're applying externally without multi-site experience, focus your resume on scope: total licensed beds managed, number of direct reports, and cross-functional initiatives you led beyond your building.
What does the regional director of nursing interview process look like?
Most processes involve an initial screening with a recruiter or HR contact, followed by a panel interview with operations leadership and sometimes a VP of Clinical Services. Expect scenario-based questions about underperforming facilities, survey response strategy, and how you'd handle a clinical staff shortage across multiple sites at once. Some employers include a written case study or ask you to present a mock corrective action plan before a final offer conversation.
Where can I find and apply to regional director of nursing jobs?
You can find and apply to regional director of nursing jobs on Migrate Mate, which lists current openings from across the United States. Find roles that match your experience and care setting, and apply directly to each listing that fits.
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