Location:
Oregon (Portland Metro)

Reports
To: Executive Director

Position
Summary

The
Director of Nursing (DON)
provides leadership and oversight for all
hospice clinical operations. This role is responsible for ensuring high-quality
patient care, regulatory compliance, and strong team performance while
balancing operational and financial outcomes. This is a hands-on leadership
role requiring both clinical expertise and the ability to lead, develop, and
hold teams accountable in a fast-paced hospice environment.

Key
Responsibilities

Clinical
& Operational Leadership

• 
  Lead
  day-to-day clinical operations, including patient assignments, productivity,
  and census management
• 
  Provide
  guidance and support in complex patient care situations
• 
  Monitor
  key metrics such as census, acuity, visit utilization, and staffing needs
• 
  Ensure
  alignment between clinical operations and organizational goals
• 
  Maintain
  visibility with field staff and support teams as needed

Staff
Leadership & Accountability

• 
  Lead
  hiring, onboarding, coaching, and performance management of clinical staff
• 
  Hold
  leaders and staff accountable for performance, attendance, and productivity
• 
  Address
  performance concerns proactively, including corrective action when necessary
• 
  Develop
  and mentor clinical supervisors and emerging leaders
• 
  Foster
  a culture of accountability, teamwork, and continuous improvement

Quality,
Compliance & Clinical Excellence

• 
  Ensure
  all clinical documentation is accurate, timely, and audit-ready
• 
  Maintain
  compliance with Medicare Conditions of Participation and regulatory standards
• 
  Lead
  QAPI initiatives including quality metrics, incidents, and infection control
• 
  Prepare
  for surveys, audits, and accreditation reviews
• 
  Oversee
  incident investigations and corrective actions

Operational
& Financial Management

• 
  Monitor
  staffing utilization, overtime, and productivity expectations
• 
  Partner
  with leadership on clinical budget planning
• 
  Ensure
  appropriate use of supplies, equipment, and medications

Communication
& Community Engagement

• 
  Promote
  clear, professional communication across teams
• 
  Build
  relationships with referral sources including hospitals and SNFs
• 
  Collaborate
  cross-functionally to ensure continuity of care

Emergency
Management

• 
  Ensure
  staff safety and coordination during emergencies
• 
  Lead
  communication with internal teams and external agencies
• 
  Maintain
  infection control and safety standards during emergencies

Role
Expectations (Non-Negotiables)

• 
  This
  is not a desk-only role—active involvement in clinical operations is expected
• 
  Must
  be comfortable making independent decisions related to staffing and patient
  care
• 
  Accountable
  for team performance, documentation quality, and regulatory outcomes
• 
  Must
  be able to lead in a dynamic environment with changing census and patient needs

Qualifications

• 
  Active
  Oregon RN license in good standing
• 
  7+
  years of clinical experience
• 
  3+
  years in a leadership role (hospice preferred)
• 
  Experience
  in hospice, home health, SNF, or hospital settings
• 
  Strong
  leadership and communication skills
• 
  Knowledge
  of regulatory standards and compliance requirements
• 
  Valid
  driver’s license and reliable transportation

Compensation

Competitive
salary based on experience

Performance-based
bonus opportunity

Full
benefits package including medical, dental, vision, PTO, and 401(k)