Highland Health & Rehabilitation is a 44-bed skilled nursing and rehabilitation community committed to delivering high-quality, person-centered care. We are seeking a confident, strategic, and relationship-driven Chief Nursing Officer to serve as the clinical leader and partner to the CEO, driving excellence in resident care, team development, and operational performance.

This is an opportunity to step into a highly visible leadership role where you will directly shape clinical outcomes, team culture, and the overall resident experience.

Why Join Highland?

• Collaborative partnership with an engaged CEO and leadership team
• Opportunity to influence clinical strategy and facility performance
• Supportive infrastructure with strong regional clinical resources
• Commitment to quality care, innovation, and team development
• Competitive Salary: $130,000 - $150,000 + incentive plan + relocation assistance (if applicable)

What You'll Do:

Clinical Leadership & Team Development

• Lead, mentor, and develop nursing leaders and frontline staff
• Build a culture of accountability, collaboration, and continuous improvement
• Oversee staffing strategy based on census, acuity, and budget
• Ensure strong onboarding, clinical competencies, and ongoing education programs
• Promote positive employee relations and high staff engagement

Quality & Outcomes

• Drive person-centered, evidence-based care across the facility
• Monitor clinical outcomes and lead quality assurance and performance improvement (QAPI) initiatives
• Analyze trends, identify opportunities, and implement sustainable solutions
• Ensure excellence in care planning, clinical documentation, and interdisciplinary collaboration

Survey Readiness & Regulatory Compliance

• Maintain a state of continuous survey readiness
• Lead survey processes with confidence and structure
• Ensure compliance with all federal and state regulations and clinical standards
• Oversee investigations, root-cause analyses, and plans of correction

Operational & Strategic Leadership

• Partner closely with the CEO as the clinical leader of the facility
• Participate in budgeting, staffing models, and resource planning
• Evaluate referrals to ensure clinical capability and appropriate admissions
• Oversee equipment, supplies, and clinical resource utilization
• Serve as acting operational leader in the CEO’s absence when needed

Resident Experience & Advocacy

• Champion resident rights, dignity, and safety
• Promote strong communication with residents, families, and care teams
• Support smooth transitions of care through effective discharge planning
• Maintain visibility through daily rounds and engagement with staff and residents

What We're Looking For:

• Active RN license in Washington (or ability to obtain)
• 3–5+ years of leadership experience in skilled nursing (CNO/DON/ADON level preferred)
• Strong knowledge of CMS regulations, survey processes, and long-term care operations
• Experience leading QAPI initiatives and driving clinical outcomes
• A leader who builds trust, develops teams, and holds high standards
• Excellent communication, problem-solving, and decision-making skills
• Passion for delivering high-quality, person-centered care

Compensation & Benefits:

• Annual Salary: $130,000 - $150,000 DOE + incentive opportunity
• Relocation assistance, if applicable
• Medical, dental & vision insurance
• 401(k) retirement plan
• Generous PTO & holiday pay
• Life & disability insurance
• Employee Assistance Program
• Supportive, mission-driven leadership team

Join Our Team

If you’re a clinical leader who wants to make a meaningful impact—partnering closely with executive leadership while shaping care, culture, and outcomes—we’d love to connect.

Apply today and help lead the future of care at Highland Health & Rehabilitation.

Qualifications

Education

Graduate of accredited school of nursing, BSN or MSN preferred. 

Licenses/Certification

Valid RN license in the state employed

Valid CPR certification

DNS-CT or CDONA, optional

Valid driver’s license

Experience

3-5 years successful experience as a Director of Nursing or equivalent position in long-term care facility preferred