Elder Services Director of Nursing

Open: March 2 2026Close: When FilledJob Title: Director of Nursing House of RespectResidencesDepartment: Elder ServicesReports To: Executive Director/Assisted Living AdministratorHours: 40 Hrs/Wk Full TimeSalary: Based on Salary MatrixBenefits Requisition: 858 *Salaries are market competitive. For accurate salary information call or email The Puyallup Tribe of Indians provides a generous benefits package that includes employer paid medical dental vision life insurance a retirement/401(k) plan with profit sharing paid holidays and paid time off including birthday Summary: The Director of Nursing (DON) will be responsible to plan organize develop and direct the overall functions of the Assisted Living Facility in accordance with current Tribal Federal State and local standards governing long term care facilities and as may be directed by Executive Director to ensure that the highest degree of quality care will be provided to the residents at all times Must be organized dedicated RN with great leadership includes focusing on high resident satisfaction and quality resident care/services. The DON will ensure compliance with applicable policies and procedures and ensure smooth operation of The Residence through staff development and employee Duties and ResponsibilitiesDevelops and promotes a staff philosophy that encourages the respect and protection of Elder Resident rights and staff to provide quality services in a caring respectful and cultural environment which strives to preserve the Elder residents independence and self-respect. Ensures the delivery of quality care and services and promotes positive resident and family relations responding promptly and appropriately to resident needs requests and concerns. Encourages resident interaction and promotes a culture where each resident is of the greatest importanceResponsible for the admission process criteria and assessment and ensures preadmission assessments are completed prior to the resident moving proper staffing levels while minimizing overtime and agency daily with Executive Director or designee. Conducts ongoing resident assessments and care nursing and personal care for the transfer or discharge process of residents. Responsible for ensuring staff continually assess any changes of condition in residents functioning or health status. Provides a safe environment for residents staff and training for care staff. Ensures all staff members maintain required licenses CE CPR/First Aide and other requirements to perform their job compliance with alert charting and temporary service plans policy and procedure. Monitor documentation of nursing and personal collaboratively with external health care storage administration documentation and proper disposal of in for absent employees on an emergent available when assigned by telephone 24/7 for emergency questions from coverage with Executive Director for off hour coverage when through building and grounds daily to assess cleanliness organization safety issues and to greet residents and build trusting relationships. Works cooperatively and collaboratively with Puyallup Tribal Health Authority staff as well as with other organizations and agencies that serve the health needs of the professionalism and mindful regard to each residents personal privacy dignity independence personal effects safety health and integrity and standard of personal ethics on and off the job so as not to call his/her trustworthiness with residents personal effects into consultation feedback and recommendations to staff on resource utilization and adherence to quality standards. Meets regularly with staff to communicate departmental goals and objectives and performance closely with the Executive Director or designee on Quality Assurance metrics and reports to as part of the department quarterly reports to share with the Tribal Council. Compiles statistical data and writes narrative reports summarizing quality management findings performance issues/standards use of services that staff is preparing and maintaining written case records reports and forms by performing case staffing and follow-up that incidents involving resident safety confidentiality theft etc. are promptly reported investigated and for implementing and conducting orientation and in-service training for departmental staff and participates in guidance and educational programs for self and in the hiring of departmental personnel and promptly completes performance evaluations directs training needs and works to correct inappropriate staff behaviors. Trains staff on the importance of trustworthiness and confidentiality with regard to their jobs and working with Elders and their families. Develops strategies to achieve departments goals and objectives; understands need to adapt to changing conditions and a willingness to make decisions; exhibits sound and accurate judgment; supports and explains reasoning for decisions; includes appropriate people in decision-making processes; makes timely and plans work activities for self and departmental staff; uses time efficiently; plans for additional resource needs; develops realistic action for maintaining strict confidentiality adhering to the Privacy Act as well as HIPPA Laws. This includes managing residents data and health records/EHR (electronic health records) as confidential other duties as ResponsibilitiesThis position supervises employees directly and indirectly. Carries out supervisory responsibilities in accordance with the Puyallup Tribe of Indians personnel policies and procedures and all applicable laws. Responsibilities include interviewing hiring coaching and training employees; planning assigning and directing work; appraising performance; rewarding recognizing and counseling employees; addressing complaints and resolving and RequirementsTo perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential and/or ExperienceDegree in Nursing and current Washington State Registered Nurse License. Must have a two years of management experience in a health care demonstrate cultural awareness and understanding; must be respectful adaptable and demonstrate an understanding of family dynamics and adult care demonstrate an ability to understand assess and make recommendations on elder care in assisted living through previous experience in elder case management/social work and building case plans for the individual and/or their have sufficient previous supervisory experience to demonstrate the ability to assess current staff strengths and weaknesses and make recommendations for development and demonstrate previous experience in policy development and demonstrate strong communication skills and previous experience working with providing reports to and making presentations to Boards Committees and the computer skills with word processing spreadsheets and database is SkillsAbility to read analyze and interpret the most complex documents. Ability to respond effectively to the most sensitive inquiries or complaints. Ability to write clear reports be persuasive and make presentations on controversial or complex SkillsAbility to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as fractions percentages ratios and proportions to practical AbilityAbility to define problems collect data establish facts and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in written mathematical or diagram form and deal with several abstract and concrete Skills and AbilitiesAbility to supervise and schedule and knowledge to work closely with Tribal Elders and their submit and be able to pass a criminal background check prior to employment and periodically after have and maintain a valid and unrestricted Washington State drivers license. Drivers license must not contain any restrictions that would prevent the employee from driving a GSA have or be able to obtain CPR/First Aid certification within the first 90 days of DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential the ability to operate a typewriter personal computer multi-line telephone calculator facsimile and photocopier and other office the ability to read write communicate and interpret information accurately in the ability to concentrate and consistently produce accurate employee is frequently required to stand; walk; sit; use hands to finger handle or feel; reach with hands and arms; talk or hear; and taste or smell. The employee is occasionally required to stoop kneel crouch or crawl. The employee must occasionally lift and/or move 10 to 50 EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential noise level is usually moderate. The physical exertion is low to is performed in an office are frequent employee contacts and interruptions during the Puyallup Tribe of Indians reserves the right to revise or change job duties and responsibilities as the need arises. This position description does not constitute a written or implied contract of Preference Employer as Required by LawOnline Application Tips:1. If you are using a PC use Chrome. If you are using a MAC use Safari.2. Upload additional documents (resume cover letter letters of recommendation proof of Indian blood etc.) to the resume tab as one (1) PDF file or email documents to and we can add them to your online application. Please send in copies of any degrees or certificates that you have been awarded.3. Indian Hiring Preference send in the appropriate documentation for the category you select. If you have any questions about the hiring preference policy or what document to send in email us at or call .4. Provide 3 references (we cannot obtain references from direct family members mother father grandparents sisters brothers or children and this includes in laws). One reference must be your most recent supervisor. We prefer the rest of your references to include co-workers subordinates or other supervisors but we can accept a personal reference from someone who is familiar with your work ethic habits and attendance. You can send in letters of recommendation to To add more employment education references etc. click on the small sign at the top right corner of the page.6. When entering salaries only use numbers. Do not use any other characters (such as . or $)7. After you submit your application you will receive an email confirmation. If you do not receive an email please call the office to confirm submission.*Please do not wear perfumes colognes or strong scents to your interview. Some employees are you have any questions about the positions or the online application please call or email E. Portland Ave. Tacoma WA 98404