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Director of Nursing Services

Director of Nursing (DON) – Full-Time Permanent

Therapy HCR
Location: San Rafael, CA
Pay Range: $150,000 – $180,000 per year (Open to Discuss Based on Experience)
Setting: Skilled Nursing Facility (SNF)
Employment Type: Full-Time | Permanent

Join Therapy HCR – Where Clinical Leadership Matters

Therapy HCR is a clinician-focused healthcare organization dedicated to delivering exceptional rehabilitation and nursing care in post-acute settings. We believe strong patient outcomes begin with strong leadership, supportive teams, and operational excellence.

Our leadership understands the complexities of Skilled Nursing Facilities and the importance of maintaining high clinical standards while supporting nursing teams.

We are currently seeking an experienced and motivated Director of Nursing (DON) to lead nursing operations in a Skilled Nursing Facility in San Rafael, CA.

This opportunity offers long-term stability, a supportive administrative team, and the chance to make a meaningful impact on resident care and staff development.

Key Responsibilities

  • Oversee and manage all nursing operations within the Skilled Nursing Facility
  • Ensure compliance with state, federal, and regulatory nursing standards
  • Develop and implement policies, procedures, and quality improvement initiatives
  • Supervise, mentor, and support nursing staff including RNs, LVNs, and CNAs
  • Collaborate with interdisciplinary teams including therapy, physicians, and administration
  • Monitor patient outcomes and implement strategies to improve quality of care
  • Manage staffing, scheduling, and departmental budgets
  • Lead staff development, training, and performance evaluations

Qualifications

  • Active California RN License in good standing
  • Bachelor of Science in Nursing (BSN) preferred
  • Minimum 3–5 years of leadership experience in a SNF or long-term care setting
  • Prior experience as DON, Assistant DON, or Nurse Manager preferred
  • Strong leadership, regulatory, and operational management skills
  • Knowledge of CMS, Medicare, and SNF compliance standards

Why Apply with Therapy HCR?

  • Competitive salary: $150K – $180K annually (flexible and negotiable during interview)
  • Full-time permanent leadership role
  • Comprehensive medical, dental, and vision benefits
  • Paid Time Off and holiday pay
  • 401(k) retirement plan
  • Supportive leadership and administrative team
  • Collaborative clinical environment
  • Opportunities for professional advancement and leadership growth

(Director of Nursing roles in San Rafael typically average around $66/hour or ~$140K annually, with many SNF leadership roles reaching $150K+ depending on experience.) ()

How to Apply

Apply through Indeed or connect with the Therapy HCR hiring team to learn more about this opportunity.

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Pay: $116,533.87 - $140,341.86 per year

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Disability insurance
  • Employee assistance program
  • Employee discount
  • Flexible schedule
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Parental leave
  • Professional development assistance
  • Referral program
  • Retirement plan
  • Vision insurance

Work Location: In person

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