Interim Director of Nursing

Ambition 24 Hours is seeking an experienced, licensed Registered Nurse to serve as Interim Director of Nursing at a skilled nursing and rehabilitation facility in Rochester, New Hampshire. This is a contract leadership role covering a defined 9-week engagement, providing clinical oversight, regulatory compliance stewardship, and continuity of care during a leadership transition. The successful candidate will bring a proven track record in SNF/LTC nursing leadership, a strong command of CMS guidelines and state survey preparedness, and the ability to step in and lead with confidence from day one.

• Direct and oversee all nursing operations, staffing, and clinical care delivery across all units
• Ensure full compliance with CMS Conditions of Participation, state licensure requirements, and facility policies
• Lead survey readiness activities; serve as primary point of contact during regulatory inspections
• Develop, review, and update nursing policies, procedures, and care protocols
• Oversee resident assessments, care planning, and interdisciplinary team coordination
• Monitor quality indicators (QMs/QIs) and implement performance improvement initiatives
• Manage nursing department budget, staffing schedules, and resource allocation
• Mentor, coach, and provide clinical guidance to ADON, charge nurses, and floor staff
• Collaborate with the Administrator, Medical Director, and department heads on clinical and operational matters
• Conduct and support incident investigations, grievance resolution, and root cause analysis
• Maintain compliance with infection control protocols and documentation standards

Education

• Associate Degree in Nursing (ADN) minimum; Bachelor of Science in Nursing (BSN) preferred

Licensure

• Active, unrestricted Registered Nurse (RN) licence - New Hampshire or compact state licence required
• Current CPR/BLS certification

Experience

• Minimum 3 years of nursing leadership experience in a skilled nursing or long-term care setting
• Prior DON, ADON, or equivalent director-level SNF experience strongly preferred
• Demonstrated familiarity with MDS/RAI process, care planning, and Five-Star Quality Rating System
• Experience managing CMS survey process and state inspections
• Proficiency with electronic health records (EHR) in SNF environment

Other

• Strong communication, team leadership, and problem-solving skills
• Ability to engage quickly in a new environment and build rapport with staff and residents