Director of Nursing

Director of Nursing

Location: Woodinville, WA
Company: Alliance Nursing
Salary: $140k,000 - $180,000 /Year

Join our compassionate, mission-driven team at Alliance Nursing as a Director of Nursing, a role that is deeply clinical, hands-on, and leadership-driven. This is not a purely administrative position. We are seeking an experienced nurse-leader who is actively engaged in patient care oversight, clinical decision-making, and in-field support-someone who leads by example and remains closely connected to the care being delivered.

As Director of Nursing, you will oversee both medically complex home health/private duty nursing and our Adult Family Homes (AFHs), with regular, direct involvement in the homes. You will work alongside nurses and caregivers, provide clinical guidance, conduct in-person oversight and evaluations, and ensure the highest standards of quality, safety, and regulatory compliance. This role is a true blend of hands-on nursing, clinical leadership, and operational responsibility-designed for a DON who still identifies as a nurse, values bedside realities, and takes ownership of outcomes across teams, homes, and patients.

Key Responsibilities

• Lead and mentor nursing teams across both Home Health and Adult Family Home (AFH) settings, fostering collaboration, accountability, and clinical excellence.

• Oversee clinical operations and compliance, including CHAP standards, HIPAA, and state/federal regulations, while managing staffing, referrals, and patient placements.

• Drive quality improvement initiatives, covering safety protocols, infection control, policy development, and performance outcomes.

• Support organizational preparedness, including disaster planning, emergency response protocols, and staff training.

• Act as a clinical leader and liaison, providing expert guidance on patient care and risk management, while collaborating closely with the CEO, Governing Body, and interdisciplinary teams.

Qualifications

Required:
We're looking for a seasoned nursing leader with:

• an active, unrestricted Washington State RN license and a BSN

• At least 5 years of clinical experience in home health or private duty nursing, including 1+ year working with tracheostomy and ventilator-dependent patients

• 2+ years of supervisory or management experience in a home-based or Adult Family Home setting

• Strong knowledge of CHAP standards, HIPAA, and healthcare regulations

• The ability to lead independently, manage clinical complexity, support staff, and respond to emergencies

• Physical ability to lift 40 lbs, perform CPR, and handle on-call duties

• A valid driver's license and comfort traveling to client homes and AFH sites

Preferred:

• A Master's degree in Nursing or a related field

• Experience leading CHAP accreditation or clinical compliance programs

• Familiarity with Lean Six Sigma or other system improvement methodologies

• A background in infection control and disaster preparedness

• Proficiency in Microsoft Office and clinical documentation systems

Alliance Nursing Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex/gender, national origin, age, sexual orientation, gender identity, marital status, disability, genetics/genetic markers, military or veteran status, or any other characteristic protected by applicable federal, state, or local law.