Avera

Director Nursing Services | Long Term Care

300 S Bruce St, Marshall, MN 56258

Full-time · $125k–$150k (as posted)

First seen by offpeak October 4, 2026

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Location:

Avera Marshall Hospital

Worker Type:

Regular

Work Shift:

Primarily days with night, weekend and holiday on-call involvement (United States of America)

Position Highlights

This position is located in Marshall, MN

May be eligible for a $50,000 sign-on bonus!

Salary Range: $125,000-150,000 annually

You Belong at Avera

Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

A Brief Overview

Responsible for providing care and services to meet the needs of the assigned facilities through strategic and accountable leadership. This includes the establishment, implementation and adherence to policies and procedures, coordination of orientation programs for new staff, development and engagement of existing staff and is instrumental in leading quality improvement activities; develops monitoring tools, collects data, uses data to drive improvements in care and services.

What you will do

Responsible for total nursing care of residents and the accuracy of the nursing care records. Participates in the selection of prospective residents based on nursing care needs and nursing personnel competencies available.
Oversees all Federal/State SNF Conditions of Participation including admissions, MDS/Care planning process, restorative nursing and care delivery.
Establishes and implements policies/procedures for the total care of residents inclusive of nursing activities, social services, and delegated medical care.
Determines, along with the Administrator, the numbers and levels of nursing personnel. Establishes staffing pattern to provide quality nursing care 24 hours/day.
Participates in planning, decision making, and budgeting for the facility.
Remains aware of the safety needs for staff and residents; develops policies relevant to quality of care. Coordinates the QAPI program and facilitates staff participation in QAPI.
Delegates and monitors non-nursing responsibilities to other staff consistent with their training, experience, competence, and legal authorization and with nursing home policy.
Understands/coordinates Medicare/Medicaid coverage requirements.
Assures that a comprehensive plan of care is established and implemented per regulations for each resident. Interacts with the physicians/providers to plan care for the residents. Assures that discharge and transfer planning for residents is conducted.
Responsibilities include interviewing, hiring, developing, training, and retaining employees; planning, assigning, and leading work; appraising performance; rewarding and coaching employees; addressing complaints and resolving problems.

Essential Qualifications

The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

Required Education, License/Certification, or Work Experience:

Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon Hire
4-6 years in long term/skilled care or similar experience

Preferred Education, License/Certification, or Work Experience:

1-3 years leadership

Expectations and Standards

Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
Promote Avera’s values of compassion, hospitality, and stewardship.
Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
Maintain confidentiality.
Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits You Need & Then Some

Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.

PTO available day 1 for eligible hires.
Up to 5% employer matching contribution for retirement
Career development guided by hands-on training and mentorship

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org.