Director of Nursing (RN)

Director of Nursing (RN)

Guardian Senior Care, LLC - Watertown, South Dakota

Full-time | Monday-Friday | 40 hours per week

Guardian Senior Care is seeking an experienced Director of Nursing to lead our care team, oversee daily operations, and support the continued growth of our home care agency.

We are looking for an RN with strong clinical judgment, business knowledge, and leadership skills who can develop employees and build lasting relationships with clients, families, and referral partners. Previous experience as a Director of Nursing and demonstrated success in client acquisition are strongly preferred.

Guardian is a family-owned agency serving Watertown and surrounding communities in Codington, Clark, and Hamlin Counties. We help clients remain safe, comfortable, and independent at home through skilled nursing, personal care, memory care, household assistance, and transportation.

WHAT YOU'LL DO

• Lead nursing services, including client assessments, individualized care planning, staff supervision, delegation, and clinical documentation.
• Oversee daily operations and coordinate nursing, caregiving, scheduling, and administrative activities.
• Recruit, hire, orient, and supervise staff. Set clear expectations, provide coaching, address performance concerns, and support employee retention.
• Work closely with the owners on budgets and business goals. Monitor revenue, expenses, staffing costs, and operational performance.
• Lead client acquisition and develop referral relationships with medical practices, discharge planners, rehabilitation providers, and community organizations.
• Oversee inquiries, consultations, and admissions, matching client needs with the agency's ability to provide dependable care.
• Maintain care quality and applicable compliance requirements, respond to concerns, and implement improvements.
• Provide nursing support when needed and maintain reliable coverage for clients and staff.

REQUIRED QUALIFICATIONS

• Graduate of an accredited nursing program.
• Active, unencumbered South Dakota RN license or valid multistate RN license with privilege to practice in South Dakota.
• Supervisory and administrative experience in home care or a related health care setting.
• Strong understanding of budgeting, financial reports, staffing costs, and operational management.
• Effective leadership, communication, organization, and problem-solving skills.
• Proficiency with electronic records, scheduling systems, spreadsheets, and routine business software.
• Current CPR/BLS certification.
• Valid driver's license, appropriate automobile insurance, and ability to travel throughout the service area and meet applicable employment screening requirements.

PREFERRED QUALIFICATIONS

• Previous experience as a Director of Nursing.
• Demonstrated success in client acquisition, referral development, or business growth.
• Bachelor of Science in Nursing or additional education in business or health care administration.

SCHEDULE

Full-time, Monday-Friday, with flexibility to adjust hours when after-hours needs arise.

WORK ENVIRONMENT

The position includes office leadership, client home visits, and community outreach. Guardian provides a phone, laptop, and necessary work equipment. Essential functions must be performed with or without reasonable accommodation.

HIRING TIMELINE

• Applications accepted through December 3, 2026.
• A hiring decision will be made by December 11, 2026.
• Orientation will be scheduled before December 17, 2026.
• First day of work will be on or before January 4, 2027.

APPLY

Apply through Indeed with your resume and a brief description of your nursing leadership, business management, and client acquisition experience.

Work Location: In person