JULIA K. MORRISON
Reno,NV
Summary
Accomplished nursing director with a robust background in skilled nursing operations and interdisciplinary collaboration. Expertise in recruiting and developing clinical staff, managing vendor relationships, and streamlining workflows to enhance operational efficiency. Recognized for crisis management capabilities and commitment to delivering exceptional resident care.
Overview
1
1
Certification
11
11
years of professional experience
Work History
Director of Nursing
Plumas District Hospital
Quincy, CA
01.2024 - 01.2026
- Led the clinical startup of a 36-bed skilled nursing facility, establishing nursing systems, staffing structures, workflows, policies, and clinical processes from the ground up.
- Managed nursing recruitment, hiring, scheduling, onboarding, and workforce planning to ensure safe, effective resident care through optimal staffing coverage.
- Successfully prepared for and supported the facility through two state regulatory surveys, coordinating nursing readiness, documentation, staff preparation, and follow-up requirements.
- Directed resident admissions, including clinical evaluations, placement coordination, documentation, and communication with residents, families, and interdisciplinary team members.
- Developed and implemented nursing policies, procedures, and workflows that ensured regulatory compliance, enhanced resident safety, and improved quality of care.
- In addition to core DON responsibilities, served as a key leadership resource for day-to-day facility operations, working with the interdisciplinary team to identify problems, make decisions, and ensure smooth daily operations.
- Functioned as a primary problem-solving resource for daily facility issues, addressing staffing, resident concerns, vendor coordination, clinical services, and interdisciplinary needs.
- Managed relationships with numerous vendors and external service providers, coordinating services and resolving operational issues affecting daily facility operations.
- Collaborated with physicians, pharmacy, rehabilitation, administration, and other members of the interdisciplinary team to resolve operational challenges and support quality resident care.
- Worked directly with pharmacy services, including reviewing pharmacy invoices, identifying discrepancies, and coordinating medication-related services.
- Demonstrated strong crisis-management and continuity-of-operations skills when a tree fell on the facility during the first six months of operation, requiring closure of a 9-bed wing. Coordinated the nursing response, staffing, resident safety, and continuity of care during the disruption.
- Transitioned facility from startup to ongoing operations, balancing clinical, regulatory, staffing, admissions, and resident-care priorities.
Clinical Program Manager, Transition of Care & Case Management
Prominence Health
Reno, NV
01.2023 - 01.2024
- Led complex care coordination, transitions of care, interdisciplinary collaboration, and clinical program development.
- Managed case management, DNCP care management, and transition of care programs, delivering clinical and operational leadership to enhance service delivery.
- Developed policies, procedures, workflows, and processes, ensuring comprehensive case management and transitional care services aligned with best practices.
- Supervised, hired, trained, and developed RN, LSW, and non-clinical staff, fostering a skilled team to support patient care objectives.
- Ensured program practices aligned with CMSA Standards of Practice for Case Management.
Director of Nursing
Neurorestorative
Reno, NV
01.2021 - 01.2022
- Directed clinical operations for pediatric and geriatric subacute care, enhancing quality of resident services.
- Managed pre-admission evaluations, discharge planning, and interdisciplinary conferences to optimize resident care plans.
- Directed resident care in collaboration with Medical Director, PT, OT, Speech Therapy, Dietitian, and interdisciplinary teams.
- Ensured compliance with regulatory and licensing requirements, maintaining high standards of patient safety and care.
- Managed nursing recruitment, hiring, training, performance evaluations, corrective action, and termination.
- Maintained staffing levels within regulatory and budgetary guidelines.
Clinical Supervisor / Director
Aveanna
Reno, NV
01.2019 - 01.2021
- Provided clinical and operational leadership for home health services from admission through discharge.
- Supervised, trained, oriented, and evaluated clinical field staff, contributing to staffing decisions and team effectiveness.
- Maintained compliance with regulatory requirements, professional standards, and company policies.
- Supported quality assurance and performance improvement initiatives, enhancing service delivery and compliance.
- Coordinated complex care with physicians, hospital case managers, and various agencies, ensuring comprehensive patient management.
- Acted as COVID-19 liaison, facilitating communication between staff and health authorities in the Reno office.
Expressions Director / House Services Director
Prestige Carson Tahoe
Carson City, NV
01.2018 - 01.2019
- Opened and directed 54-bed memory care community startup, establishing operations aligned with corporate leadership and regulatory requirements to ensure compliance and quality care.
- Led staffing, training, resident assessments, care planning, and daily clinical operations.
- Coordinated services among providers, pharmacy, laboratory, radiology, home health agencies, state agencies, and community resources to enhance resident care continuity.
- Conducted root-cause analysis of resident incidents, implementing safety interventions that improved resident safety and care quality.
- Published articles on dementia in Senior Living Magazine.
RN Case Manager
Kindred Home Health
Reno, NV
01.2017 - 01.2018
ICU / Med-Surg RN
Northern Nevada Medical Center
Sparks, NV
01.2016 - 01.2017
Cardiac ICU RN
Renown Regional Medical Center
Reno, NV
01.2015 - 01.2016
- Provided comprehensive nursing care, case management, critical care, assessment, care planning, patient/family education, interdisciplinary coordination, medication administration, and discharge planning.
- Monitored vital signs and cardiac rhythms for critically ill patients.
- Administered medications and treatments as per physician orders.
- Collaborated with multidisciplinary teams to develop patient care plans.
Education
Bachelor of Science - Nursing
University of Nevada
Reno05-2015
Skills
- Nursing leadership
- Long-Term Care Management
- Regulatory Compliance
- State Surveys
- Quality improvement
- Policy development
- Admissions
- Case Management
- Transitions of Care
- Staffing & Workforce Management
- Operational Leadership
- Interdisciplinary leadership
- Staff Development
- Crisis management
- Pharmaceutical Coordination
- Care Planning
Personal Information
Title: Certified Director of Nursing Services | Skilled Nursing & Clinical Operations Leader
Certification
- Registered Nurse California, Nevada, Montana & Washington,
Certified Director of Nursing Services,
Certified Case Manager (CCM) 2024-2028, California Public Health Nurse,
Advanced Cardiovascular Life Support (ACLS) 2026--2028,
Pediatric Advanced Life Support (PALS) 2026-2028,
American Heart Association Basic Life Support (BLS) 2025-2027,
NIH Stroke Scale Level 1,
FEMA ICS 100, ICS 200 & ICS 700,
Wilderness Emergency Medical Technician, NOLS
PROFESSIONAL & COMMUNITY SERVICE
- Surgeon Generals Medical Reserve Corps, Washoe County, NV, 2013
- Sheriffs Search & Rescue Unit, El Dorado County, CA, 2011, 2012
Timeline
Director of Nursing
Plumas District Hospital
01.2024 - 01.2026
Clinical Program Manager, Transition of Care & Case Management
Prominence Health
01.2023 - 01.2024
Director of Nursing
Neurorestorative
01.2021 - 01.2022
Clinical Supervisor / Director
Aveanna
01.2019 - 01.2021
Expressions Director / House Services Director
Prestige Carson Tahoe
01.2018 - 01.2019
RN Case Manager
Kindred Home Health
01.2017 - 01.2018
ICU / Med-Surg RN
Northern Nevada Medical Center
01.2016 - 01.2017
Cardiac ICU RN
Renown Regional Medical Center
01.2015 - 01.2016
Bachelor of Science - Nursing
University of Nevada