Director of Nursing


Position Details:

Details: Full-Time
Department: ER/Hospital

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The Director of Nursing (DON) assumes authority, responsibility and accountability of the delivery of nursing services for the Critical Access Hospital and outpatient surgery suite at South Big Horn County Hospital District.

Manages employees in the provision of care and services according to professional standards of nursing practice, consistent with facility policy of care and state and federal laws and regulations. Develops and implements policies and procedures consistent with current law.

In collaboration with administration, allocates department resources in an efficient and economic manner to enable each resident/patient to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing.

Collaborates with other departments, professionals, consultants, and organizations, including government agencies and advocacy groups, to develop support and coordination of resident/patient care, related administrative functions and to represent the interests of the facilities.

Education:           Graduate of an accredited school of nursing. Bachelors’ Degree required, Masters’ Degree preferred.
Licensure:            Current and Active Wyoming Registered Nurse license.
Certifications:     Current BLS, ACLS, PALS, TNCC

Work Experience: Five years’ experience in a manager/supervisor position and two years’
experience in a critical access hospital setting.

Free from illegal use of drugs, and freedom from use and effects of use of drugs and alcohol in
the workplace.

Persons who have been found guilty by a court of law of abusing, neglecting or mistreating
individuals in a health care related setting are ineligible for employment in this position.

• Knowledge of Medicare, Medicaid and Federal and State rules and regulations.
• Possess strong communication and leadership skills
• Strong leadership skills with focus on empowering and motivating
• Business transformation management
• Strategic thinking, management and decision making
• Financial governance and budgeting
• Process improvement and management
• Dispute resolution
• Public relations and reputation management
• Customer retention strategy
• State and Federal reporting guidelines
• Strong organizational and prioritization skills
• Knowledge of emergency, disaster and trauma procedures

Promote facility mission, vision and values through daily work assignments; communications
with co-workers, patients and families; practice accountability in work product; and advocate for
higher quality of care.

Strong leadership ability with a focus on cultivating a team environment and motivating staff to
produce and follow the facilities mission, values and culture.

Adhere to and promote the continued willingness to re-evaluate procedures, policies and
structures to implement new systems of operation when changes are required to promote patient
and facility health, safety and satisfaction.

Will engage every customer encounter with a high degree of service excellence focusing on
creating a welcoming environment, anticipating customer needs and providing excellent
communication at all levels of the encounter to help the customer feel at ease, informed and
confident in the care received.

Ability to work independently and manage multiple projects and activities simultaneously. Must
be able to prioritize projects and handle change productively when assigned additional

Conduct self in a professional, courteous manner with co-workers, staff and the public in order to
maintain a cooperative relationship among the healthcare teams. Must adhere to a philosophy
and culture of teamwork and cooperation at all times.

Create, implement and maintain essential programs within the critical access hospital, including
but not limited to; the trauma program and swing bed program.

Provide nursing leadership to CEO, Medical Director, Department Heads and Governing Body to
formulate operational strategies and achieve facility objectives within planned budgets and
schedules. Provides direction to nursing staff to execute tasks necessary to implement
operational objectives.

Develop nursing policies and procedures that reflect current clinical practice, professional
standards and facility philosophy of care. Able to establish criteria to assure that services
provided meet established standards of quality.

Perform personnel functions including interviewing prospective staff members, conducting
performance evaluations and carrying out disciplinary actions when appropriate. Able to apply
personnel policies to facts concerning job actions without regard to race, sex, age, national
origin, religion or disability.

Conduct daily rounding with hospital staff to optimize patient health, safety and satisfaction and
promote employee satisfaction and confidence.

In conjunction with the Infection Control Professional, implements infection control program
designed to provide a safe, sanitary and comfortable environment and to prevent the
development and transmission of disease and infection.

Monitors the provision of care and services on all shifts and evaluates regulatory compliance
efforts through rounds to observe care on units, to review records and to interview staff members, residents, patients, families and other interested parties as situations dictate. Evaluates the findings of compliance rounds conducted by designated facility staff. Designs, implements and evaluates actions to continuously improve quality.

Conducts quality assessment and performance improvement activities, including regulatory compliance rounds, in all departments to monitor performance and to continuously improve quality. Develops programs to gather and analyze data for trends and to institute actions to resolve problems promptly and evaluates actions for effectiveness.

Reviews and evaluates swingbed referrals for appropriateness of care in the facility and assist in coordinating transfer to facility when referrals are accepted. Creates, implements and monitors policies and procedures for the swingbed program.

Participates as a member of Quality Assurance Performance Improvement Committee (QAPI). Reports and makes recommendations to QAPI.

Supervises the development of in-service education programs designed to equip nursing staff with sufficient knowledge and skills for nursing related services.

Prepares and participates in surveys and audits of facility. Actively participates in survey process by instructing staff in matters of conduct and disclosure, maintaining a presence at all times surveyors are on-site and directing the timely collection of information required by the survey team. Demonstrates concern for identified problems and undertakes corrective action while survey is in progress if appropriate. Gathers and presents supplemental documentation to avoid potential deficiencies. Collaborates with CEO to develop responses to survey as needed.

Collaborates with physicians, consultants, community agencies and institutions to improve quality of services and to resolve identified problems. Consults with CEO about resident/patient census, status, budget, personnel and other relevant issues.

Participates in the development of the department budget. Provides relevant financial information to CEO and CFO regarding department financial needs and status.

Develops staffing plans that assure sufficient numbers of qualified, competent nursing staff to meet direct care needs, conduct assessments as required, develop plans of care, evaluate responses to interventions and document clinical records effectively in compliance with state and federal requirements.

Hires and retains qualified competent nursing staff to provide nursing and nursing related services. Conducts interviews, provides regular performance reviews, takes appropriate job actions, reviews job actions taken by subordinates to assure that staff meet qualification and performance standards and can perform all essential functions of the job.

Work collaboratively with the Nursing Home DON and NHA to ensure the appropriate coverage of staff in clinical areas and ensure staff are fully trained in skill and education. In conjunction with the contracted pharmacist, ensures pharmacy services meet the needs of the facility and are compliant with established rules and regulations.

Adhere to South Big Horn County Hospital District’s policies and procedures, compliance program, quality programs and Federal and State regulations.

Able to carry out the essential functions of this job (with or without reasonable accommodation) without posing specific, current risk of substantial harm to health and safety of self and others.

NOTE: The essential functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent’s immediate manager.

• Essential functions are carried out in a variety of positions including standing, stooping,
bending, squatting, lifting and/or sitting. Virtually all positions require the ability to
move freely through the building.
• May have long periods of time standing.
• Lift, carry, turn and manipulate items with a weight of 50 lbs. or more.
• Exposure to infectious material.
• Exposure to the stresses associated with an intimate, 24-hour care environment that
delivers care and services to the disabled, cognitively impaired, and acutely ill and
• 10 to12-hour work shifts and routine on-call coverage. Must be able to respond to the
facility within 20 minutes while fulfilling on-call functions.
• Periodic holiday coverage

Submit Application
Equal Opportunity Employer
Three Rivers Health is an equal opportunity employer. Three Rivers Health does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law.
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