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Director of Nursing ***$15,000 Sign-On Bonus***


Position Details:

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Skilled Care Facility

The Director of Nursing is tasked with overseeing the overall management of the nursing staff in the skilled nursing facility as well as the quality of health care provided by the nursing staff and other medical personnel. The Director of Nursing is expected to participate in the interdisciplinary team, evaluate nursing policies and manage all aspects of nursing personnel.


Education:                   Bachelor of Science Degree in Nursing from an accredited college or university preferred.

Licensure:                    Must possess a current, valid RN license in state of Wyoming, temporary RN license in state Wyoming, or compact RN licensure for current state of practice. BLS certification is required. Additional certification or continuing education may be required based on area of practice.

Work Experience:       Minimum of 3 years’ experience in a leadership role.  Previous experience in a skilled nursing facility preferred

Freedom from illegal use of drugs, and freedom from use and effects 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 Wyoming skilled nursing facility rules and regulations

  • Possess strong communication and leadership skills
  • Able to plan, organize and implement strategic initiatives
  • Conflict resolution skills
  • Excellent time management
  • Detail Oriented
  • Problem identification, data analysis and decision-making processes
  • Knowledge of nursing standards of practice
  • Excellent Customer Service skills
  • Knowledge MDS requirements and assessments and minimum data sets


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 tasks/projects.

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.


 Maintain nursing home staff through recruitment, hiring, training, counseling, evaluating and disciplining current and future members as the situation requires. Discuss and report any staff concerns, with solutions, to the Nursing Home Administrator.

Develop policies and procedures for the nursing department and resident care and participate in the implementation of these policies.  Monitor day to day execution of care policies and obtain guidance from medical director as needed.

Responsible for the accurate and timely reporting and submission of MDS reports to appropriate agencies.

In consultation with the inter-department disciplinary team, will develop, implement, follow and monitor admission and discharge planning and the services associated with each resident.

Conduct daily rounding with nursing home staff to optimize resident health, safety and satisfaction and promote employee satisfaction and confidence.

Participate in nursing home healthcare meetings for residents and provide reports on any major or special concerns to Nursing Home Administrator.

Conduct training and education on infection control policies and procedures and monitor nursing department for appropriate application of producers.

Work with infection control personnel to create, review and implement policies and procedures for the safe care of residents.

Conduct investigations on incidents occurring within nursing home staff, residents and/or facility and create precise reports as mandated by facility policy and State and/or Federal laws and regulations.

Complete patient care requirements by scheduling and assigning nursing staff through facility demands and State and Federal laws and/or regulations.

In partnership with other departments, prepares operational and capital budgets on an annual basis. Creating, reviewing and submitting reports required by government agencies to ensure appropriate funding.

Responsible for creating, implementing, maintaining and reviewing quality care projects within the nursing home nurse staff.

Examines budget compliance and reviews inventory process and reports in patient care areas to assure cost containment efforts are maintained.

Will collaborate with other departments to ensure optimal care is provided to residents and prepare the nursing department for state surveys and/or inspections

Maintains documentation of patient care services by inspecting patient physical, mental and emotional wellbeing, auditing patient records and auditing department records.  Will provide counseling, training or disciplinary actions as situations require.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Administer monthly staff development meeting and annual skills training; document attendance and subjects covered for personnel training files.

Will assume job responsibilities and act in the absence of the nursing home administrator.

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 a management level position and an intimate, 24-hour care environment that delivers care and services to the disabled, cognitively impaired, and acutely ill and injured.

Application Form

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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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307-568-3311388 US-20 South, Basin, WY 82410
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