Director of Nursing

PURPOSE/DISTINGUISHING CHARACTERISTICS Directs and supervises the delivery of patient care in the Emergency Department, Hospice Department, Skilled Intermediate and Acute Care settings.  Acts as a resource person for licensed nursing staff and CNAs.  Works collaboratively with CEO, Department Managers, and Medical Staff to ensure high quality of care is being delivered.  Performs on-going quality and infection control work to enhance patient/resident care and safety.


  1. Supports and practices the mission and philosophy of PMC.
  2. Identifies needs and sets goals for own growth and development; meets all mandatory system/departmental educational requirements.
  3. Utilizes performance improvement principles to assess and improve the quality of patient/resident care.
  4. Acts as the clinical coordinator of the Critical Access Hospital, Emergency Services, Outpatient Nursing, and Hospice.
  5. Coordinates the nursing staff to assume responsibility for coverage of the Emergency Department, Critical Access Hospital, Outpatient Nursing, and Hospice as well as on-call RN coverage.
  6. Oversees Assisted Living Facility, Public Health, Infection Prevention, Activities, Care Management, Community Health and Social Services departments.
  7. Direct supervision of daily operations and department staff; establishes priorities and assigns workload, including projects and non-routine assignments.
  8. Lead department service priorities that support quality of care and the financial objectives of the departments and organization.
  9. Coordinates in-service education and staff development for nursing staff to assure excellent competence of all nursing staff.
  10.  Provides coaching to nursing staff and/or initiates disciplinary action if needed.
  11. Identifies and anticipates problems concerning safety and infection control issues and initiates appropriate action.  Maintains competency in all organizational, departmental, and outside agency safety standards relevant to job performance. Serves as the lead for all nursing specific quality, patient safety, and infection control initiatives.
  12. Demonstrates positive, supportive, and caring behaviors in communication with patients/residents, families, visitors, physicians, staff, and all others.  Considers and bases care appropriately on the age and cultural background of the patient/resident.
  13. Conducts monthly nursing staff meetings and participates in management meetings.
  14. Interviews and hires nursing personnel as needed to fill vacancies.  Coordinates nursing staff orientation and assists in periodic house orientation for all departments.
  15. Develops and updates annually, all nursing policies and procedures.
  16. Assures nursing staff is in compliance with all federal and state regulations pertaining to long term, acute care and emergency services.
  17. Conducts Interdisciplinary meetings with care plan team and therapists.  Keeps Medicare level of care forms, certification forms, and Medicaid abstracts up to date.
  18. Develops and coordinates patient care related programs.
  19. Works collaboratively with medical staff, department directors, and CEO, to ensure the smooth day to day operation of PMC. Attends and participates in monthly board meetings and medical staff meetings.
  20. Assists with the development and management of a nursing budget.
  21. Acts as a resource person for nursing staff, conducts periodic formal staff evaluations of those supervised.
  22. Works clinically as an RN as needed in the Emergency Department, Critical Access Hospital, Outpatient Services, and Hospice.
  23. Performs other duties as assigned or needed to meet the needs of the department/organization.


  1. Current unencumbered Montana license to practice as a registered nurse.  BSN preferred.
  2. CPR and ACLS certified.
  3. Two years of nursing experience.
  4. Two years’ experience in a supervisory role in a healthcare organization.

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