Director Nursing, Holy Family Hospital

Providence; Spokane (WA); On-site; USD 101,000 - 159,000; Full time

Benefits offered by this job

Comprehensive benefits package

401(k) with employer match

Paid time off and holidays

Job summary

Providence Holy Family Hospital seeks a collaborative and experienced Director of Nursing to lead nursing services. You will shape clinical operations, mentor managers, and drive quality, patient safety, and caregiver engagement in a Magnet-aligned culture.

Partner with the CNO to oversee inpatient, ED, critical care, and Family Maternity Center operations, including labor and delivery, postpartum, and NICU. Lead a team of six leaders supporting ~625 FTEs.

Qualifications

• Bachelor’s degree in nursing or related field.
• Master’s degree.
• Washington Registered Nurse license upon hire.
• Five years of nursing leadership experience.
• Ten or more years of nursing experience in an acute care environment.
• Leadership across multiple nursing departments or service lines.
• Experience coaching and developing emerging leaders.
• Experience with unionized labor relations.
• Strong operational leadership including budgeting and execution.
• Ability to use data to drive measurable quality or process-improvement initiatives.
• Ability to partner with the CNO and maintain accountability.
• Collaborative, trust-building leadership style.
• Ability to work across nursing, physicians, admin, and support services.
• Strong analytical, communication, and problem-solving skills.

Responsibilities

• Lead Nursing Operations across inpatient nursing, emergency services, critical care, and the Family Maternity Center.
• Maintain oversight of daily operations, staffing, productivity, capacity, throughput, quality, and goal execution.
• Develop and implement nursing action plans aligned with hospital and service area strategic plans.
• Monitor operating performance and adjust plans when financial, quality, or operational results vary from goals.
• Collaborate across nursing departments, including perioperative nursing partnerships.
• Participate in the rotating Administrator on Call schedule.

Skills

Strategic leadership

Operational leadership

Budgeting and financial stewardship

Data-driven decision making

Staff development and coaching

Collaborative partnership with CNO

Cross-functional collaboration

Communication and change leadership

Education

Bachelor’s degree in nursing or related field

Master’s degree

Washington RN license upon hire

Job description

• Locations Holy Family Hospital-Spokane(HR) (On-site)
• Apply Before 11/03/2026, 08:00 AM
• Job Schedule Full time
• Job Shift Day
• FTE 1
• Minimum Salary 73.23
• Maximum Salary 115.61
• Job Location Holy Family Hospital-Spokane(HR)

Job Description

Providence is seeking a collaborative and operationally strong Director of Nursing to lead nursing services at Holy Family Hospital. This is an opportunity for an experienced nursing leader to shape clinical operations, strengthen a developing manager team, and advance quality, patient safety, and caregiver engagement within a Magnet-aligned culture.

Working in close partnership with the Chief Nursing Officer, the Director will provide leadership across inpatient nursing, emergency services, critical care, and the Family Maternity Center, including labor and delivery, postpartum, and NICU. The position oversees approximately six direct-report leaders and nursing operations supporting approximately 625 FTEs.

The successful candidate will balance clear operational accountability with a participative leadership style. They will be visible, approachable, comfortable working with data, and committed to involving frontline caregivers in decisions that affect patient care and daily operations.

The Role

The Director of Nursing has overall responsibility for nursing operations across multiple units and service lines. The Director implements the hospital’s mission, priorities, standards, policies, and procedures while overseeing planning, budgeting, staffing, quality, leader development, and operational performance.

This leader will ensure nursing services support the hospital’s strategic plan, with a strong focus on highly reliable care, performance improvement, throughput, capacity management, productivity, and appropriate use of resources. The Director also serves as an Administrator on Call on a rotating basis with other directors and executive leaders.

A close and effective partnership with the CNO will be essential. The Director will provide hands-on oversight of daily nursing operations, manager accountability, productivity, quality, and goal execution, allowing the CNO to maintain focus on broader vision, system alignment, professional governance, and strategic quality priorities.

What You’ll Do

Lead Nursing Operations

• Provide operational leadership across inpatient nursing, emergency services, critical care, and the Family Maternity Center.
• Maintain oversight of daily operations, staffing, productivity, capacity, throughput, quality, and goal execution.
• Develop and implement nursing action plans aligned with the hospital and service area strategic plans.
• Monitor operating performance and respond appropriately when financial, quality, or operational results vary from established goals.
• Collaborate across nursing departments, including continued partnership and bridge-building with perioperative nursing.
• Participate in the rotating Administrator on Call schedule.

Develop and Support Nursing Leaders

• Lead, coach, and develop a team of nursing managers with varying levels of leadership experience.
• Establish clear expectations, provide actionable feedback, and strengthen each leader’s ability to manage performance and operations.
• Create opportunities for professional growth, succession planning, education, and advancement.
• Monitor turnover and implement strategies that support caregiver engagement and retention.
• Preserve the manager team’s collaborative foundation while increasing accountability and leadership capability.

Advance Quality, Safety, and High Reliability

• Use operational and clinical data to guide decisions, evaluate results, and adjust plans when needed.
• Lead structured quality and process-improvement work, including improvement cycles such as PDSA.
• Assess the quality and timeliness of care and support initiatives that improve clinical outcomes.
• Serve as executive sponsor for inpatient nursing root cause analyses and oversee completion of associated improvement plans.
• Maintain readiness for accreditation and regulatory review.
• Support performance-improvement activities consistent with ANCC Magnet, CMS, and The Joint Commission standards.
• Promote evidence-based practice, nursing research, and a culture of safety and continuous learning.

Build Trust and Empower Frontline Caregivers

• Create a nursing environment grounded in teamwork, mutual trust, learning, and shared accountability.
• Listen carefully to caregiver perspectives and involve frontline teams in decisions and change efforts.
• Support shared governance and a collaborative, bottom-up approach to improvement.
• Ask difficult questions respectfully, seek to understand different perspectives, and influence decisions constructively.
• Build positive relationships with nursing leaders, physicians, medical directors, caregivers, and other organizational partners.

Provide Financial and Workforce Stewardship

• Develop annual departmental budgets, including appropriate volume and revenue projections.
• Create and monitor financial-improvement plans and ensure progress toward established targets.
• Review monthly operating reports, investigate material variances, and implement responsive action plans.
• Develop capital-equipment requests and present funding needs to executive leadership.
• Partner with Human Resources on workforce planning, retention, leadership development, and caregiver satisfaction.
• Support effective labor-management relationships and participate in the negotiation and monitoring of collective bargaining agreement compliance.

What You’ll Bring

Required Education and Credentials

• Bachelor’s degree in nursing or a related field.
• Master’s degree.
• Washington Registered Nurse license upon hire.

Required Experience

• Five years of nursing leadership experience.
• Ten or more years of nursing experience in an acute care environment.

Leadership Experience and Capabilities

The strongest candidates will bring:

• Leadership experience across multiple nursing departments or service lines.
• Demonstrated success coaching and developing emerging or less-experienced leaders.
• Experience working in a union environment and supporting productive labor relations.
• Strong operational leadership, including accountability, productivity, budgeting, and execution.
• Experience using data to lead measurable quality or process-improvement initiatives.
• The ability to partner closely with a CNO while maintaining appropriate ownership and accountability.
• A collaborative, trust-building leadership style that empowers frontline caregivers.
• The ability to work effectively across nursing, physician, administrative, and support-service relationships.
• Strong analytical, communication, change-leadership, and problem-solving skills.

Why Join Providence Holy Family?

• Meaningful leadership scope: Provide leadership across several major nursing service lines within a single hospital ministry.
• Leader-development opportunity: Coach a capable and receptive manager team while strengthening accountability and operational execution.
• Frontline-centered culture: Support caregiver voice, shared governance, trust, and collaborative decision-making.
• Quality and patient safety: Advance high reliability, evidence-based practice, measurable improvement, and exceptional patient care.
• Strategic partnership: Work closely with the CNO and other nursing, physician, and executive leaders.
• Operational impact: Influence staffing, productivity, capacity, financial stewardship, quality outcomes, and the patient experience.

Location and Work Arrangement

Providence believes in the importance of human connection and the impact of in-person collaboration on team cohesion and caregiver engagement. Leaders are expected to live in or near the communities they serve. The selected leader must live within a reasonable commuting distance of the ministry or service area they support. Relocation may be available for the right candidate, with specific terms discussed as appropriate.

Ready to Shape the Future of Nursing Care?

The full pay range is listed in accordance with applicable law. Final compensation will be determined based on qualifications, experience, organizational compensation alignment, and the approved hiring department budget. This position may also be eligible for incentive compensation and benefits.

About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way". Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well‑being resources and much more. Learn more at providence.jobs/benefits .