Director of Critical Care & Dialysis Services

St. Joseph Regional Medical Center; Lewiston (ID); On-site; USD 150,000 - 190,000; Full time

Job summary

St. Joseph Regional Medical Center in Lewiston, Idaho, seeks a Director of ICU to provide strategic and operational leadership for ICU, PCU, and Dialysis.

You will direct nursing staff, coordinate interdepartmental collaboration, and ensure compliance with standards and best practices. New grads are welcomed as the hospital offers training and mentoring, with a focus on patient-centered care, safety, and performance improvement.

Qualifications

• BSN required and RN licensure in the state of employment.
• MSN preferred for leadership roles.
• BLS, ACLS, CPI certifications required or maintained.
• 3–5 years of nursing management experience.
• Experience in high-acuity, fast-paced clinical environments.

Responsibilities

• Direct and guide daily operations in ICU/PCU/Dialysis to ensure quality and safety of care.
• Prepare and manage department staffing schedules based on census and acuity.
• Supervise nursing personnel and manage performance evaluations and disciplinary actions as needed.
• Oversee regulatory compliance, quality improvement, and incident investigations.
• Lead policy development and clinical practice standard implementation.
• Develop and manage department budgets for cost-effective care delivery.
• Provide direct patient care as needed to maintain high-quality outcomes.

Skills

Leadership

Critical thinking

Cross-functional leadership

Clinical excellence

Staff development

Education

BSN required

MSN preferred

Job description

Description

Join St. Joseph Regional Medical Center in Lewiston, Idaho—where nationally recognized quality meets small-town heart. We’re proud to be recognized for excellence and patient safety, including an “A” Hospital Safety Grade from The Leapfrog Group, inclusion in Becker’s list of “Great Community Hospitals,” and U.S. News & World Report accolades for maternity care. Here, you’ll find a teamwork-first culture, leaders who support you, and coworkers who genuinely have your back. New grads are welcome—we’re committed to training, mentoring, and helping you build confidence as you grow. And because we know great care starts with taking care of our people, we offer competitive benefits and a workplace you can feel good about. If you’re looking for a place to do meaningful work, build a career, and feel proud serving your community—you belong at St. Joe’s.

Job Summary

The Director of ICU provides strategic and operational leadership for the ICU, Progressive Care Unit (PCU), and Dialysis services. This position ensures high-quality, patient-centered care by directing nursing staff, coordinating interdepartmental collaboration, and ensuring compliance with all applicable standards, regulations, and best practices.

Essential Functions

• Direct and guide daily operations in ICU/PCU/Dialysis to ensure quality and safety of care
• Prepare and manage department staffing schedules based on census and acuity
• Supervise and evaluate nursing personnel and recommend or take disciplinary action as needed
• Oversee performance improvement, regulatory compliance, and incident report investigations
• Lead development of policies, procedures, and clinical practice standards
• Develop and manage department budgets to ensure cost-effective care delivery
• Provide direct patient care as necessary to maintain high-quality outcomes
• Participate in hospital-wide committees and initiatives aligned with clinical goals
• Maintain up-to-date job descriptions and ensure timely staff performance evaluations
• Support community outreach and education initiatives related to wellness and care
• Serve as a role model of professionalism and evidence-based practice in nursing leadership

Knowledge/Skills/Abilities/Expectations

• Strong critical thinking, decision-making, and leadership abilities
• Ability to collaborate across departments and disciplines to ensure multidisciplinary patient care
• Frequently: Standing, walking, pushing/pulling, reaching, handling
• Occasionally: Sitting, stooping, lifting up to 50 pounds
• Constant: Seeing, hearing, communication, and manual dexterity
• Regular exposure to blood, body fluids, and biohazards
• Potential exposure to airborne particles, toxic chemicals, mechanical equipment, and loud noise
• Works in a clinical hospital environment with patient contact

Qualifications

Education

• Bachelor of Science in Nursing (BSN) required
• Master of Science in Nursing (MSN) preferred

Licenses/Certifications

• Current RN licensure in the state of employment (or Compact State if residing outside the state)
• Basic Life Support (BLS) – required upon hire and maintained
• Advanced Cardiovascular Life Support (ACLS) – required within 6 months of hire and maintained
• Crisis Prevention Intervention (CPI) – required within 6 months and annually thereafter
• Critical Care Registered Nurse (CCRN) – may be required per facility policy
• Certified Professional in-Patient Safety (CPPS) – may be required per facility policy

Experience

• Minimum of 3–5 years of nursing management experience preferred
• Experience working in high-acuity and fast-paced environments