Director of Nursing

CONFDENDIAL; North Platte (NE); On-site; USD 110,000 - 165,000; Full time

Job summary

CONFDENDIAL in North Platte, NE, seeks a Director of Nursing – Medical-Surgical to provide 24-hour leadership and clinical oversight for assigned units, ensuring safe, patient-centered, and cost-effective care. The role drives quality improvement, regulatory compliance, and staff development.

The candidate must hold a BSN or MSN, possess an RN license, board certification, and BLS, with demonstrated leadership in medical-surgical settings and strong collaboration with physicians and other teams.

Qualifications

• Bachelor of Science in Nursing (BSN) or Master of Science in Nursing (MSN); plan to complete MSN if BSN
• Current, unrestricted Registered Nurse license in the state of practice
• Required Board Certification
• Current Basic Life Support (BLS) certification
• Additional certifications or training may be required based on practice area
• Demonstrated clinical leadership and nursing management experience in a medical-surgical setting

Responsibilities

• Provide 24-hour managerial and clinical support to patients and staff
• Serve as real-time clinical resource for staff and physicians
• Promote patient-centered nursing care for designated populations
• Ensure delivery of high-quality, cost-effective patient care
• Monitor operations and identify opportunities to improve outcomes and safety
• Direct day-to-day operations of nursing units
• Coordinate cross-departmental operations for seamless care
• Develop and monitor departmental budgets and ensure resource allocation
• Staffing, workflow, and operational process optimization
• Lead quality improvement and regulatory compliance initiatives
• Develop, review, and maintain policies and standards
• Foster staff engagement and shared governance
• Participate in strategic planning and staff development
• Provide leadership through coaching, evaluation, and development acts
• Promote professional growth and accountability within the nursing staff

Skills

Clinical leadership

Nursing management

Regulatory compliance

Quality improvement

Staff development

Education

BSN

MSN

RN license

Board Certification

BLS

Job description

The Director of Nursing – Medical-Surgical provides 24-hour managerial and clinical leadership to support high-quality, safe, patient-centered, and cost-effective care. This position applies extensive clinical and management expertise to oversee the operational, clinical, financial, and personnel functions of assigned nursing areas.

The Director serves as a key clinical resource for nursing staff, physicians, patients, and families while driving operational excellence, regulatory compliance, quality improvement, and staff development.

Minimum Qualifications

• Bachelor of Science in Nursing (BSN) or Master of Science in Nursing (MSN); candidates with a BSN must have a plan to complete an MSN.
• Current, unrestricted Registered Nurse (RN) license in the state of practice, temporary RN license, or compact RN license applicable to the state of practice.
• Required Board Certification.
• Current Basic Life Support (BLS) certification.
• Additional certifications, specialty training, or continuing education may be required based on the area of practice.
• Demonstrated clinical leadership and nursing management experience, preferably in a medical-surgical setting.

Essential Functions & Responsibilities

Clinical & Patient Care Leadership

• Provide 24-hour managerial and clinical support to patients, nursing staff, physicians, and interdisciplinary teams.
• Serve as a real-time clinical resource for staff and physicians, providing guidance and support for complex or escalated patient care, process, and family-related issues.
• Promote and facilitate patient-centered nursing care for designated patient populations.
• Ensure the delivery of high-quality, safe, evidence-based, and cost-effective patient care.
• Monitor clinical operations and identify opportunities to improve patient outcomes, safety, efficiency, and overall quality of care.

Operations & Resource Management

• Direct the day-to-day operations of assigned nursing units to ensure efficient patient care delivery and appropriate utilization of resources.
• Coordinate operations across departments to support seamless patient care and effective resource management.
• Develop, manage, and monitor departmental operating and capital budgets, maintaining accountability for financial performance and resource allocation.
• Ensure appropriate staffing, workflow, and operational processes to meet patient care needs.

Quality Improvement & Regulatory Compliance

• Lead the development, implementation, and evaluation of quality improvement and process improvement initiatives in collaboration with nursing leadership.
• Identify opportunities for operational and clinical improvement and implement sustainable solutions.
• Ensure compliance with applicable regulatory, accreditation, and organizational standards.
• Develop, implement, review, and maintain departmental policies, procedures, and clinical standards.
• Solicit and incorporate staff input when developing and implementing departmental changes.

Strategic Leadership & Communication

• Support strategic nursing initiatives and effectively communicate system, regional, facility, and departmental priorities.
• Facilitate effective communication among nursing staff, physicians, leadership, patients, and interdisciplinary teams.
• Promote a culture of accountability, collaboration, professional excellence, and continuous improvement.
• Participate in strategic planning and organizational initiatives that support patient care and operational objectives.
• Recruit, select, onboard, orient, develop, and retain qualified nursing professionals.
• Provide leadership through coaching, mentoring, performance evaluations, corrective action, and professional development opportunities.
• Promote staff engagement and participation in shared governance and departmental decision-making.
• Establish and support effective shared governance models that encourage staff leadership and accountability.
• Identify and promote career advancement and professional development opportunities for nursing staff.
• Serve as a role model for professional nursing practice, leadership, communication, and patient-centered care.
• Foster a culture of continuous learning, professional growth, and teamwork.

Additional Leadership Responsibilities

• Provide leadership coverage for the House Supervisor and other Directors/Managers as needed.
• Perform other duties and responsibilities consistent with the role and organizational needs.

This position requires work in both clinical and office environments. The role may involve exposure to:

• Blood and bodily fluids
• Hazardous chemicals and medical gases
• Dangerous fumes
• Radiation
• Dimly lit areas
• Other conditions commonly encountered in healthcare environments

Frequent use of computerized systems and other technology is required.

Physical Requirements

• Ability to stand, walk, bend, squat, reach, and stretch frequently throughout the workday.
• Demonstrate sufficient physical agility and reaction time to respond promptly and appropriately to unexpected patient care needs.
• Maintain adequate hearing and visual acuity, including sufficient color vision.
• Demonstrate fine motor skills, eye-hand coordination, and the ability to grasp and handle equipment and other objects.
• Ability to utilize proper body mechanics when assisting patients with ambulation and transfers to or from beds, chairs, and wheelchairs.
• Ability to lift and/or move objects weighing up to 50 pounds, as required.
• Follow standard precautions and infection-control practices due to potential exposure to blood and bodily fluids.
• Ability to communicate effectively through reading, writing, and verbal communication, both in person and by telephone.
• Ability to periodically use a personal computer and other electronic equipment.