Director Nursing Unit | Custer Hospital | Full Time 40 Hours

Custer, SD Full time 21_3845


Current Employees:

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Job Category


Job Family

Acute Nursing


CUH Patient Care Services

Scheduled Weekly Hours



Employee Type


Job Summary

The Director Nursing Unit provides clinical and administrative leadership for a department, market, or service line. The Director promotes safe, efficient, effective, and evidence based nursing care delivered within the scope and standards of practice. The role serves as a conduit between nurses, first line nurse leaders, and executive leadership representing and advocating for their caregivers. The Director is accountable to ensure the achievement of organization and nursing division purpose, vision, values, and objectives while stewarding the entrusted resources.

Job Description

Essential Functions:
●Utilizes the American Nursing Association (ANA, 2010) Scope and Standards of Practice and Standards of Performance for Nurse Administrators for perform the following functions:
●Standard 1: Assessment
●-The Director collects comprehensive data pertinent to issues, situations, and trends.
●-Collects data in a systematic and ongoing process using appropriate evidence based assessment techniques and instruments
●-Uses analytical models and problem solving tools
●-Identifies gaps and methods to address or resolve
●Standard 2: Identifies issues, problems, or trends
●-The Director analyzes the assessment data to determine issues, problems, or trends.
●-Demonstrates ability to examine and synthesize complex data
●-Promotes the integration of clinical, human resource, and financial data to support and enhance decision making
●-Derives and validates the issues, problems, or trends using the assessment data
●Standard 3: Outcomes Identification
●-The Director identifies expected outcomes for a plan individualized to the situation
●-Collaborates with providers and other stakeholders in the identification of desired outcomes
●-Defines expectations for attaining outcomes
●-Develops outcomes that provide direction for continuity of culturally appropriate care
●Standard 4: Planning
●-The Director develops a plan that prescribes strategies and alternatives to attain expected outcomes while maintaining alignment with the purpose, vision, values, and objectives of the organization.
●-Plans are in alignment with regulatory agencies and integrate current trends, standards, and research evidence.
●-Leads the design and development of multidisciplinary processes to address issues and/or achieve outcomes.
●-Demonstrates competency in developing business plans, construction plans, annual plans, development plans, and performance improvement plans.
●-Integrates clinical, human, and financial resources to enhance decision making processes. Considers the economic impact of the plan
●Standard 5: Implementation
●-The Director coordinates and implements plans. The plan strategies foster health promotion, health teaching, and provision of educational services and resources.
●-Plans are implemented in a safe, timely manner utilizing system and market resources.
●-Utilizes evidence based interventions specific to the problem or issues and incorporates new knowledge and strategies to initiate, lead and hard wire change.
●-Implements the plan using project and system management principles.
●-Provides leadership in the coordination of multidisciplinary Healthcare resources for integrated delivery of care and services.
●-Provides consultation to influence care, enhance abilities of others, and effect change.
●Standard 6: Evaluation
●-The Director evaluates progress toward attainment of outcomes.
●-Conducts a systematic, ongoing, and criterion-based evaluation of outcomes in relation to structure, process, and outcomes.
●-The evaluation process is based on appropriate research methods, evaluation tools, and metrics.
●-Involves and disseminates results to key stakeholders.
●Standard 7: Quality of Practice
●-The Director systematically enhances the quality and effectiveness of nursing practice, nursing leadership, and the delivery of services.
●-Uses creativity and innovation in nursing practice to improve care delivery and population outcomes.
●-Assures the presence of effective mechanisms for the development, implementation, and evaluation of policies, procedures, standards, guidelines, and protocols.
●-Uses results of quality improvement activities to initiate changes in nursing practice and in the Healthcare delivery system.
●-Assures the development and implementation of an effective, ongoing program to measure, assess, and improve the quality of care and services delivered.
●-Promotes Magnet or Pathways accreditation to demonstrate nursing excellence. Seeks other award or accreditation opportunities to highlight quality of care and services.
●Standard 8: Education
●-The Director attains the knowledge and competency required for proficient, evidence based nursing and leadership practice.
●-Demonstrates a commitment to lifelong learning through self-reflection and inquiry to identify learning needs. Participates in ongoing educational activities.
●Standard 9: Professional Practice Evaluation
●-The Director evaluates own nursing and leadership practice in relation to professional practice standards, best practice, and regulatory requirements.
●-Demonstrates respect for diversity in all interactions as reflected in such behaviors as cultural, ethnic, and generational sensitivity.
●-Engages in self-evaluation of practice and obtains informal and formal feedback regarding role performance.
●-Participates in a peer review process.
●-Manages the evaluation, development, coaching, counseling, and end of employment processes for all caregivers working in the assigned department, market, or service line.
●-Interacts with peers to enhance own professional practice and role performance.
●Standard 10: Collegiality
●-The Director interacts with and contributes to the professional development of colleagues.
●-Assures the presence of a supportive, healthy work environment in which empathetic and caring relationships are maintained with colleagues.
●-Serve as a coach and mentor. Shares knowledge and skills.
●Standard 11: Collaboration
●-The Director collaborates with all levels of nursing caregivers, leaders, multidisciplinary teams, executives, providers, and other key stakeholders.
●-Partners with others to enhance Healthcare and caregiver engagement through interdisciplinary activities such as education, consultation, leadership, innovation, or research opportunities.
●Standard 12: Ethics
●-The Director integrates ethical provisions in all areas of practice
●-Incorporates the Code of Ethics for Nurses with Interpretive Statements (ANA, 2011) to guide practice.
●-Demonstrates a commitment to practicing self-care, managing emotions and stress, and connecting self and others.
●Standard 13: Research
●-The Director integrates research findings and best practice into leadership and care delivery.
●-Disseminates research and best practice findings.
●-Utilizes best available evidence, including research findings, to guide practice decisions.
●Standard 14: Resource Utilization
●-The Director considers factors related to safety, effectiveness, cost, and impact on practice in the planning, delivery, and evaluation of nursing care delivery.
●-Optimizes fiscal resource allocation to support current and potential objectives and initiatives.
●-Develops innovative solutions that address effective resource utilization while maintaining quality.
●-Develops evaluation strategies to demonstrate cost effectiveness, cost benefit, environmental impact, and efficiency associates with nursing practice.
●-Assures resource allocations are based on identified needs and valid nursing workforce measures.
●-Completes an annual capital and operational budget and monitors budget for variances.
●Standard 15: Leadership
●-The Director provides leadership in the professional practice setting and in the profession. Aspires to be a transformational leader.
●-Displays the ability to define a clear vision, associated goals, and a plan to implement and measure progress.
●-Demonstrates energy, excitement, and a passion for quality work. Exhibits creativity and flexibility through times of change.
●-Recruits, onboards, and retains a qualified workforce to meet the service demands of their department, market, or service line.
●-Supports a shared governance leadership philosophy by engaging caregivers in decision making and supporting the council structure and related activities.
●-Promotes advancement of the profession through participation in professional organizations.
●-Influence decision-making bodies to improve patient care, health services, and public policy.
●-Promotes communication of information and the advancement of the profession through writing, publishing, and presentations.
●Standard 16: Advocacy
●-The Director advocates for the protections and rights of individuals, families, communities, populations, Healthcare providers, nursing and other professions, and institutions—especially related to health and safety.
●-Promotes Patient and Family Centered Care.
●-Evaluates privacy, security, and confidentiality in the use and handling of patient information.
●-Integrates advocacy into the design, implementation, and evaluation of policies, programs, services, and systems.
●-Serves as an expert in promoting and implementing health policies.
●All other duties as assigned.

Physical Requirements:
Light work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.

Additional Requirements

Education - Bachelors degree in Nursing
Certification - Registered Nurse (RN) - South Dakota Board of Nursing

Experience - 1+ years of Registered Nurse Experience; 5+ years of Leadership Experience
Education - Masters degree in Nursing

Physical Requirements:
Light work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.

• The following essential functions apply only to the Regional Health Specialty Hospital - Perform talent management activities and succession planning activities with a focus on leadership development, goal setting, leadership accountability, mentoring, and support of career growth opportunities through stretch assignments and expanded roles. - Create a work environment based on trust, integrity, mutual respect and high ethical standards. - Oversees the development and direction of operating budgets that meet patient/service objectives within financial parameters. - Collaborate with the Leadership Team and physician leaders to identify, evaluate and enhance financial viability of new existing services - Establish regular working meetings with key physicians. - Develop effective communication processes with physicians to convey information, seek feedback or input on decisions. - Assess physician practice needs relative to both assignment areas and hospital-wide services. - Obtain strategic input from physicians for planning, budgeting and monitoring services. - Provide strategic feedback to physicians about clinical service, patient satisfaction, financial performance and overall quality improvement. - Direct nursing and appropriate hospital preparation and participation in surveys for certifications/accreditations. - Assure correction of deficiencies in a timely manner. - Initiate vendor selection and participate in vendor presentation and financial comparisons during bidding process. - Experience in surgical services beneficial

50 Monument Health Custer Hospital

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Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.