Title:
Director of Nursing Critical Access Hospital
Description:
Discover Your Next Adventure in Pinedale, Wyoming!
Nestled in the heart of the breathtaking Wind River Range, Sublette County offers the rugged beauty of the West alongside a once-in-a-lifetime career opportunity. Sublette County Health proudly operates two clinics with urgent care services, both serving as Level 5 Trauma receiving Emergency Rooms, as well as two EMS stations. On August 4, 2025, we opened Sublette County's first hospital
- a historic milestone for our community and a new era in local healthcare. As part of our growth, Heritage Home
- our Skilled Nursing facility
- is expanding to its new home with a 40-bed Skilled Nursing Unit and a brand-new 10-bed Memory Care Unit, designed to provide compassionate, resident-centered care. As we continue to grow, we're looking for dedicated, skilled, and compassionate professionals to join our team. Together, we're building the future of healthcare in Sublette County
- and we'd love for you to be part of it.
If you're ready for a rewarding career and a lifestyle filled with adventure, come be part of something extraordinary in Pinedale, Wyoming. Learn more about our vibrant town at visitpinedale.org. Summary Description
Responsible for the supervision of Sublette County Health (SCH) Nursing Services in the Critical Assess Hospital (CAH) and following established standards and practices of care. Assists the medical providers in patient care coordination. Functions as a supervisor of nursing services and assists as a liaison among patients, family, hospital staff and other healthcare providers. Supervision Received
Reports to SCH Chief Nursing Officer. Work is performed within established guidelines, procedures, and supervisory oversight. The Director of Nursing (DON) follows defined
processes and refers unusual or complex matters to senior leadership. Responsibilities
1. Oversee the completion and continuity of patient records, charts and other pertinent information documented by the nursing services staff in coordination with the medical records staff. Responsible for chart audits in coordination with nursing, physician, lab, and radiology. Provides reports of those audits to respective departments as requested. Participate in monthly departmental meetings as
requested.
2. Supervises the nursing services staff as they work in the various departments within the CAH including direct patient care, patient treatments, medication administration.
3. Discretionary delegation of key tasks that are critical for optimal function of the nursing team to include but not limited to: Management of PAR levels and ordering of supplies, electronic medical records (EMR) management, staff orientation and ongoing education. Performance Improvement management and scheduling.
4. Assist nurses and hospital providers with patient care, patient examinations, interventions and treatment procedures as needed.
5. Assists the nursing staff in hospital procedures including following the established guidelines for, ACLS (Advanced Cardiac Life Support), BLS (Basic Life Support), ABLS (Advanced Burn Life Support) and PALS (Pediatric Life Support), TNCC (Trauma Nurse Core Curriculum).
6. Assists the nursing staff in responding to or referring to difficult incoming patient treatment-related phone calls.
7. Maintains patient and employee confidentiality.
8. Is available to the nursing services staff unless on vacation (3 or more days) or on leave when the SCH Director of Nursing will appoint a senior employee as an interim manager for the duration of the leave.
9. May be required to take after-hour and weekend call as part of the on-call medical team for SCH.
10. Maintains certification in all laboratory procedures as documented in the laboratory policy manual and works cooperatively with the laboratory director to maintain staff proficiency in lab certification.
11. Is responsible for scheduling the nursing services staff coverage, approving leave requests, and verifying timecard accuracy prior to submission to payroll.
12. Is responsible for annual employee performance evaluations for the nursing services staff, including documentation of such in the employee's personnel file. Is responsible for verifying the continued competencies and licensures of all nursing services staff.
13. Oversees the development, growth and oversight of programs including but not limited to the State of Wyoming Trauma Certification, Wyoming Lifeline cardiac program and the Wyoming Hospital Preparedness program. Prepare mandatory reports and submits within required time limits.
14. Represents SCH at community, state and regional meetings to assure collaboration and maintenance of standard of care.
15. Provides the necessary oversight so that nursing services policies/procedures and practices are of the highest standard based on regulatory requirements.
16. Responsible for developing and/or maintaining nursing policies and procedures that ensure consistent quality and safety while meeting regulatory standards.
17. Coordinates the nursing performance improvement plan. Is responsible for collaboration with other SCH clinical departments to assure that standards of practice and best practices are attained and maintained.
18. Participates in and provides leadership for SCH emergency preparedness and patient safety initiatives in collaboration with local, state, and regional entities.
19. Delegates and monitors monthly safety inspections on management of outdated medications, supplies, and/or equipment in collaboration with the SCH Supply Coordinator.
20. Develops and maintains nursing competency plan in collaboration with the Medical Directors.
21. Assesses need for equipment and supplies. Assists with production selection and management if changes needed. Updates inventory PAR levels as needed. Provides education on new equipment, products, and/or medications in collaboration with Nursing and Medical team.
22. Oversees, participates, and develops projects that ensure cost effectiveness of care provided by nursing services.
23. Coordinates the SCH mandatory education including ACLS (Advanced Cardiac Life Support, BLS (Basic Life Support), ABLS (Advanced Burn Life Support), PALS (Pediatric Life Support) and TNCC (Trauma Nurse Core Curriculum) to assure that SCH clinical staff is compliant with required education. Collaborate with Medical Directors and EMS Director on coordination of education. Works cooperatively with the Trauma Coordinator to maintain current certifications of the professional healthcare team in ACLS, ABLS, PALS and BLS and assists with the training for the professional healthcare team.
24. Works cooperatively with the SCH Trauma Coordinator and Emergency MedicalServices Director to maintain applicable required certifications.
25. Works cooperatively with the SCH Medical Director, Laboratory Director, and CEO to comply with OSHA and Federal Regulations.
26. Prepares annual nursing department budget and monitors budget and expenses monthly.
27. Other duties as assigned. Responsibilities may be adjusted or reassigned to ensure compliance, operational efficiency, internal controls, and workload balance. Performance expectations will align with assigned duties and available resources. Qualifications
1. MSN preferred. BSN, ADN, and diploma graduates accepted.
2. Current State of Wyoming RN License without restrictions.
3. Minimum of three years (3) professional nursing experience including two years (2) of emergency nursing experience. Applicants with previous managerial or supervisory experience preferred.
4. Current certifications in TNCC, ACLS, BLS, and PALS with ABLS, ENPC and CEN preferred. Knowledge, Skills, and Abilities
1. Knowledge of professional nursing theory, regulations, and practices to give and evaluate patient care and the delivery of patient care by the nursing services staff.
2. Knowledge of common safety hazards and precautions to establish/maintain a safe work environment for the medical staff and patients.
3. Skill in applying and modifying the principles, methods, and techniques of licensed nursing to provide ongoing patient care.
4. Skill in identifying problems and recommending solutions as a manager.
5. Skill in preparing/maintaining records, authoring reports and responding to correspondence as a nurse manager.
6. Ability to supervise a "healthcare team."
7. Ability to maintain and evaluate quality control standards.
8. Ability to react calmly and effectively in managing emergency situations.
9. Ability to communicate clearly and effectively as a nurse manager.
10. Working Conditions
11. May require working on evenings, weekends, or holidays.
12. Subject to varying situations requiring the ability to interact effectively and respectfully with individuals of diverse backgrounds and protected characteristics, in accordance with federal and state equal employment laws.
13. Possible contact with a variety of people including prisoners and people with mental, emotional, and physical disabilities.
14. Medical office, exam room, laboratory, radiology, emergency room, and professional practice settings. Frequent exposure to communicable diseases and other conditions common to rural healthcare environments.
15. Work environment involves exposure to unusual elements, potentially dangerous materials, and situations that require following extensive safety precautions and may include the use of protective equipment.
16. May require travel between SCH site locations. Physical Demands
1. Varied activities include moving, reaching, bending, and lifting.
2. Essential functions may be performed with or without reasonable accommodation in accordance with applicable law.
3. Requires manual and finger dexterity, and eye-hand coordination.
4. May require standing and moving for extended periods of time and occasional lifting or moving of items, generally up to fifty pounds, with or without assistance.
5. Requires corrected vision and hearing to normal range.
6. The position frequently requires working under stressful conditions and irregular hours.
7. Employment Relationship Disclaimer
8. This job description does not constitute a contract of employment, and employment remains at-will in accordance with Wyoming law.
9. The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. This document is not intended to be an exhaustive list of all responsibilities, skills, and working conditions for the people so classified. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve. HIPAA/Confidentiality
Access to systems, resident records, and communications may include confidential and protected health information (PHI). The position is required to comply with all applicable HIPAA, Center for Medicare Services (CMS) and organizational confidentiality policies and completes mandatory training as required.
Job Type:
Full-time Pay:
Dependent on Experience. How to
Apply:
Interested parties should contact the Human Resources Department for Sublette County Health at recruiting@sublettehealthcare.com. Please include an application, resume and letter of interest. Applications can be found on the Sublette County Hospital District website. We pride ourselves in developing and retaining our team members and our team prides itself in offering the best of care, close to home! Thank you for considering this opportunity to join our team. We look forward to receiving your resume.
About Pinedale:
Nestled at 7,175 feet in a scenic alpine valley, Pinedale is surrounded by three majestic mountain ranges—the Wind River, Wyoming, and Gros Ventre Mountains. As part of the Greater Yellowstone Ecosystem, the Bridger-Teton National Forest offers endless outdoor activities, with stunning landscapes and abundant wildlife. Rich in history, Pinedale was shaped by the Rocky Mountain Fur Trade and is home to the nation's oldest cattle drive, the Green River Drift. Here, cowboys still guide cattle through town in June and October! The Green River Rendezvous was an annual event in the 1830s. Mountain Men, Trappers, Travelers and Indians all gathered in a valley "below the Green" river and bartered, traded, sold, and swapped various items such as skins, pelts, guns, jewelry and whatever else they needed. It continues to this day with people coming from all over to see the home-town parade, experience the pageant, see how the people who shaped the rugged west made there lasting impression and mark on our town. Nature lovers will appreciate the nearby alpine lakes, perfect for fishing, water sports, and relaxation. Pinedale is also on the Path of the Pronghorn, where you can witness one of the last great animal migrations in the Western Hemisphere. In town, you'll find a warm community, local shops, restaurants, and attractions like the Museum of the Mountain Man and the Pinedale Aquatic Center. With its blend of outdoor adventure, rich history, and friendly locals, it's easy to see why we call Pinedale home.
Company:
Sublette County Health
Salary:
DOE
Post Date:
5/22/2026
Close Date:
Open Until Filled
Location:
Pinedale, Wyoming
Contact:
Human Resources Department
Phone:
Email:
Recruiting@sublettehealthcare.com
Website:
Mailing
Address:
Pinedale Online Job Board
pinedaleonline.com/jobboard
jobboard@PinedaleOnline.com
