Niobrara Community Hospital offers competitive wages and benefits on qualifying positions:

  • Niobrara Community Hospital offers competitive wages and benefits on qualifying positions
  • Supportive work culture
  • Medical, Vision and Dental Coverage
  • Retirement Plans, Health Savings Account
  • Paid Time Off Accrual Bank
  • Opportunities for growth and advancement
  • Relocation Assistance
  • Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)


The Chief Nursing Officer (CNO) is responsible for the delivery of all patient care services within the Critical Access Hospital (CAH). Must be knowledgeable and experienced regarding the nursing process and its application, including (but not limited to) the assessment, planning, implementation, and evaluation of nursing care. The CNO must demonstrate the ability to work collaboratively with interdisciplinary health care teams and providers in planning, directing, providing, and evaluating patient care, and must be able to effectively manage, schedule and evaluate nursing staff. The CNO’s primary function is management of all aspects of the nursing department. There may be occasions when the CNO needs to work a nursing floor shift to help augment staff during times of shortage or for training purposes. This individual must be experienced in establishing and maintaining a departmental budget and must understand capital budgeting as it relates to the entire organization. It is expected that the CNO will be proficient with the electronic medical record system and act as resource for all staff as necessary

Responsible for the safe quality care of all patients; for meeting the individual needs of staff to the extent possible; for the development, coordination and implementation of the overall nursing plan in all areas of CAH patient care.

Firm, fair, and consistent treatment of staff, patients, and visitors must be exhibited at all times. Must have above average communication skills. Follows and implements nursing and hospital policies and procedures. Works to develop and instill a high standard of care and individual professional growth within staff. Maintains good attendance record. Punctual. Follows dress code. Maintains confidentiality for patients, staff, administration and the organization in general. Adheres to safety policies. Actively manages issues as they arise.

Assists Chief Executive Officer (CEO) in establishing staffing requirements; follows State, Federal and health guidelines, adjusting for the specific needs of patients at NCH; develops staff work schedules; continuously observes, monitors, and adjusts staff to meet scheduling needs. Hires departmental personnel, in accordance with NCH policies; provides mandatory orientation; disciplines and terminates personnel when necessary, following the policies and procedures at NCH. Responsible for performance-based evaluations for each employee supervised. Maintains current job descriptions for each employee in cooperation with NCH HR. Assures appropriate continuing education for nursing staff and manages that within budget constraints. Maintains current competencies of all nursing staff.

Must have knowledge and experience with extended care residents, acute care patients, swing bed patients, and emergency room patient care functions. Plans and carries out appropriate quality improvement initiatives to achieve high standards of quality and safety. As the CNO, oversees Infection Control and participates in Quality Assurance.

This is a full-time salaried position; the CNO is expected to be present regularly on weekdays. The nature of a salaried management position creates the necessity of ongoing availability when not at work, meaning that this person may receive emergency calls when not present, and is expected to address them appropriately, as the person responsible for the department.

Performs all other duties as required.

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