Director of Acute Care Services

Ray County Hospital & Healthcare • Richmond, MO

3d • Onsite

About The Position

The Director of Acute Care Services is responsible for the strategic leadership, operational oversight, clinical excellence, and financial performance of the Emergency Department (ED) and Medical-Surgical Unit within a rural Critical Access Hospital (CAH). This role provides leadership to ensure safe, high-quality, patient-centered care while maintaining regulatory compliance, staff engagement, fiscal stewardship, and alignment with organizational goals.

The Director of Acute Care Services oversees departmental staff, clinical operations, staffing strategies, quality improvement initiatives, patient throughput, and interdisciplinary collaboration within the Emergency Department and Medical-Surgical Unit. This position serves as a key member of the leadership team and supports the Chief Nursing Officer in advancing hospital-wide strategic initiatives.

Requirements

• Graduate of an accredited School of Nursing
• Bachelor of Science in Nursing (BSN) required
• Current unrestricted RN license in the State of Missouri
• Minimum of 3–5 years of progressive nursing leadership experience required
• Previous experience in Emergency Department and/or Medical-Surgical nursing required
• BLS required
• ACLS required
• PALS required or ability to obtain upon hire
• Strong executive leadership and team management skills
• Excellent communication, coaching, and conflict resolution abilities
• Advanced knowledge of hospital operations and regulatory standards
• Experience with staffing models, workforce planning, and succession planning
• Strong financial, budget, and operational management skills
• Ability to lead complex quality improvement and strategic initiatives
• Proficient in EHR systems (preferably Epic)
• Strong critical thinking, decision-making, and problem-solving abilities
• Ability to function effectively in a fast-paced rural healthcare environment

Nice To Haves

• Master of Science in Nursing (MSN), Healthcare Administration, or related field strongly preferred
• Previous director or senior manager experience preferred
• Rural hospital and Critical Access Hospital experience preferred
• TNCC preferred
• Nurse Executive certification preferred (NE-BC or CNML)

Responsibilities

• Strategic leadership, operational oversight, clinical excellence, and financial performance of the Emergency Department (ED) and Medical-Surgical Unit.
• Ensuring safe, high-quality, patient-centered care.
• Maintaining regulatory compliance, staff engagement, fiscal stewardship, and alignment with organizational goals.
• Overseeing departmental staff, clinical operations, staffing strategies, quality improvement initiatives, patient throughput, and interdisciplinary collaboration.
• Supporting the Chief Nursing Officer in advancing hospital-wide strategic initiatives.

What This Job Offers

• Job Type: Full-time
• Career Level: Director