Join Exceptional Healthcare’s New Community Hospital in Rapid City, SD.
Interviewing Now / Offers ASAP / Opening Fall 2026
Be part of history in the making! Exceptional Healthcare is building a new Community Hospital, a state-of-the-art facility bringing high-quality care to Rapid City and surrounding communities.
Chief Nursing Officer - New Facility Launch
Building Something Meaningful from the Ground Up
Exceptional Healthcare is launching a brand-new 20-bed community hospital. We're seeking an experienced Chief Nursing Officer to lead our clinical operations and establish our nursing culture from day one.
This is an exceptional opportunity for a Director of Nursing or Assistant Director ready to take the next step in their leadership career while making a lasting impact on community healthcare.
What You'll Do as Our Chief Nursing Officer
Lead Clinical Excellence: Direct nursing operations for our 10-bed emergency department and 10-bed inpatient unit, establishing standards of care that will define our hospital's reputation.
Build Your Leadership Team: Recruit, hire, and develop nursing staff while creating policies, procedures, and workflows that support both quality patient care and professional growth.
Drive Operations: Manage the nursing budget, ensure regulatory compliance, and implement quality improvement initiatives tailored to our community hospital environment.
Strategic Partnership: Collaborate with hospital administration, medical staff, and department heads to shape the overall direction of patient care services.
Establish Excellence: Create the nursing culture and operational foundation that will serve as the model for future growth and expansion.
Required Qualifications
Education & Licensure:
Bachelor’s degree in nursing (BSN) required
Current RN license in good standing
Master’s degree in Nursing, Healthcare Administration, or relevant concentration – a plus
Leadership Experience:
Minimum 3-5 years as a DON, ADON, or significant clinical leadership role
Proven experience managing nursing staff, budgets, and operations
Experience with regulatory compliance and quality improvement initiatives
Hospital or acute care nursing background strongly preferred
Core Competencies:
Demonstrated success in team building and staff development
Strong understanding of nursing standards, regulations, and best practices
Experience with facility operations, staffing, and resource management
Excellent communication skills and collaborative leadership style
Why This Role Fits Your Career Goals
Leadership Advancement: Step into a CNO role with the autonomy to shape nursing practice and build lasting systems in a community-focused environment.
Manageable Scale: Lead a 20-bed facility where personal relationships and direct impact define your daily work, rather than managing complex corporate hierarchies.
Professional Growth: Gain valuable experience launching a new facility while establishing the clinical foundation for delivering sustainable, high-quality care.
Community Focus: Make a meaningful difference in Farmington, where quality healthcare access truly matters and patients and families will value your leadership.
Collaborative Environment: Work alongside dedicated healthcare professionals committed to delivering exceptional care in a supportive, team-oriented setting.
Ready to Lead at the Next Level? If you're an experienced nursing leader ready to advance your career while maintaining focus on quality patient care and team development, we want to hear from you.
Exceptional Healthcare Inc. is an Equal Opportunity Employer committed to supporting nursing leaders in advancing their careers.
Join Exceptional Healthcare’s New Community Hospital in Rapid City, SD. Interviewing Now / Offers ASAP / Opening Fall 2026 Be part of history in the making! Exceptional Healthcare is building a new Community Hospital , a state-of-the-art facility bringing high-quality care to Rapid City and surrounding communities. Lead Our Emergency Services as our ER Nurse Manager Join Exceptional Healthcare where your voice is heard and your expertise is valued. Our agile setting enables direct communication with minimal bureaucracy, unlike larger systems. What You'll Do Oversee day-to-day ER operations, ensuring quality patient care Manage inventory, staffing, and departmental needs Work closely with CNO and dedicated ER professionals Contribute to refining processes and improving performance Lead a collaborative team in a responsive management structure What You'll Need 4+ years Emergency Room experience Bachelor's degree in nursing from accredited school Current RN, BLS, ACLS, and PALS certifications Supervisory experience preferred Why Join Us New facility with modern equipment and forward-thinking approach Opportunity to shape quality patient care and processes Supportive, collaborative team environment Work-life balance in a community setting Comprehensive benefits: disability coverage, life insurance, generous PTO, 401K Apply Today! Contribute as our ER Nurse Manager and help build exceptional emergency care.
Join Exceptional Healthcare’s New Community Hospital in Rapid City, SD. Interviewing Now / Offers ASAP / Opening Fall 2026 Be part of history in the making! Exceptional Healthcare is building a new Community Hospital , a state-of-the-art facility bringing high-quality care to Rapid City and surrounding communities. Exceptional Healthcare seeks an experienced Inpatient Nurse Manager to oversee inpatient operations where skilled clinicians develop leadership potential while making a meaningful impact on patient care. Lead With Purpose Partner directly with our CNO to create an environment where clinical excellence meets operational innovation. Build and mentor a high-performing clinical team, transform patient care delivery, and implement your vision without layers of bureaucracy. What You'll Do Build and mentor a high-performing clinical team Drive quality outcomes through clinical expertise and leadership Develop systems that elevate patient experience and staff satisfaction Implement improvements without endless approval chains Manage budgets, scheduling, and resource allocation What You'll Need 2+ years hospital nursing experience (Med/Surg, ICU, or ED preferred) 2+ years supervisory experience Bachelor's degree in nursing from accredited institution Current RN license with BLS, ACLS, and PALS certifications Experience with EHR systems, quality improvement, and regulatory compliance Excellent communication and leadership skills Why Join Us Agile decision-making without bureaucracy Modern facility designed for healthcare excellence Family-like culture with genuine team collaboration Work-life balance and professional growth opportunities Comprehensive health, dental, vision insurance 401(k) with matching and competitive compensation Apply Today! Join us from the beginning and leave your signature on everything we build together.
Join Exceptional Healthcare’s New Community Hospital in Rapid City, SD. Interviewing Now / Offers ASAP / Opening Fall 2026 Be part of history in the making! Exceptional Healthcare is building a new Community Hospital , a state-of-the-art facility bringing high-quality care to Rapid City and surrounding communities. We are seeking dedicated full-time Emergency Department Registered Nurses to join our founding team . Hiring ALL Shifts! Join the (Night/Day) Shift Patient Care Team We're seeking an experienced ER Nurse (Nights) at our NEW Community Hospital. At Exceptional Health Care , you'll become a critical lifeline of our healthcare team. During your shift, you'll provides direct and indirect patient care in the emergency care setting and provided care that reflects initiative, flexibility, and responsibility indicative of professional expectation with a minimum of supervision. We require all of our Emergency Room (ER) Registered Nurses (RN) to triage safely, rapidly, and accurately, every patient that enters the emergency care system. Why Work With Us? We are a patient-focused healthcare provider committed to delivering the highest standards of care while fostering a positive and collaborative workplace culture. Our team takes pride in adhering to the Exceptional Promise by treating every patient and employee with courtesy, dignity, and respect. Comfortable patient ratios that allow for true patient connection Greater autonomy, closer team alignment, and genuine connections Opportunities for a path to clinical leadership Cross training opportunities Quicker throughput processes Less administrative friction and direct communication with leadership A modern standalone facility with full spectrum Med Lab, Radiology, and Pharmacy support In-house Respiratory Therapist (24 hr coverage) Here, you'll find opportunities for growth, a supportive team, and the resources you need to succeed. Key Qualifications: Graduate of an accredited nursing program. 3 to 5 years of ER experience. Current nursing license and certifications – BLS, ACLS & PALS . Strong leadership and problem-solving skills. Proficient in electronic medical records (EMR) systems. What You’ll Do: Determine priorities of care based on physical and psychosocial needs, as well as factors influencing patient flow through the system. Communicate with Emergency Department physicians about changes in patient's status, symptomatology, and results of diagnostic studies. Able to respond quickly and accurately to changes in condition or response to treatment. Maintain awareness of current ER operational policies and procedures which impact position responsibilities. Demonstrate current comprehensive and professional knowledge and skills in conformation with recognized nursing standards including the Patient Bill of Rights standards for patient care and the Nurse Practice Act. Provide direct patient care, evaluate outcomes, consult with other specialists as required and adjust nursing care processes as indicated to ensure optimal patient care. Able to perform a head-to-toe assessment on all patients and reassessments as per policy, including pediatric, adolescent, and geriatric patients and the general patient population. Able to use triage process to ensure timely and appropriate care to patients and accurately assign triage categories. Able to adequately assess and reassess pain, utilize appropriate pain management techniques, and educate the patient and family regarding pain management. Able to monitor hemodynamic status of patient and correctly interpret the results. Demonstrate knowledge of cardiac monitoring to identify dysrhythmias. Able to perform waived testing (point-of-care testing) per Clinical Laboratory's and according to patient care unit's policies and procedures. Able to interpret the results of waived tests and take appropriate action on waived test results. Maintain current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition. Maintain accurate and continued nursing documentation including patient histories, conditions, treatments, responses, and assessment of changes. Perform all aspects of patient care in an environment that optimizes patient safety and reduce the likelihood of medical/health care errors. Interact professionally with patient and family and involve patient and family in the formation of the plan of care. Formulate a teaching plan based on identified learning needs and evaluate effectiveness of learning, including family in teaching as appropriate. Maintain a safe, comfortable, and therapeutic environment for patients and families in accordance with ER standards. Ensure an adequate stock of supplies and proper functioning of equipment. Assist in cost containment through appropriate ordering and conserving of supplies and equipment. Schedule: Night shifts with 12-hour rotations , including weekends/ holidays. Perks and Benefits: Comprehensive health, dental, and vision insurance. 401(k) matching and financial wellness programs. Paid time off (PTO) and work-life balance support. Career growth and leadership development opportunities. Why Choose Us? At Exceptional Healthcare, we believe in empowering our nurses to lead with confidence. As an Emergency Room (ER) Registered Nurse(RN) , you’ll play a key role in fostering care to our patients. We believe in a culture of excellence and teamwork, and provide a dynamic and supportive work environment. Equipping you with state-of-the-art facilities, ongoing education, and strong leadership support to help you excel in your role. Ready to Join? Exceptional Healthcare is working to transform patient care, one shift at a time! Apply today and take the next step in your nursing career.
Join Exceptional Healthcare’s New Community Hospital in Rapid City, SD. Interviewing Now / Offers ASAP / Opening Fall 2026 Be part of history in the making! Exceptional Healthcare is building a new Community Hospital , a state-of-the-art facility bringing high-quality care to Rapid City and surrounding communities. Hiring ALL Shifts! Join the (Night/Day/PRN) Shift Patient Care Team We're seeking an experienced Inpatient Registered Nurse at our NEW Community Hospital. At Exceptional Health Care , you'll become a critical lifeline of our healthcare team. During your shift, you'll provide patient care in the emergency care setting and provided care that reflects initiative, flexibility, and responsibility indicative of professional expectation with a minimum of supervision. Why Work With Us? We are a patient-focused healthcare provider committed to delivering the highest standards of care while fostering a positive and collaborative workplace culture. Our team takes pride in adhering to the Exceptional Promise by treating every patient and employee with courtesy, dignity, and respect. Comfortable patient ratios that allow for true patient connection Greater autonomy, closer team alignment, and genuine connections Opportunities for a path to clinical leadership Cross training opportunities Quicker throughput processes Less administrative friction and direct communication with leadership A modern standalone facility with full spectrum Med Lab, Radiology, and Pharmacy support In-house Respiratory Therapist (24 hr coverage) Here, you'll find opportunities for growth, a supportive team, and the resources you need to succeed. The Inpatient Registered Nurse is responsible for implementing all physician orders, providing for the continuity and quality nursing care for all patients, with continual evaluation of the patients' condition, providing patient safety comfort, and privacy laws. Essential Duties and Responsibilities: Provide direct patient care, evaluate outcomes, consult with other specialists as required and adjust nursing care processes as indicated to ensure optimal patient care Communicate with physicians about changes in patient's status, symptomatology and results of diagnostic studies Able to respond quickly and accurately to changes in condition or response to treatment Maintain awareness of current policies and procedures which impact position responsibilities Demonstrate current comprehensive and professional knowledge and skills in conformation with recognized nursing standards including the Patient Bill of Rights standards for patient care and the Nurse Practice Act Able to perform a head-to-toe assessment on all patients and reassessments as per policy, including geriatric patients and the general patient population Able to adequately assess and reassess pain, utilize appropriate pain management techniques, and educate the patient and family regarding pain management Able to monitor hemodynamic status of patient and correctly interpret the results Demonstrate knowledge of cardiac monitoring to identify dysrhythmias Able to perform waived testing (point-of-care testing) per Clinical Laboratory’s and according to patient care unit’s policies and procedures Maintain current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition Maintain accurate and continued nursing documentation including patient histories, conditions, treatments, responses and assessment of changes Perform all aspects of patient care in an environment that optimizes patient safety and reduce the likelihood of medical/health care errors Interact professionally with patient and family and involve patient and family in the formation of the plan of care Formulate a teaching plan based on identified learning needs and evaluate effectiveness of learning, including family in teaching as appropriate Maintain a safe, comfortable and therapeutic environment for patients and families in accordance with hospital standards Demonstrate the values to team concept on a consistent basis Perform other duties as assigned Education and Experience: Graduate of an accredited school of nursing, BSN preferred Minimum of two (2) years’ experience in a hospital setting. Telemetry/ICU experience preferred Current Texas Nursing License. Current CPR and ACLS required. PALS preferred. Excellent communication skills. Good organization habits Ability to care for patients for adult to geriatric patients. Excellent teaching skills. Basic knowledge of continuous quality improvement ideology. Computer Skills: Basic computer skills EHR Documentation via EPOWERdoc Certificates and Licenses: Current RN license Current BLS Certification Current ACLS Certification Current PALS Certification Shift Schedule: 12 hour shift All shift Weekend availability Monday to Friday Holidays Benefits: Health insurance 401(k) Dental insurance Vision insurance 401(k) matching Why Choose Us? At Exceptional Healthcare, we believe in empowering our nurses to lead with confidence. As an Inpatient Registered Nurse , you’ll play a key role in fostering care to our patients. We believe in a culture of excellence and teamwork, and provide a dynamic and supportive work environment. Equipping you with state-of-the-art facilities, ongoing education, and strong leadership support to help you excel in your role. Ready to Join? Exceptional Healthcare is working to transform patient care, one shift at a time! Apply today and take the next step in your nursing career.
Reports To: Regional Chief Executive Officer Direct Reports: Local Chief Nursing Officers/Directors of Nursing (DONs) Executive Clinical Partner: Arizona Regional Chief Medical Officer (CMO) Location: Arizona (Multi-Site Portfolio) FLSA Status: Exempt – Executive Travel: 60–85% Position Summary The Regional Chief Nursing Officer (CNO) serves as the senior clinical and operational nursing executive responsible for care delivery excellence, hospital throughput, utilization management, labor performance, regulatory readiness, leadership development, and portfolio-wide standardization across all Arizona facilities. Reporting to the Regional CEO, the CNO provides direct supervision of Local Facility CNO and Directors of Nursing (DONs), who serve as the highest on-site leaders overseeing cross-functional hospital operations including Nursing and Environmental Services, and Dietary services. The CNO works in structured partnership with the Arizona Regional Chief Medical Officer (CMO) to ensure standardized, evidence-based, high-quality care delivery processes are implemented consistently across the region. Also works closely with the Regional Chief of Facilities and Administration (CFA) regarding Lab, Radiology, Supply, and Front Desk / Patient Access issues and concerns. The CNO serves as the ultimate nursing authority for the region and may assume interim on-site leadership responsibilities during DON vacancies or operational instability. Essential Functions & Responsibilities 1. Care Delivery Oversight Establish and maintain standardized care delivery processes across all facilities. Ensure evidence-based nursing practice and regulatory compliance. Monitor patient safety, quality indicators, and clinical performance trends. Implement portfolio-wide clinical best practices. Ensure compliance with: Centers for Medicare & Medicaid Services Conditions of Participation Center for Improvement in Healthcare Quality (CIHQ) accreditation standards Arizona Department of Health Services licensure requirements 2. Oversight of Local Facility Leadership Provide direct supervision and performance oversight of all facility CNO/DON team. Ensure CNOs/DONs maintain operational accountability across their sites. Monitor site-level regulatory readiness. Establish leadership performance expectations. Develop corrective action plans when necessary. Each CNO/DON oversees cross-functional departments including: Nursing (ED & Inpatient) Radiology Laboratory Front Office/Registration Plant Operations/Supply Environmental Services (contracted) Dietary (if applicable) 3. Throughput & Flow Management Oversee ED throughput and patient flow performance. Monitor inpatient length of stay. Reduce LWOT and delay metrics. Standardize bed management and care transition processes. Deploy rapid improvement strategies when metrics decline. 4. Utilization Management Ensure appropriate admission status determinations. Monitor observation vs inpatient compliance. Oversee case management performance. Support documentation integrity to protect reimbursement. Reduce avoidable payer denials related to clinical processes. 5. Labor & Productivity Oversight Develop regional nursing staffing frameworks. Monitor productivity benchmarks across facilities. Control overtime and traveler utilization. Align departmental labor performance with financial targets established by the COO. Oversee labor efficiency within Nursing and EVS / Food Service departments. 6. Mentorship & Leadership Development Mentor and coach Local DONs. Develop structured leadership development programs. Identify and cultivate high-potential leaders. Establish succession planning across the portfolio. Standardize onboarding for new nursing and site leaders. Provide hands-on operational support when performance gaps exist. 7. Portfolio Best Practice Development Identify high-performing care processes across facilities. Standardize and deploy best practices region-wide. Reduce variability in care delivery. Implement cross-site benchmarking dashboards. Lead portfolio-wide quality improvement initiatives. 8. Clinical Governance Partnership with Regional CMO Coordinate with Regional CMO to align medical and nursing standards. Participate in development of standardized care pathways. Review quality trends and sentinel events collaboratively. Support physician engagement and clinical integration initiatives. Operationalize clinical strategies developed at the regional level. 9. Regulatory & Survey Readiness Maintain continuous accreditation readiness. Lead Nursing preparation for regulatory and accreditation surveys. Oversee corrective action plan development and closure. 10. Interim Leadership Authority Serve as interim DON during site vacancies. Provide temporary on-site leadership during operational instability. Stabilize underperforming facilities. Lead recruitment and onboarding of new DONs. Assume direct oversight of cross-functional site teams when required. 11. Business Development & Strategic Participation In coordination with the Regional Exec Leadership: Participate in development of new and expanding service lines. Evaluate clinical feasibility of growth initiatives. Assess staffing implications of expansion. Support physician recruitment and onboarding. Ensure scalable care delivery models are implemented regionally. Performance Metrics Patient safety and quality indicators ED throughput performance Inpatient length of stay LWOT reduction Labor productivity and overtime control Utilization accuracy Zero repeat clinical survey citations DON leadership development outcomes Adoption of standardized best practices across sites Qualifications Required Bachelor’s degree in nursing Active Registered Nurse (RN) license Minimum 7 years hospital leadership experience Multi-site operational oversight experience Experience leading accreditation surveys Preferred Master’s degree (MSN, MHA, MBA) Experience in micro-hospital or acute care model Experience partnering with physician leadership Experience implementing portfolio-wide standardization initiatives Core Competencies Clinical governance leadership Leadership development and mentorship Throughput optimization Utilization management expertise Regulatory compliance mastery Interdisciplinary collaboration Change management Portfolio-level strategic thinking
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