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Director of Nursing Services I
Company : Appalachian Regional Healthcare
Location : Barbourville, KY, 40906
Job Type : Full Time / Part Time
Date Posted : 11 January 2026
Overview
The Director, Nursing Services is accountable for the overall administration of the department in order to meet the objectives of the hospital through planning, organizing, executing and evaluating the nursing care provided for patients in the hospital.
Responsibilities
Manage the department in an efficient manner by planning, organizing and controlling all activities of the department.
Formulate and implement the objectives of the department in accordance with hospital goals.
Develop, evaluate, implement, interpret and maintain hospital plans and work standards and procedures for the clinical practice of nursing that are in compliance with hospital policies, governmental regulations and various regulatory agency requirements. Serve as a role model for nursing staff by complying with established policies and procedures.
Supervise the implementation of total quality management concepts which are used to determine effectiveness of nursing care delivery systems throughout the hospital.
Participate as a member of the key management hospital team and in hospital strategic planning activities. Interpret the role of nursing for the hospital's strategic plans.
Manage the personnel function by interviewing, selecting, evaluating, disciplining and terminating personnel or recommending such action as necessary. Assure that employees receive orientation and required in-service training, that they maintain required licensure or certification and that pertinent nursing education programs are developed and presented to promote clinical competency and staff development.
Determine staffing needs and patterns and recommend appropriate staffing levels and classifications consistent with unit position authorization.
Administer the Bargaining Agreements at the local level as it pertains to Nursing Service personnel.
Coordinate the activities of various nursing units and establish productive working relationships with the medical staff and support services.
Maintain up-to-date knowledge in the field so they may recommend new services, products and equipment. Continue professional development by attending education programs designed for nursing leaders.
May provide direct patient care when higher levels of skill and judgement are required. Demonstrate the skills and knowledge necessary to provide care appropriate to the age of the patient served.
Adhere to the infection control policies and procedures of the hospital.
Formulate and prepare the departmental budget, routine and special reports and various forms and documents as required.
Take administrative calls when delegated by the Administrator.
Serve on hospital committee and attend meetings, as required.
May work off shifts, weekends and holidays, be on-call and work more than standard hours.
Perform other related duties as assigned.
Qualifications
EDUCATION, TRAINING AND EXPERIENCE:
Graduation from an approved school of nursing and current non-limited licensure in state. Bachelor's degree preferred.
Minimum of five years experience in nursing supervision and/or administration, with formalized training and/or experience in effective management techniques.
Demonstrated leadership and ability to motivate and to work cooperatively with individuals and groups.
POSITION PHYSICAL REQUIREMENTS:
Must possess physical ability to endure prolonged sitting; moderate walking; lifting and carrying. May require 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. Physical Demand requirements are in excess of those for sedentary work.
SPECIFIC ACCOUNTABILITIES:
Accountable for assuring the efficient operation of all nursing units in accordance with hospital objectives.
Accountable for establishing and achieving nursing department objectives and goals.
Accountable for providing a climate for professional growth and development through programs of orientation, evaluation, in-service and continuing education.
Accountable for safe, effective patient care in all nursing areas in hospital.
Accountable for supervising the implementation of total quality management concepts in all nursing areas in the hospital.
Accountable for developing and administering the Nursing Department budget.
Accountable for acting as liaison between Nursing Service and other hospital departments.
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Frequently asked questions
Effective communication, strategic planning, and team motivation are vital for a Director of Nursing Services I in Barbourville. These traits support managing diverse nursing units, aligning departmental goals with Appalachian Regional Healthcare’s mission, and adapting to local healthcare demands while fostering staff development.
In rural settings like Barbourville, the Of Nursing Services I often blends administrative oversight with direct patient care, requiring versatility. Unlike larger urban hospitals, this role demands hands-on leadership in resource management and collaboration with limited local medical staff, to maintain quality nursing standards.
Progression typically involves moving into senior executive nursing roles or hospital administration, leveraging leadership experience gained in managing complex nursing operations at Appalachian Regional Healthcare. Growth also includes specialization in clinical education or healthcare quality management, enhancing regional healthcare impact.
While a current non-limited Kentucky nursing license is mandatory, certifications like Nurse Executive (NE-BC) or Certified Nurse Manager and Leader (CNML) are highly regarded locally. These credentials demonstrate advanced leadership competencies aligning with regulatory standards in Barbourville’s healthcare system.
Barbourville presents a moderately competitive market for nursing directors due to limited specialized candidates and regional healthcare needs. Appalachian Regional Healthcare’s reputation attracts qualified leaders, but the role’s blend of administrative and clinical duties requires unique skill sets, narrowing the candidate pool.
Appalachian Regional Healthcare emphasizes integrated quality management and strategic nursing development, fostering an environment focused on continuous staff education and patient-centered care. The Director of Nursing Services I role here entails active participation in hospital-wide initiatives, setting it apart from peers.
Committee participation is essential, enabling the Director to influence policy, align nursing practices with overall hospital strategies, and advocate for nursing staff. This involvement ensures nursing perspectives shape organizational goals, improving service quality and operational efficiency throughout Appalachian Regional Healthcare.
Salaries typically range from $95,000 to $120,000 annually, reflecting regional cost of living and healthcare sector standards. Compensation at Appalachian Regional Healthcare aligns with these figures, factoring in experience, certifications, and leadership responsibilities within nursing administration.
The Director leads initiatives to evaluate and improve nursing care delivery, implementing continuous quality improvement processes hospital-wide. This approach ensures compliance with regulatory standards and promotes excellence in patient outcomes, positioning the nursing department as a cornerstone of Appalachian Regional Healthcare’s quality objectives.
In this rural setting, the Director must strategically assess staffing patterns to address fluctuating patient volumes and resource constraints. They oversee recruitment, training, and retention efforts, balancing budget considerations with the necessity for skilled nursing personnel to maintain effective patient care.