VP Patient Care Services
Company : Catholic Health Initiatives
Location : Garrison, ND, 58540
Job Type : Full Time
Salary : 54.49-65.38 HOUR
Date Posted : 3 January 2026
Job Summary and Responsibilities
At CHI St. Alexius Health, you will serve as the executive leader responsible for nursing practice, patient care services, and clinical operations across two hospitals (Garrison and Turtle Lake) totaling approximately 50 critical access beds. As Vice President, Patient Care Services, you will provide vision, strategy, and hands-on leadership to advance quality, safety, and patient experience, while supporting a mission-driven culture grounded in compassion and collaboration.
This position plays a key role in shaping nursing excellence and operational performance across the Garrison region. The VP of PCS partners closely with the medical staff, ancillary services, and community partners to ensure that every patient receives high-quality, coordinated care in alignment with CommonSpirit Health’s values and long-term strategy. This role is ideal for an engaged, approachable, and operationally skilled nurse executive who enjoys working in a close-knit, high-accountability environment where leadership visibility and collaboration drive success.
Serve as the administrative and nursing leader for the assigned campuses, providing oversight and direction for nursing operations, quality, and patient care delivery.
Lead the development, implementation, and evaluation of nursing systems that ensure safe, efficient, and effective care delivery.
Foster a professional, diverse, and inclusive environment consistent with CommonSpirit Health’s core values and ethical principles.
Partner with medical staff, physicians, and interdisciplinary teams to achieve strong clinical outcomes, patient satisfaction, and physician engagement.
Evaluate and manage fiscal and human resources for nursing services; implement staffing strategies that meet patient needs and optimize resources.
Promote and support shared governance, professional development, and a culture of accountability and empowerment among nurse leaders and frontline staff.
Lead or contribute to strategic initiatives such as high reliability organization practices, quality improvement, and the development of new programs (e.g., dialysis).
Ensure compliance with regulatory and accreditation standards and lead continuous improvement efforts in patient safety and clinical quality.
Represent nursing services as a key member of the hospital’s executive leadership team, building partnerships across departments and with community stakeholders.
Maintain strong presence and visibility onsite with staff, patients, and families.
Education & Experience
Master’s and Post-Graduate degree required (Nursing, Healthcare Administration, or related field).
Minimum of 5 years of progressive nursing leadership experience, including prior executive-level responsibility in an acute or critical access hospital setting.
Licensure & Certifications
Active RN licensure in the state of North Dakota or Nurse Licensure Compact (license must be in state of residence).
Required Knowledge, Skills, Abilities & Training
Strong knowledge and application of nursing practice and systems frameworks.
Excellent strategic thinking skills; demonstrated resource management and stewardship abilities.
Proven experience in total quality management and continuous quality improvement initiatives.
Strong team orientation and customer focus, with the ability to lead change and influence through relationships.
Excellent analytical thinking skills and exceptional oral and written communication.
Consistent and reliable onsite presence.
Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and support the legacy of CHI St. Alexius Health for many years to come.
CHI St. Alexius Health is a regional health network with a tertiary hospital in Bismarck, the system also consists of critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services. CHI St. Alexius Health manages four CAHs in North Dakota - Elgin, Linton, and Wishek, as well as Mobridge Regional Medical Center in Mobridge, S.D. CHI St. Alexius Health offers a comprehensive line of inpatient and outpatient medical services, including: a Level II Trauma Center, primary and specialty physician clinics, home health and hospice services, durable medical equipment services, a fitness and human performance center and ancillary services throughout western and central North Dakota.
CHI St. Alexius Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing health for all people. It was created in February 2019 through the alignment of Catholic Health Initiatives and Dignity Health. CommonSpirit Health is committed to creating healthier communities, delivering exceptional patient care, and ensuring every person has access to quality health care.
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Frequently asked questions
In a setting like Garrison, ND, a VP Patient Care Services shapes nursing leadership by integrating local healthcare needs with strategic oversight. This role demands balancing patient safety, staff empowerment, and operational efficiency, tailoring nursing excellence to critical access hospitals while fostering community partnerships.
Typically, candidates hold a master’s degree in nursing or healthcare administration, accompanied by at least five years of progressive executive nursing leadership. Experience with quality improvement and regulatory compliance in acute or critical access hospital environments is essential for this senior position.
Daily tasks include directing nursing operations, collaborating with medical staff to enhance clinical outcomes, managing fiscal resources, and ensuring compliance with healthcare standards. The VP maintains high visibility with frontline teams to drive quality care and patient satisfaction across facilities.
Operating under Catholic Health Initiatives involves aligning patient care with mission-driven values, managing limited resources typical in rural North Dakota, and fostering community trust. Challenges include sustaining quality nursing practice amid regulatory demands and promoting inclusivity within a faith-based health system.
The VP Patient Care Services at Catholic Health Initiatives acts as a strategic partner by leading nursing excellence and operational performance, ensuring patient safety, and collaborating across departments. This role drives initiatives that reflect the system’s commitment to compassionate, high-quality care aligned with CommonSpirit Health’s vision.
Yes, candidates must hold an active RN license valid in North Dakota or under the Nurse Licensure Compact. This ensures compliance with state regulations and validates the candidate's capability to practice nursing leadership within local healthcare frameworks.
Given Garrison's rural healthcare setting, VP-level roles in patient care services are specialized with moderate competition. Candidates with executive nursing experience and local licensure tend to have an advantage, as the demand focuses on leaders who can manage critical access hospitals effectively.
Salaries for VP Patient Care Services in North Dakota's rural healthcare vary, typically ranging from $150,000 to $190,000 annually. Compensation reflects the role's complexity, leadership scope across multiple hospitals, and the necessity for advanced nursing and administrative expertise.
Garrison's close-knit community fosters a collaborative healthcare culture where the VP must emphasize relationship-building with staff and stakeholders. This environment requires visible leadership that supports shared governance, embraces diversity, and adapts strategies to meet rural patient care challenges.
Successful VPs demonstrate strategic foresight, operational acumen, and a hands-on approach to nursing leadership. They excel in fostering multidisciplinary partnerships, driving quality improvements, and embodying the organization's compassionate mission, ensuring sustainable healthcare delivery across hospital campuses.