Director of Nursing at TENTH MOUNTAIN

Job DescriptionJob DescriptionAbout the OpportunityOur client is a leading organization in the Women’s and Children’s Health sector, operating across acute-care and ambulatory settings to deliver high-quality maternal, neonatal, and pediatric services. This is an on-site senior nursing leadership role based in the United States responsible for clinical operations, patient safety, and strategic program growth across maternity, newborn, and pediatric care. The role emphasizes operational leadership, partnership with physician and administrative leadership, and stewardship of clinical quality and staff development.Role ResponsibilitiesProvide strategic nursing leadership for Women’s and Children’s services, overseeing Labor Delivery, Postpartum, Newborn Nursery/NICU interfaces, and Pediatric inpatient workflows.Drive clinical quality, patient safety, and outcomes—implement evidence-based protocols, lead morbidity mortality reviews, and reduce variance in care.Manage operational performance: staffing models, budget stewardship, throughput optimization, and capacity planning to meet volume and acuity demands.Lead regulatory readiness and accreditation activities (Joint Commission, CMS), ensuring documentation, competency, and compliance across units.Develop and mentor nursing leaders and frontline staff—establish professional development, competency validation, and retention programs that improve engagement and performance.Collaborate with physician leadership, quality, case management, and ancillary departments to implement clinical pathways, escalation protocols, and family-centered care initiatives.Act as a visible operational leader on the units—round regularly with frontline teams, partner in clinical escalation events, and represent Women’s Children’s services in system-level leadership meetings.Operational DetailsReporting line: This Director-level position reports directly to the Chief Nursing Officer (CNO) or Vice President of Nursing/Patient Care Services, depending on facility structure. The incumbent will have a dotted-line relationship with clinical service line medical leaders (e.g., Chair of Obstetrics/Pediatrics) for clinical programmatic initiatives.Team size direct reports: Typical spans include 4–8 direct reports (nurse managers or clinical supervisors) with overall operational responsibility for a frontline nursing staff ranging approximately 80–220 FTEs depending on facility size and program scope. The position will also oversee allied clinical and support staff across unit interfaces.Shift expectations on-call: The role is primarily a day-shift leadership position (standard Monday–Friday leadership hours) with regular rounding and presence on clinical units. The Director is expected to provide on-call leadership coverage for nights/weekends on a rotational basis (commonly 1:4 to 1:6 rotation) and must be available for urgent clinical or operational incidents, regulatory surveys, and emergency responses.Travel requirements: Up to 10–20% travel may be required for regional system meetings, inter-facility coordination, program development, site visits, and selected conferences. Occasional overnight travel should be anticipated.Workplace: This is an on-site role with occasional off-site or remote work for meetings as approved by leadership; presence on campus for clinical oversight and major events is expected.Skills QualificationsMust-HaveActive Registered Nurse (RN) license in the United States (state-specific)Bachelor of Science in Nursing (BSN) required; Master’s in Nursing or Healthcare Administration preferredProven leadership experience directing nursing services in maternity, neonatal, or pediatric settingsDemonstrated success in quality improvement, patient safety programs, and regulatory complianceExperience managing budgets, staffing, and operational performance for high-acuity unitsStrong collaboration with multidisciplinary teams and physician partnersPreferredCertifications: CNO/leadership certifications, PALS, or ACLSPrior experience with Epic or comparable EHR implementationsExperience with neonatal transport programs, regional perinatal systems, or tertiary referral centersBenefits Culture HighlightsOpportunity to shape care models across Women’s and Children’s services with strong institutional support for clinical innovation.Competitive compensation, professional development funding, and leadership-focused mentorship.Collaborative, patient-centered culture that prioritizes staff wellbeing, diversity, and continuous improvement.Location: United States | Workplace: On-site. We welcome experienced nursing executives committed to elevating maternal, neonatal, and pediatric care through operational excellence, evidence-based practice, and compassionate leadership.