Appalachian Regional Healthcare logo
Appalachian Regional Healthcare
Barbourville, Kentucky

Director of Nursing Services

Registered NurseIncludes callIncludes weekendsFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, nights and shift pattern and time off.

Posted 1mo ago

Job Description

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

  • Manages the department in an efficient manner through planning, organizing, and controlling all departmental activities.
  • Formulates and implements departmental objectives in accordance with hospital goals.
  • Develops, evaluates, implements, interprets, and maintains hospital plans, standards, and procedures for the clinical practice of nursing in compliance with hospital policies, governmental regulations, and regulatory agency requirements.
  • Serves as a role model for nursing staff by adhering to established policies and procedures.
  • Supervises the implementation of Total Quality Management concepts used to evaluate the effectiveness of nursing care delivery systems throughout the hospital.
  • Participates as a member of the hospital leadership team and contributes to strategic planning activities.
  • Interprets and supports the role of nursing in achieving the hospital's strategic plans.
  • Manages personnel functions including interviewing, hiring, evaluating, disciplining, terminating, or recommending personnel actions as necessary.
  • Ensures employees receive orientation and required in-service education.
  • Ensures staff maintain required licensure and certifications.
  • Promotes clinical competency and professional development through nursing education programs.
  • Determines staffing needs and patterns and recommends appropriate staffing levels and classifications consistent with approved position authorizations.
  • Administers Bargaining Agreements at the local level as they relate to Nursing Service personnel.
  • Coordinates the activities of nursing units and establishes productive working relationships with medical staff and support services.
  • Maintains current knowledge of nursing practices, services, products, and equipment and recommends improvements as appropriate.
  • Participates in professional development and leadership education programs.
  • May provide direct patient care when advanced skills and clinical judgment are required.
  • Demonstrates the knowledge and skills necessary to provide age-appropriate patient care.
  • Adheres to hospital infection control policies and procedures.
  • Formulates and prepares departmental budgets.
  • Prepares routine and special reports, forms, and required documentation.
  • Takes administrative call responsibilities when delegated by the Administrator.
  • Serves on hospital committees and attends meetings as required.
  • May work off shifts, weekends, holidays, on-call assignments, and extended hours as needed.
  • Performs other related duties as assigned.

Qualifications

Education

  • Graduation from an approved School of Nursing required.
  • Current non-limited nursing licensure in the state required.
  • Bachelor's Degree preferred.

Experience

  • Minimum of five (5) years of experience in nursing supervision and/or administration required.
  • Formalized training and/or experience in effective management techniques required.

Required Skills, Knowledge & Abilities

  • Demonstrated leadership ability.
  • Ability to motivate individuals and teams.
  • Ability to work cooperatively with individuals and groups.
  • Knowledge of nursing administration and management principles.
  • Ability to establish and achieve departmental goals and objectives.
  • Ability to promote professional growth and staff development through orientation, evaluation, in-service education, and continuing education programs.
  • Ability to supervise the implementation of Total Quality Management concepts.
  • Ability to develop and administer departmental budgets.
  • Ability to function as a liaison between Nursing Services and other hospital departments.

Licenses & Certifications

  • Current non-limited nursing licensure in the state required.

Physical Requirements

  • Must possess the physical ability to endure prolonged sitting and moderate walking.
  • Must be able to lift and carry objects as required.
  • Ability to exert up to twenty (20) pounds of force occasionally.
  • Ability to exert up to ten (10) pounds of force frequently.
  • Ability to exert a negligible amount of force constantly to move objects.
  • Physical demand requirements are in excess of those for sedentary work.

Qualifications

Education
Bachelor degree
Experience
5+ years of experience

Key Skills

BudgetingStaff supervisionRegulatory compliancePersonnel managementConflict resolutionTeam motivationInterdepartmental coordination

Nursing Administration — Registered Nurse Career Context

Of the 50 active Nursing Leadership listings this role was benchmarked against, 32% are remote, 62% have no call, 68% require no weekends.

The cost-of-living index for Kentucky is 90.2 (US average = 100; BEA Regional Price Parities (2024)). 61.6% of Kentucky clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Nursing Leadership by the numbers
MeasureThis jobMarket
Work-life score2.4 / 10 · above average in nursing leadershipranked against 1,187 Nursing Leadership listingslisting-based score, 0–10
Listed paynot listedNursing Leadership median $114k (middle half $100k–$130k)101 comparable listings, Nov 2026
Cost of livingKentucky index 90.2US average = 100BEA Regional Price Parities (2024)
Nursing Leadership listings in Kentucky69 active5,690 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 32% remote · 62% no call · 68% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedUS Registered Nurse listings: 11% state a sign-on bonus (median $10k) · 5% offer loan repayment1,000 active listings, Nov 2026
New Nursing Administration listings91 in the last 30 days65 the 30 days before (+40%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index (1,187 Nursing Leadership listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Registered Nurse Jobs

42 matches · ranked by pay

Salary Distribution

40 jobs · 34 employers
11
<$105k
11
$105k-120k
6
$120k-135k
8
$135k-150k
4
$150k+

Annual compensation range

Benefits & Perks

25 jobs
401k / retirement match
100%
CME allowance
20%
Sign-on bonus
16%
Loan repayment
16%

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Work-life snapshot

median 1.5this job 2.4
Better work-life than 60% of Nursing Leadership listings

Listing-based score, 0–10, across 1,187 comparable listings. Shaded area = the share scoring below this one.

  • Includes call
  • Includes weekends
Appalachian Regional Healthcare logo

About Appalachian Regional Healthcare

Hospitals and Health Care
Hazard, KENTUCKY
1,001-5,000 employees

Living in Barbourville

Typical 3-bedroom home value
$162k
Median resident rent
$702/mo
Residents’ average commute
21 min
State income tax
Up to 4.5%
Sources & methodology

Sources: Zillow home values (Sep 2026), U.S. Census ACS 2024 five-year.

City-level figures. Not a cost-of-living guarantee.