Acute Nursing Manager – Nursing Services | Full Time

Dalaney Tuholski

Position Summary

The Acute Nursing Manager will work in a collaborative role with the Director of Nursing Services and the nursing department leads to facilitate up to date evidenced based patient care standards, compliance with CMS and nurse staffing regulations. Will oversee, assist and support the various nursing departments with policy creation and updates, EMR documentation, CMS readiness and departmental issues. Will be an active member of the Nurse Staffing Committee and will assist with staffing law updates. Works with department leads in choosing and performing continuous quality improvement (CQI) activities and with the Quality Improvement Specialist, helping with the clinical perspective.

Essential Functions and Responsibilities

  • Oversees nursing departments and addresses issues collaboratively with department leads, helps to problem solve. Will assist with patient care when there is an influx of patients.
  • Assists department leads with policy writing and getting policies through the approval process.
  • Collaborates with department leads on quality improvement initiatives.
  • Oversees CMS readiness in the nursing units.
  • Completes EHR updates for nursing departments, designs flow sheets, order sets etc., for improved documentation.
  • Assists nursing staff and physicians with documentation in the EHR.
  • Conducts chart audits for compliance with required documentation.
  • Member of the nurse staffing committee, assists with the nurse staffing project and compliance with the nurse staffing plan.
  • Utilization review.
  • Works with pharmacy and billing department to correct pharmacy billing errors.
  • Review, merge and post billing charges.
  • Reviews and ensures that CPT codes are attached to procedures for proper billing.
  • Assists with creation of documents to track nurse staffing and attendance, patient acuity/workload, update the nurse staffing plan, etc.
  • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications, attending webinars, establishing professional networks, participates in professional organizations.
  • Assists with the interviewing and hiring process for new staff.
  • Any additional duties pertaining to the daily operations of the nursing departments as determined.
  • Discharge planning/Swing bed placement
  • Cerner implementation and sustainability
  • Quality projects
  • Management member of Nurse staffing Committee (needed by law)
  • Policies
  • Survey preparation (DNV)
  • Fill in for DNS when out of town

Knowledge, Skills and Abilities

  • Maintains self-motivation and sustains a high level of momentum.
  • Able to successfully prioritize when faced with requests, demands and deadlines.
  • Knowledge of customer service concepts.
  • Must be extremely detail oriented and able to keep organized records.
  • Proven ability to communicate effectively, both in written and oral form.
  • Ability to communicate effectively in English, both verbally and in writing.
  • Proven ability to work as part of a team, in a fast-paced production-oriented environment.
  • Expresses excellent judgment, discretion and decision-making abilities.
  • Maintains a sensitive, fair and impartial approach to dealing with employees.
  • Supports and maintains a culture of safety, quality and positive patient experience.
  • Working knowledge of relevant regulatory requirements, CMS, National Patient Safety Goals (NPSGs), and continued readiness related to healthcare or hospital standards.
  • Ability to prioritize, highly organized.

Education, Experience & Certification/Licensure


  • Associate Degree in Nursing ADN
  • Working experience in critical access hospital setting.
  • Basic Life Support (BLS) certified by American Heart Association (AHA)
  • RN License, in good standing with State of Oregon
  • Valid Permit or Driver’s License
  • ACLS
  • PALS
  • TNCC
  • NRP


  • Bachelors of Science in Nursing BSN
  • Understanding of CMS regulations regarding critical access hospitals.

For More Information, Contact

Dalaney Tuholski, Human Resources Recruiter | 541-640-6901

Why Blue Mountain Hospital District & Grant County?

The Blue Mountain Hospital District (BMHD) is located in Grant County, Oregon, at the heart of the John Day River, in beautiful, rural, Eastern Oregon.  Our District is comprised of a Critical Access Hospital (CAH), Family & Rural Medicine Clinic, Home Health and Hospice, Emergency Medical Services, an Intermediate Care Center and all of the supporting ancillary departments necessary to care for the health and wellness of our community.

Our District spans from John Day to Prairie City, nestled in a valley surrounded by the Blue Mountains.  The Strawberry Mountain Range and John Day River Valley offers a variety of outdoor activities, from abundant hiking/mountain biking/horse riding trails, to high and low lakes and ponds.  Our area is known to be a “go to” place not just for recreation, but also for big game hunting and fishing!

Join our family-like team and settle into a lifestyle that is hard to beat!

For more information on our area, visit our Grant County Chamber of Commerce and Discover John Day pages at: and