Job Description

Wilbarger General Hospital is seeking an accomplished Chief Nursing Officer (CNO) / Chief Operating Officer (COO) to lead our nursing and operational teams with compassion, integrity, and vision.

As a key member of our senior leadership team, the CNO/COO will coordinate and oversee all aspects of nursing care delivery and related clinical services. This executive leader will help shape strategy, ensure operational excellence, and promote a culture of collaboration and excellence consistent with the hospital’s mission and values.

This is a pivotal role for an experienced nurse executive who thrives in a rural community hospital setting , values strong relationships with staff and physicians, and is passionate about advancing high-quality, cost-effective care.

• Partner with the CEO and CFO to assess and implement hospital strategic priorities and long-term growth opportunities.
• Oversee hospital operations, including ancillary, diagnostic, support, quality, and facility services.
• Drive initiatives that improve operational performance, service quality, and patient experience.
• Ensure financial success, accreditation readiness, and compliance with regulatory standards.

• Provide leadership and oversight for all nursing departments and clinical teams.
• Establish and maintain standards of care, nursing policies, and evidence-based practices.
• Champion a culture of continuous improvement, safety, and excellence in patient care.
• Facilitate interdisciplinary collaboration between nursing, physicians, and other hospital departments.

• Supervise department managers, ensuring effective staffing, budgeting, and performance management.
• Monitor monthly departmental budgets and address variances proactively.
• Participate in the development of annual operational and capital budgets.
• Support implementation of organizational change while fostering engagement and accountability.

• Ensure compliance with infection control, quality assurance, and safety initiatives.
• Promote a strong culture of safety by identifying risks and unsafe practices, supporting improvement initiatives, and ensuring adherence to hand hygiene and risk-reduction protocols.
• Maintain readiness for regulatory and accreditation surveys.

• Model open, transparent, and collegial leadership.
• Mentor and develop emerging nursing leaders.
• Encourage teamwork, respect, and professional growth across all clinical disciplines.
• Maintain confidentiality and a positive employee and patient relations environment.

• Bachelor’s Degree in Nursing required.
• Master’s Degree in Nursing or related field preferred.
• Graduate of an accredited School of Professional Nursing.

• Current Registered Nurse license (Texas Board of Nursing).
• Basic Life Support (BLS) and Crisis Prevention Intervention (CPI) required.

• Minimum 5 years of professional nursing experience in a hospital setting.
• Minimum 2 years of leadership experience in a managerial or supervisory role.
• Proven success in team leadership, mentoring, and cultivating a culture of excellence.
• Experience living and working in a rural healthcare environment preferred.

• Advanced understanding of nursing theory, evidence-based practice, and healthcare operations.
• Strong interpersonal, communication, and organizational skills.
• Proficiency in electronic medical records (EMR) and hospital information systems.
• Familiarity with staffing models, patient acuity management, contract negotiation, and service excellence.

At Wilbarger General Hospital, we’re more than a healthcare facility — we’re a community partner dedicated to improving lives across North Texas. Our leaders are empowered to make a difference, foster growth, and drive meaningful change.

If you’re a results-oriented, relationship-centered nurse executive ready to shape the future of rural healthcare, we’d love to hear from you.

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