Director of Nursing

About Perimeter Behavioral Health
Perimeter Behavioral Health is one of the leading mental and behavioral healthcare providers in the
country. We deliver hope to our patients through comprehensive and dedicated treatment programs. Our
focus and commitment to service excellence extends across several states and different care settings.

Perimeter Behavioral Hospital of Missouri is a residential treatment facility providing care to adolescents. Located in Waynesville, MO, Perimeter Behavioral of Missouri’s goal is to provide a responsive healing environment for patients and to inspire hope and contribute to health and well-being by providing the best care to every patient through integrated clinical practice, education, and compassion.

Our team ensures patients receive the high-quality, personalized care they need to overcome mental health and behavioral challenges. We offer a range of settings including inpatient psychiatric hospitals,
residential treatment centers, and outpatient counseling and therapies.

Role Overview 

The Director of Nursing oversees the planning, direction, implementation, and enhancement of quality in nursing and the overall Milieu. This role entails administrative duties, including strategizing, budgeting, managing, and assessing the operations and resources of Nursing Services while offering support to the Milieu. Additionally, the Director of Nursing gathers and analyzes statistical data and prepares reports for the Executive Director and Leadership Committees.

Core Responsibilities

1. Adherence to Guidelines
Participate in and follow all mandatory guidelines for youth care, Individual Treatment Plans (ITP), and Milieu Therapy (MT) planning goals. Ensure compliance with the standards of Child and Adolescent Psychiatric Nursing, the Missouri Nurse Practice Act, and Joint Commission Standards, while implementing nursing interventions and evaluating their effectiveness through interdisciplinary work.

2. Policy Development and Review  
Collaborate with nursing and other departments to formulate departmental policies that meet regulatory standards, obtaining necessary approvals from the Executive Director. Review and revise nursing policies annually or as needed to comply with changing standards.

3. Staff Management  
Schedule, lead, direct, and supervise nursing staff while developing staffing patterns that align with safety needs, state regulations, and budgetary guidelines. Handle recruitment, interviewing, and recommendations for hiring qualified nursing personnel.

4. Competency Assurance
Ensure ongoing competency of nursing staff through examinations, direct observation, training, periodic evaluations, and peer reviews to maintain high standards of care.

5. Quality Improvement Initiatives  
Develop and implement quality improvement measures aimed at enhancing treatment and promoting positive outcomes for residents.

6. Record Management  
Ensure accurate and timely completion of client records, maintaining legibility and compliance with documentation standards.

7. Training and Compliance  
Train all Registered Nurse staff in Licensed Independent Practitioner (L.I.P.) procedures for Seclusion and Restraint incidents, ensuring adherence to ESI policies. Act as an L.I.P. during such incidents when necessary.

8. Leadership Participation  
Actively engage in Leadership Committee meetings, representing nursing needs and supporting clinical strategies across service areas. Prepare and submit timely statistical reports for leadership and participate in annual planning for budget allocations related to staffing and equipment.

9. Teamwork and Communication  
Maintain a professional and collaborative work environment by promoting effective communication and teamwork with coworkers, supervisors, residents, and their families.

10. Collaboration with Stakeholders
Establish effective communication with the Executive Director, physicians, case management, and therapists to provide nursing consultations and support direct care as needed, 24/7.

11. Therapeutic Environment
Create and maintain a safe and therapeutic care environment for residents, prioritizing their safety, rights, and comfort while respecting cultural and religious differences. Implement de-escalation techniques and special treatment procedures as required.

12. Education and Support  
Educate residents and their families/guardians on nutritional practices, medication usage, safety protocols, and discharge planning, ensuring that information is conveyed in an understandable manner.

Qualifications Required

• Active Registered Nurse license in Missouri 
• Graduate of an accredited nursing program
• Two years of psychiatric clinical experience with children and adolescents, nursing management, and/or supervision experience 
• Current CPR certification
• Strong communication and interpersonal skills
• Commitment to patient-centered care

Preferred

• Experience in behavioral health or pediatric nursing
• Background in inpatient psychiatric care

Why Join Perimeter?

Comprehensive Benefits
 Competitive salary
 401(k) plan with company match
 Health, dental, and vision insurance
 Life insurance
 Generous paid time off
 Supplemental insurance plans available

Professional Growth
 Supportive team environment
 Ongoing training and development
 Career advancement opportunities
 New graduate mentorship program

Work Environment
 Collaborative, multidisciplinary approach
 Focus on evidence-based practices
 Commitment to quality care
 Supportive leadership team

Location
Perimeter Behavioral of Missouri.  1000 Hospital Rd Waynesville, MO 65583

Perimeter Behavioral Health is an equal opportunity employer committed to creating an inclusive
workplace where all employees can thrive. We welcome applicants from all backgrounds, regardless of
race, color, religion, age, sex, sexual orientation, pregnancy, gender identity, genetic information, national origin, disability status, protected veteran status, or any other characteristic protected by federal, state, or local laws.