Hettinger, ND 58639 • (2.6 miles) • Full Time • 10/12/2026

Position Summary: Primary focus on mental health issuesincludingall ages across the lifespan from the community and other areas.Assessment, interventions, diagnosis, outcome identification, planning, implementation of treatment plan, psychotherapy, care management, consultation, and health promotion. Excellence in Practice:Primary focus on mental health issues. Includes all ages across the lifespan from the community and other areas. Assessment, interventions, diagnosis, outcome identification, planning, implementation of treatment plan, psychotherapy, care management, consultation and health promotion.Health promotion is conducted by providing in-services to staff and patients, public speaking on health related issues and attending health fairs.Comprehensive assessment and decision making

Hettinger, ND 58639 • (2.6 miles) • Full Time • 10/12/2026

Position Summary: Speech Language Pathologist, also called speech therapists, work to assess, diagnose and treat patients with language, cognitive, communication and swallowing disorders. SLP at WRHS will provide services to inpatients, outpatients and other patient populations in which WRHS has entered into a contractual agreement with. This may include public schools, nursing homes and assisted living facilities. Some travel may be required. Excellence in Practice:Evaluating and developing appropriate treatment plans to meet individual’s specific needs.Monitoring a patient’s progress to makesure that they’re successfully completing treatment.Encouraging the patient during their recovery process.Helping patients to improve their quality of life.Updating patient plan of care and home progr

Hettinger, ND 58639 • (2.6 miles) • Full Time • 10/12/2026

Position Summary: A Certified Registered Nurse Anesthetist (CRNA) is a licensed professional Advanced Practice Nurse responsible and accountable for his/her professional practice. He/she shall be capable of exercising independent judgment within his/her scope of practice. Excellence in Practice:Assesses and monitors the client pre-operatively, intra- operatively and post- operatively.A pre-anesthetic check list shall be performed before the first case and before each additional case of the day.Always evaluates the client's current mental and physical status.Always identifies any historical adverse re-action(s) to anesthesia.Always reviews anesthetic history to include family's anesthetic history and potential problems.Proactively advocates for customers who should not be anesthetized.Condu

Hettinger, ND 58639 • (2.6 miles) • Full Time • 10/12/2026

Position Summary: To safely and efficiently acquire diagnostic ultrasounds and do so in a polite and professional manner. Excellence in Practice:Performs diagnostic ultrasound exams and procedures with correct positioning, technique, and equipment operations. Performs clinical assessment and diagnostic sonography examinations.Delivers ultrasound exams and procedures in an efficient and timely manner. Uses cognitive sonographic skills to identify, record and adapt procedures as appropriate to anatomical, pathological, diagnostic information and images. Uses independent judgment during the sonographic exam to accurately differentiate between normal and pathologic findings. Analyses; sonograms, synthesize sonographic information, medical historyand communicates findings to the appropriate phy

Hettinger, ND 58639 • (2.6 miles) • Full Time • 10/12/2026

Seeking a supplemental/PRN MRI Technologist with at least three years of experience. This person will provide MRI services to our patients as well as Lead MRI duties which include QC/QA program, keeping ACR accreditation current and meeting all Federal and State regulations. With a commitment of 3+ days per month (prefer one day per week), Premium pay plus incentives provided. This position offers no benefits and is not considered full-time. This position is no call and no weekends with daytime hours.Premium Pay plus incentives Lead MRI Technologist Flexible days to work into your schedule Responsible for the care and safety of patients undergoing treatment and use of equipment to minimize hazards. Knowledgeable of and follows MRI safety protocols.Powered by JazzHR4XHMbCr11W

Hettinger, ND 58639 • (2.6 miles) • Full Time • 10/12/2026

Job Summary: Provides evaluation, diagnosis, treatment and management of behavioral health problems and psychiatric disorders. The PMHNP possesses prescriptive authority and provides comprehensive services necessary for the promotion of optimal mental health, prevention and treatment of psychiatric disorders and ongoing health maintenance services.Excellence in Practice:Obtains medical and psychosocial histories and conducts comprehensive physical and behavioral health assessments and evaluations in an outpatient setting to determine diagnosis.Orders, evaluatesand interprets diagnostic procedures, laboratory studies and therapeutic interventions to assess the patients’ clinical problems and health care needs.Prescribes, monitorsand performs medication management with clients to monitor sym

Hettinger, ND 58639 • (2.6 miles) • Full Time • 10/12/2026

Position Summary The CT/XRay Technologist provides highquality diagnostic imaging services in both computed tomography and general radiography. This position is wellsuited for experienced CT technologists as well as Radiologic Technologists seeking structured crosstraining into CT. The department operates at a manageable pace and is supported by a collaborative team committed to patientcentered care. Essential ResponsibilitiesPerform CT and general radiographic examinations in accordance with ARRT standards and departmental protocols.Participate in a shared oncall rotation while maintaining a healthy worklife balance.Deliver compassionate, professional care to patients in a rural healthcare environment.Collaborate with a supportive imaging team that values communication, reliability, and m

Hettinger, ND 58639 • (2.6 miles) • Full Time • 10/12/2026

Position Summary: Provide treatment, evaluation, monitoring and management of patients with breathing disorders or cardiovascular problems. Respiratory Therapy practices under the direction of the physicians. Excellence in Practice:Accurately assess and monitor patients requiring RT treatments. Knowledgeable regarding RT medications and the expected outcomes and adverse reactions.Documentation is complete: Assessment of lungs, treatment, evaluation, care plan, smoking cessation, equipment set-up, supplies and education.Consults with nursing and physicians to modify plan of care as needed.Technical skills: O2, PFT’s, EEG, EKG, BAT, UDT, Mist Tent Treatments and Ventilator.Provide education to patients and families – good communication skills/informs other disciplines as appropriate.Accurate

Hettinger, ND 58639 • (2.6 miles) • Full Time • 10/12/2026

Description: Physical Therapists will provide services to inpatients, outpatients, and patient populations with which WRHS has entered into a contractual agreement. This may include public schools, nursing homes, and assisted living facilities. Staff members will be licensed by state laws and requirements. Job duties will include evaluating, treating, and arranging plans of care for patients. This will involve working with medical staff and fellow ancillary staff within the rehab department. Education: Masters Degree or equivalent from an accredited school of physical therapy. Experience:New graduates acceptable for consideration. License Requirements: Licensed to practice Physical Therapy in the state of ND. Powered by JazzHRLFanfqjvQv

Hettinger, ND 58639 • (2.6 miles) • Full Time • 10/10/2026

Job Summary: Seeking aNurse Practitioner or Physician Assistantfor 24-40 hrs/week. Providing comprehensive care across all age groups. Essential Job Duties:Take a complete, detailed, and accurate history; do a complete physical examination, when appropriate, to include pelvic, rectal and breast examinations; record pertinent data in an acceptable medical form in accordance to West River Health Services policy and procedure.Autonomously as well as in collaboration and/or supervision of a physician, assess, diagnose, treat and manage the patient’s health problems/needs both acute and chronic.Able to assess patient status and needs per phone conversation with appropriate advice, referral and appropriate documentation of advice, referral and/or medication prescribed.Competent with clinical ski

Hettinger, ND 58639 • (2.6 miles) • Full Time • 10/10/2026

As the Chief Medical Officer, you will serve as both a clinical leader and practicing physician. This unique role is structured to be approximately 50% patient-facing and 50% administrative/leadership, ensuring that the CMO remains closely connected to patient care while also guiding the organization’s medical strategy. In this role, you will provide strategic leadership for medical operations, oversee quality and compliance, and collaborate with the executive team to drive the organization’s mission. At the same time, you will maintain a direct clinical practice to support patient access, model excellence in care delivery, and remain attuned to the daily realities of medical practice within our facility. With your broad experience, you will balance patient care responsibilities with execu

Hettinger, ND 58639 • (2.6 miles) • Full Time • 9/28/2026

Excellence in Practice:Produce quality laboratory results in an efficient and timely manner according to written proceduresInform Laboratory Manager or clinical coordinator when supplies are getting low or outdatedOperate instruments with required specifications and efficiently.Utilize Quality Control Procedures. Verify in the LIS, complete the worksheet or QC logs and initial results, document problems and corrective action.Perform preventive maintenance Routine checksDaily temperaturesLogs in and initial resultsDaily LIS startupCalibrations as neededReport results appropriately based on gender and age of the patient: Routine with reference ranges for male, female, neonatal, pediatric, adolescent, adult, and geriatric patientsStats run as soon as possibleCritical values rechecked, called,

Hettinger, ND 58639 • (2.6 miles) • Full Time • 9/26/2026

DUTIES AND RESPONSIBILITIES: Supervise nursing activities of his/her nursing station on each shift; organize and assign jobs to be accomplished on each shift based upon resident population, staff qualifications, and physical structure; make rounds to observe and evaluate physical, emotional, and social needs of residents; prepare and administer medications; chart as required; give treatments; consult with physicians; communicate with Director of Nursing, MDS Coordinators and staff. The person holding this position is delegated the responsibility for carrying out the assigned duties and responsibilities in accordance with current existing federal and state regulations and established company policies and procedures and charge nurse may be either an LPN or an RN. FUNCTIONS: Responsible for n

Hettinger, ND 58639 • (2.6 miles) • Full Time • 9/25/2026

Position Summary: Coordinates the diabetes education program, meeting the requirements of the American Diabetes Association for nationally recognized programs. Provides diabetes education to individuals & groups. Excellence in Practice:Assesses patients with diabetes for current knowledge & skills.Educates patients & families in diabetic management & skills.Coordinates diabetes education program.Evaluates effectiveness of diabetes program through PI studies & follow-up patient assessments.Plans diabetes education programs with diabetes team.Develops follow-up plan, including appropriate referrals, with each diabetic patient.Documents information to meet program & facility requirements.Maintains records as required for nationally recognized program.Completes application when due for renewal

Hettinger, ND 58639 • (2.6 miles) • Full Time • 9/24/2026

Position Summary: Primary focus on mental health issues. Comprehensive assessment and decision-making about the care needs of individuals, families and groups. Excellence in Practice:Primary focus on mental health issues. Includes all ages across the lifespan from the community and other areas. Assessment, interventions, diagnosis, outcome identification, planning, implementation of treatment plan, psychotherapy, care management, consultation and health promotion within the healthcare system, to include but limited to inpatient, outpatient, assisted livingand long term care. Provide one on one counseling and social services for identified patients with special emphasis on treatment.Health promotion is conducted by providing in-service to staff and patients, public speaking on health relate

Hettinger, ND 58639 • (2.6 miles) • Full Time • 9/22/2026

Position Summary: To assist the Pharmacy Manager and the Staff Pharmacist in the routine tasks associated with the delivery of pharmacy services and to provide technical and clerical support for thePharmacy Department. Excellence in Practice:Upon patient discharge, reconciles pharmacy charges and the medication administration record.Utilizes available programs to maintainpharmacy organization and continuity.Processes medication orders from actualcopies of original physician's orders orthe Emergency Department dispensinginformation.Follows medication and supply orderingand receiving procedures and medicationusage patterns to assure the maintenanceof adequate inventory levels at all times.Provides stock medications to NursingServices, Ancillary Services and the ClinicNetwork in a timely and

Hettinger, ND 58639 • (2.6 miles) • Full Time • 9/20/2026

Human Resources Manager / DirectorLocation: 1000 Highway 12, Hettinger, ND 58639 Type: Full-Time, On-Site Reports To: Chief Executive Officer Salary: $68,000 to $120,000 annually, depending on qualifications and title level FLSA Status: Exempt About West River Health ServicesWest River Health Services is a Critical Access Hospital and integrated rural health system serving Hettinger, ND and the surrounding southwestern North Dakota region. With approximately 250 employees across acute care, clinic, long-term care, and ancillary services, WRHS is the primary healthcare provider for a wide geographic area. This role sits at the center of the organization's people strategy and reports directly to the CEO. Position SummaryWRHS is seeking an experienced HR professional to serve as its senior Hu

Hettinger, ND 58639 • (2.6 miles) • Full Time • 9/20/2026

Assistant Director of Nursing (ADON)Location: Western Horizon Living CenterPosition Type: Full-Time (Part-Time Considered)Reports To: Director of Nursing (DON)Position SummaryWestern Horizon Living Center is seeking a dedicated and experienced Registered Nurse (RN) to serve as the Assistant Director of Nursing (ADON) for our 40-bed skilled nursing facility. This leadership role supports the Director of Nursing in overseeing daily clinical operations while also functioning as the facility’s Infection Preventionist and Quality Nurse.The ADON plays a vital role in ensuring the delivery of high-quality, resident-centered care, maintaining regulatory compliance, and fostering a culture of safety and continuous improvement. Responsibilities include supervision of nursing staff, coordination of t

Hettinger, ND 58639 • (2.6 miles) • Full Time • 10/16/2026

The Social Service Designee is responsible for assisting in the development, implementation, and coordination of psychosocial services for residents in the skilled nursing facility. This role ensures that residents attain or maintain their highest practicable level of physical, mental, and psychosocial well-being in accordance with federal and state regulations. Key Responsibilities1. Psychosocial Assessment & Care PlanningComplete psychosocial assessments upon admission and as required by regulation.Participate in the Minimum Data Set (MDS) process, including relevant sections related to mood, behavior, and discharge planning.Contribute to the development and ongoing review of person-centered care plans.Monitor residents’ psychosocial status and document significant changes.2. Resident &

Hettinger, ND 58639 • (2.6 miles) • Full Time • 10/12/2026

Position Summary: Responsible to coordinate activities at the Nurses Station, including receptionist, general clerical and information management duties with computer skills. Provide direct patient care, both medical and non-medical. Cares are directed and supervised by the RN or LPN. Assures the maintenance of a safe and clean environment. Excellence in Practice:Time management: completes assignments and assists others willingly; answers call lights; greets and directs patients, visitors and hospital personnel in a friendly and courteous manner, assists in room preparation, admissions and discharges.Assists patients with activities and meal time set up, ambulation, transfers, positioning, and dressing. Attends to physical and emotional needs.Computer skills: able to admit patients with kn

Hettinger, ND 58639 • (2.6 miles) • Full Time • 9/26/2026

Position Summary: Provide direct patient care, both medical and non-medical. Cares are directed and supervised by the RN or LPN. Assures the maintenance of a safe and clean environment. Excellence in Practice:Treats patients with respect and dignity. Providing privacy in all cares.Completes assignments, good time managements. Assists others willingly. Answers call lights promptly. Makes hourly rounds.Assists patients with activities of daily living: meal time set up and feeding, toileting, ambulation, transfers, positioning, dressing, AM & PM cares – bathing, oral hygiene, shave, skin and nail care. Attends to physical, spiritual and emotional needs.Accurately documents care provided: Activity, Meals, I & O, Vital Signs, Weights, Swing Bed activities and ADL assessments.Computer skills: Ab

Hettinger, ND 58639 • (2.6 miles) • Full Time • 9/26/2026

Western Horizons Care Center provides compassionate and personalized care to residents in a warm and homelike environment. As part of our dedicated team, you'll have the opportunity to make a meaningful difference in the lives of our residents and their families. As a Certified Nursing Assistant (CNA) at Western Horizons Care Center, you'll play a crucial role in providing essential daily care and support to our residents. Your commitment to excellence and compassion will enhance the quality of life for those entrusted to our care. DUTIES AND RESPONSIBILITIES: Assist professional nursing staff by performing duties in caring for residents at facility; work under supervision of professional nurses; transport, bathe, and dress residents; comb hair, clean teeth, and care for nails; provide bed

Hettinger, ND 58639 • (2.6 miles) • Full Time • 9/25/2026

DUTIES AND RESPONSIBILITIES: Prepare, cook, season, and serve adequate, attractive, nutritious and balanced meals, including meat, fish, fowl, vegetables, fruit, soups, salads, desserts, breads and pastries, as specified and scheduled by the menus. Clean dietary work area. The person holding this position is delegated the responsibilities for carrying out the assigned duties and responsibilities in accordance with current existing federal and state regulations and established company policies and procedures. ESSENTIAL FUNCTIONS:Handle and prepare food that is palatable, appetizing and attractive, following standardized recipes.Comply with meal schedules.Maintain and use equipment and supplies, sanitize after each use.Work cooperatively with other staff and departments.Use initiative, judgm

Hettinger, ND 58639 • (2.6 miles) • Full Time • 10/3/2026

Job Description: The Administrative Assistant will work closely with the Chief Medical Officer (CMO) and the Ambulatory Care Officer (ACO) in coordinating and carrying out the functions of the departments. This individual will work closely with the CMO, ACO, chief of medical staff, the physician staff, residents, medical students, physician assistants and nurse practitioners in the facility. In addition, this individual will work closely with other administrative departments of WRHS in various projects. Responsibilities:Assist the human resources department with preparation of payroll, coordination of benefits and other duties as they pertain to the employees of the Medical Staff Department.Assist with and coordinate the physician education schedule and topics.Maintain and disseminate the

Hettinger, ND 58639 • (2.6 miles) • Full Time • 9/26/2026

Position Summary: Coordinates the processing of clinic and/or hospital patient accounts, ensuring that transactions are properly reflected on all accounts. This includes insurance claim submission as well as claim denial management. Excellence in Practice:Submit claims to insurance payer in a timely and accurate manner.Respond to inquiries from insurance companies and agencies to assist in claims processing.Work insurance claim denials and errors to ensure that insurance processes claims appropriately.Provide assistance to patients with billing related questions or concerns.Perform other duties as directed by supervisor that contribute to an efficient revenue cycle process.Education:High school or higher. Good computer skills needed.Starting salary: $17.88 Powered by JazzHRV1Cnz7wKcE