Hiring the right talent, and developing people is very important to us at Harlan County Health System. Putting the right people on our team is the key to providing our patients with excellent care!

For information regarding available positions, please contact the hospital by calling 308-928-2151. To apply, please mail application, resume, and cover letter to PO Box 836, Alma, NE 68920 - Attn: Administration. Application link can be found below. 


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Application for Employment 



Dietary Supervisor:


The Dietary Supervisor is a working supervisor position that includes some cooking during the work week. Other responsibilities will include planning, organizing, developing and directing the overall operation of the Dietary Department in accordance with current federal, state and local standards, guidelines and regulations governing the facility. The Dietary Supervisor will also assure quality nutritional services are provided on a daily basis and that the dietary department is maintained in a clean, safe and sanitary manner.

Job Type: Full-Time 


Director of Nursing:

Oversees, develops and guides areas of responsibility in overall efficient operations to ensure quality outcomes in accordance with the philosophy, goals and objectives of Harlan County Health System.

Education and/or Experience:
• Graduate of an accredited school of nursing
• Bachelor’s Degree in Nursing preferred
• Minimum of three (3) years of clinical experience with a minimum of one (1) year supervisory experience

Certificates, Licensure, Registrations:
• Current Nebraska RN license
• Basic Life Support (BLS)
• Advanced Cardiovascular Life Support (ACLS)
• Pediatric Advanced Life Support (PALS)
• Trauma Nursing Core Course (TNCC)
• Neonatal Resuscitation (NRP) preferred

Essential Job Duties and Responsibilities:

Oversees all aspects of day-to-day operations efficiently and effectively.
a. Ensures adequate staffing levels based on service demands.
b. Ensures adequate staffing levels based on service demands.
c. Negotiates with other departments in providing services and resources.
d. Monitors workflow processes.
e. Develops and maintains policies.
f. Sets and achieves department goals and objectives.
g. Assigns, delegates, and details nursing duties as necessary.

Directs hospital-wide patient care programs, policies, and procedures.
a. Participates in evaluation of, current services and programs, proposed changes and expansion of services and programs.
b. Implements effective, on-going programs to measure, assess, and improve the quality of nursing care, treatment, and services delivered to patients.
c. Provides insight and description of how patient's nursing care, treatment, and service needs are assessed, evaluated, and met.
d. Assigns responsibility for program, policy, and procedure development to appropriate nursing personnel.
e. Provides oversight and interpretation of concurrent record review and other performance improvement activities and other studies that evaluate the effectiveness of nursing services in relation to their objectives and costs.

Manages and performs employee relations functions effectively to promote a positive work environment, influence retention and enhance communication.
a. Develops, supports, and actively seeks activities and establishes an environment that promotes recognition and retention for employees.
b. Communicates effectively and provides feedback to staff which may include department meetings, individual employee meetings, rounding, etc....
c. Addresses employee issues in an effective and timely manner.
d. Communicates with CEO and HR regarding employee issues appropriately in an effort to obtain guidance and reduce potential organizational liability.
e. Enforces and interprets policies and procedures with employees, as necessary.
f. Administers annual performance appraisal process for staff, with feedback for positive reinforcement of strengths and opportunities for growth/improvement.

Recruits and develops a qualified and productive workforce.
a. Maintains and creates reporting job descriptions.
b. Recruits effectively for positions by following established hiring practices and guidelines.
c. Orients new employees in a thorough manner to department and organizational operations and procedures.
d. Provides training to department staff in an appropriate and thorough manner.
e. Offers opportunity for continuing education by sharing own knowledge, accessing internal opportunities, and considering external opportunities to support the continued development of department staff.
f. Monitors and verifies the compliance of staff in regards to maintaining required licenses and certifications, as applicable.

Oversees departmental financial operations.
a. Maintains, develops, monitors and reports budgets, expenses, variances and strategic planning for multiple departments.
b. Maintains timekeeping records and updates appropriately and accurately for department staff.
c. Works with vendors and management, as appropriate, to negotiate best value purchases.
d. Guides and participates in annual budgeting planning process for areas of responsibility.

Fulfills at least two monthly clinical shifts (night and day), more if staffing levels require, with regular attendance in a punctual manner.

Performs other duties as assigned.

Job Type: Full-time




Medical Laboratory Scientist (MLS): 

Job Type: Full-time: 36 hr/week, rotating weekends with 3 other technicians

Our Medical Laboratory Scientists generally perform the following:

· Performs phlebotomy when necessary, properly identifying the patient and preparing the specimens for testing by using standard professional technical procedures

· Conducts chemical analysis of body fluids, including blood, urine and spinal fluid, to determine presence of normal and abnormal components; enters data; and consults with pathology

· Maintains current knowledge and training on equipment and procedures.

· Performs required calibration, maintenance, and quality control of instruments and procedures

· Orders and monitors supplies and materials for proper storage and inventory

· Assists in the development of the Laboratory’s Quality Assurance program, focusing on high complexity testing issues

· Performs and maintains documentation


Education and/or Experience

· MLS preferred or MLT

· For personnel performing high complexity laboratory testing: Bachelor’s Degree of medical laboratory technology from an accredited institution is required

· Previous experience in a hospital setting, in a diagnostic services department is preferred

Certificates, Licensure, Registrations

· Basic Life Support (BLS)

· Laboratory certification as a Medical Technologist (MT)

· DOT drug collection certification within 3 months of hire date




Physician Assistant (PA) or Nurse Practitioner (NP):

We're looking to hire a PRN Physician Assistant or Nurse Practitioner to help cover weekend rotations and/or fill-in at our clinic while others are on leave, etc.

Job Type: PRN





Job Type: PRN





Job Description: Utilizes assessment, planning, intervention and evaluation techniques to provide comprehensive and competent patient care. Provides effective interaction with patients, family members and staff, and coordinates interdepartmental patient care activities while maintaining nursing standards.

Education and/or Experience:
• Graduate of an accredited school of nursing
• Minimum of one (1) year clinical experience in a hospital setting preferred

Certificates, Licensure, Registrations:
• Current Nebraska RN license
• Basic Life Support (BLS)
• Advanced Cardiovascular Life Support (ACLS) within 6 months of hire
• PALS (Pediatric Advanced Life Support) within 12 months of hire
• TNCC (Trauma Nurse Core Course) within 6 months of hire

General Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The requirements listed below are representative of the general knowledge, skill, and / or ability required:
• Ability to generate, read, interpret, and take action as it relates to basic financial statements, national and state regulations, operational and maintenance and organizational policy/procedures
• Ability to write reports and correspondence
• Ability to effectively communicate
• Ability to work cooperatively and communicate effectively to maintain good working relationships
• Ability to work with skill in identifying problems; making frequent decisions regarding method of performance

Job Type: Full-Time