Hot Springs Health
DIAGNOSTIC IMAGING DIRECTOR
Job Description
DEPARTMENT: Diagnostic Imaging
SUPERVISOR: Chief Clinical Officer
STATUS: Non-Exempt
EMPLOYEE NAME:
APPROVED BY: Chief Executive Officer DATE: May 5, 2026
GENERAL:
In accordance with the Hot Springs Health Personnel Policy and Procedure Manual and the requirements of our accrediting bodies, the employee will: support the mission of “Partnering with our community for quality health and healing”, our five core values “Ownership, Always better than yesterday, Service first, Integrity, and Stewardship of our resources (OASIS). Our behavior creates our OASIS – a place where we can find safety, sustenance, and a pleasant change from the usual and the vision “to be the provider and employer of choice in our region, providing quality care and excelling as a teaching hospital in Wyoming.”
The established priorities of Quality, Service, Finance, People, and Growth will be utilized in decision making. Furthermore, the employee will demonstrate the ability to manage time, maintain a safe and clean environment; practice confidentiality; treat all persons with respect and professional courtesy; accept change; accept and provide constructive feedback; work as a team player and adhere to the infection control, fire and safety, disaster and hazardous waste policies. The employee must also demonstrate the competencies for their position and adhere to policies and procedures of their department. The employee will participate in quality improvement activities.
BEHAVIORAL REQUIREMENTS:
The following is a list of minimally required behaviors to assist the employee in partnering with our community:
Ownership
Accepts responsibility for actions, attitudes and health. Doing things right the first time, every time for excellent results. Accepts ownership of mistakes and takes constructive action to avoid repeating mistakes. Works with empowerment to the highest potential both as an individual and as part of the team. Unsatisfied with the status quo or just being “good.”
Always Better Than Yesterday
Performs at the highest level, always learning and looking for ways to improve, with an unwavering focus on safety. Celebrates and encourages the contributions of one another. Constructively challenges the status quo by being flexible, adaptable and embracing change as a key element of our future success. Contributes to an environment that encourages creative thinking. Shares ideas and opinions and supports opportunities to learn and grow.
Service First
Doing our best every day to anticipate and exceed the expectations of patients, providers and co-workers. Understands excellence is the result of team effort. Creates legendary experiences.
Integrity
Does the right things. Consistently open, honest, trustworthy and ethical. Demonstrates respect for patients, their families, staff, providers and the community.
Stewardship of Our Resources
Strives to care wisely for our human, financial and natural resources. Strengthens HSH as a partner in the community.
POSITION SUMMARY
The Director of Radiology (Working Director) provides administrative leadership and direct clinical care within the Diagnostic Imaging Department of a Critical Access Hospital (CAH). This position is responsible for maintaining essential imaging services while optimizing resources, exhibiting a high degree of independence, cross-modality competency, and operational flexibility.
The Director routinely performs imaging procedures while overseeing department operations, regulatory compliance, quality assurance, and staff support. This role ensures safe, timely, and high-quality diagnostic imaging services to meet the needs of a rural patient population.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Perform diagnostic imaging procedures across available modalities, prioritizing patient safety and image quality.
- Ensure routine coverage for scheduled, unscheduled, and on-call imaging services.
- Serve as a primary resource for staff, assisting with complex exams and real-time problem-solving.
- Maintain competency across modalities to ensure continuity of services in a low-volume, high-variability environment.
- Direct daily operations with a focus on efficiency, flexibility, and continuity of care.
- Balance patient care demands, staffing limitations, and available resources.
- Ensure compliance with all CAH regulations to ensure readiness for surveys, audits, and inspections.
- Oversee and document quality control activities for all imaging equipment.
- Ensure adherence to radiation safety standards and ALARA principles.
- Assist with budgeting, capital planning, and equipment lifecycle management.
- Train, orient, and evaluate staff with an emphasis on cross-training and multi-modality competency.
- Ensure staff maintain required certifications, licensure, and continuing education.
- Serve as the primary liaison between the department, radiologists (onsite or teleradiology), providers, and hospital leadership.
EDUCATION AND EXPERIENCE:
The Director of Radiology (Working Director) shall:
- Graduate from an AMA-approved Radiologic Technology or Diagnostic Imaging program, or equivalent/comparable program.
- Hold current certification through:
- American Registry of Radiologic Technologists (ARRT) (preferred)
- Additional modality certifications preferred (CT, MRI, US, Mammo, or NM)
- Maintain a current Wyoming Diagnostic Imaging License (if required).
- Have a minimum of 3–5 years of experience in diagnostic imaging; rural or critical access experience preferred.
- Demonstrate competency in multiple imaging modalities (strongly preferred).
- Have prior leadership or lead technologist experience (preferred).
- Demonstrate ability to function independently with strong clinical, operational, and decision-making skills.
- Maintain proficiency in:
- Health Information System, Radiology Information System, PACS systems (e.g., Cerner)
- Basic computer applications (word processing, spreadsheets, reporting tools)
WORKING CONDITIONS AND EXPECTATIONS:
- This is preferably a working director role, with a portion of time spent performing clinical imaging duties.
- Must be able to adapt and support staffing levels, fluctuating volumes, and broad responsibilities typical of a Critical Access Hospital.
- Requires independent decision-making
QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
LANGUAGE SKILLS:
Ability to read, analyze, and interpret appropriate journals. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write policies and procedures that conform to prescribed style and format. Ability to effectively present information to top management, public groups, and/or boards of directors.
MATHEMATICAL SKILLS:
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
REASONING ABILITY:
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Ability to modify care based on the developmental / functional age of the patient as well as that of the patient's ethnic background.
CERTIFICATES, LICENSES, REGISTRATIONS:
Required certifications may include:
- Basic Life Support (BLS)
- Current Wyoming Diagnostic Imaging License
- American Registry of Radiologic Technologists (ARRT)
Optional:
- Nuclear Medicine Technology Certification Board (CNMT)
- American Registry for Diagnostic Medical Sonography (ARDMS)
OTHER SKILLS AND ABILITIES:
Ability to interact with patients, families, visitors and co-workers. Ability to interact assertively and tactfully when dealing with conflict and in group solving activities. Ability to demonstrate a professional, open minded approach in identifying problems and resolving problems/conflicts.
AGE SPECIFIC:
Must be able to provide care according to the developmental level and or chronological patient served. This includes, but is not limited to, identifying the needs and abilities of each patient, and demonstrating an understanding of how a patient’s chronological and developmental age influences his/her need for adaptations related to his/her abilities. Also, an understanding of how a patient’s age impacts his/her ability to deal with and adapt to the care needed/provided is required. General census of neonatal to geriatric patients.
PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While filling this position, the employee must regularly lift and or move 10 pounds and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this position include close vision, distance, vision, color vision, peripheral vision, and depth perception. This position also requires walking or standing to a significant degree. This position also requires reaching, handling, fingering, feeling, talking, and hearing, stooping, bending, crouching, and working with equipment.
WORK ENVIRONMENT: The work environment characteristics described here are representative of those employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The employee is subject to inside and possibly outside weather conditions. The employee is also subject to exposure to blood and body fluids, proximity to moving mechanical parts, electrical shock, exposure to burns and radiant energy, exposure to toxic chemicals and biological agents.
