Scott Nesiba

Provide strategic and operational leadership for inpatient and hospital-based behavioral health services, with direct oversight of 2 Nursing/Patient Care Operations Directors, 4 Managers, 3 Professional Development Nurses, a Senior Project Manager, and a Director of Research. Accountable for 180+ FTEs, annual revenues exceeding $40M, and operating expenses of ~$25M. Scope includes two inpatient units, a community-based acute treatment unit, and a behavioral response team supporting up to 50+ boarding patients. Partner with physician and operational leaders across ED/Trauma and Med-Surg units to drive enterprise behavioral health initiatives.

Key Accomplishments:

• Established new leadership structures, including professional development nurses and charge nurse roles, advancing clinical autonomy and staff mentorship.
• Introduced the Behavioral Health Technician role and training program, reducing contract labor reliance while building a long-term workforce pipeline in partnership with William James College.
• Launched an integrated Workforce Academy to enhance engagement and retention by aligning professional development, “advance-in-place” opportunities, and leadership pathways across disciplines.
• Spearheading a trauma-informed Behavioral Health Transport Service to improve patient dignity, timeliness, and system flow.
• Serving as key decision-maker in the Franciscan Children’s Hospital Behavioral Health redesign, representing ~50% of project scope (48 inpatient beds, 8 neurodevelopmental beds, 14 CBAT beds, 3 PHP programs). Guided enterprise transformation by aligning design decisions with population needs, strategic growth priorities, and patient-centered outcomes.
• Leading implementation of Positive Behavior Interventions and Supports (PBIS) across inpatient psychiatry, embedding evidence-based practices into daily operations.

Provided system-wide leadership for Pediatric Crisis Stabilization Services across three hospitals, managing 120+ FTEs with $9M budgets and ~$45M revenue. Partnered with ED/Trauma and Med-Surg leaders across 24 hospitals to standardize crisis care delivery and integration.

Key Accomplishments:

• Expanded access and financial performance by optimizing unit design, staffing models, and resource utilization.
• Led design and remodeling of inpatient units with innovative safety features and patient-centered engagement spaces.
• Applied Press Ganey analytics to identify key drivers of patient/family experience and staff engagement, implementing targeted improvements with measurable impact.
• Defined unit treatment philosophies to clarify scope of care, improve placement appropriateness, and surface enterprise-level service gaps for strategic planning.
• Developed enterprise patient flow oversight by instituting daily psychiatric ED disposition tracking and standardizing decision-making through huddles, consultation, and escalation protocols.
• Implemented succession planning and leader development, offering stretch assignments, mentoring, and education to strengthen leadership pipelines.
• Initiated and co-led statewide reform of Utah’s youth civil commitment and involuntary commitment codes, influencing public policy and system alignment.

• Directed daily operations for inpatient and day treatment services.
• Oversaw facility expansion project that increased capacity from 10 → 18 inpatient beds, incorporating patient-centered design elements such as quiet reset spaces, small cohort pods for aggressive patients, and dedicated areas for children with Autism or neurodevelopmental delays.
• Reduced seclusion and restraint use by >75% through system redesign and staff engagement.
• Achieved Press Ganey “likelihood to recommend” scores consistently above the 80th percentile.
• Cultivated strong parent engagement culture through family-centered rounds and interdisciplinary collaboration.

• Conducted patient assessments and oversaw medication administration.

• Served with distinction in domestic and overseas assignments.
• Honored Veteran, bringing discipline, resilience, and team-first mindset to leadership roles.