Overview
The Nurse Manager is responsible for assisting the Administrative Director in providing overall leadership and direction for the units or areas of responsibility, and for creating an environment that fosters collaboration among the team to achieve operational and clinical excellence. This will be achieved through the following activities: participates in the selection and development of staff to achieve high performance; performs all probationary and annual evaluations; works collaboratively with physicians to develop methods for improving the quality of care; works collaboratively with department leadership to achieve quality, fiscal and patient experience goals and expectations.
The Nurse Manager assumes responsibility and accountability for the quality of nursing activities and staff functions during the shift. Effectively directs nursing personnel and utilizes time, equipment and other unit resources to ensure the daily operation of the unit. Continually assesses care, monitors unit operations, and directs staff to make immediate changes to accommodate patient needs. Performs direct patient care only when necessary and within scope of practice.
Responsibilities
General oversight and clinical support across the unit.
Principal Accountabilities
- Assumes responsibility and accountability for unit operations, including but not limited to:
- Patient Safety initiatives
- Quality standards and outcomes
- Patient Experience strategies
- Competency and clinical performance of nursing staff
- Productivity management
- Oversees coordination of patient care, working with the Case Manager:
- Identification of appropriate patient admission/discharge/transfer (ADT) at beginning and end of each shift
- Identification and necessary facilitation of care to accomplish the plan for the day
- Ensures preparation for and participation by nurses in Care Coordination rounds
- Evaluates clinical performance of all unit staff under oversight of the Administrative Director:
- Manages the unit-based clinical competency program utilizing appropriate educational resources
- Assists with hiring decisions
- Oversees new hire orientation to maximize the orientee’s learning experience
- Assists the preceptor in finding optimal learning situations
- Facilitates developmental plans, as needed, to address opportunities to improve
- Daily clinical observation of clinical staff’s performance during and after orientation, including review of documentation to ensure regulatory and quality standards are met
- Continuous review of clinical competencies for key diagnostic categories, including but not limited to: Core Measures (Stroke, SCIP, Immunizations), Harm indicators (CAUTI, CLABSI prevention), Pain Management, Wound/Skin Care, Restraints, NPSGs Falls
- Ensures floats, travelers, and registry personnel are oriented to unit routine and serves as a resource monitoring compliance with Seton patient care standards
- Responsible, with Administrative Director, to assure optimal quality of care and patient satisfaction by:
- Making rounds on each patient every shift
- Discussing patient satisfaction with patients and/or family members
- Ensuring resolution of issues and communicating necessary information between shifts, staff, and units/floors
- Coaching nursing staff to anticipate patient’s needs by listening to patient/family concerns and providing explanations regarding care and treatment
- Assessing pain control of patients and adopting a proactive medication culture of the unit
- Assists the Administrative Director to manage the unit communication process by:
- Identifying unit operation topics for staff meetings
- Utilizing the communication book and Visibility Board (Vis‑walls)
- Managing appropriate patient care assignment based on staff competency, acuity of patient and continuity of care
- Making shift assignment at the beginning of shift and changing assignment as necessary to meet patient needs
- Maintaining working knowledge of daily patient care needs by listening to report and rounding of all patients on unit, focusing on desired outcomes and critical data/events to facilitate unit operations
- Facilitating unlicensed assistive personnel to support patient care delivery for the assigned team
- Serves as a primary communication resource for physician interaction for the unit, facilitating RN implementation of the plan of care for patients through effective communication with the health‑care team
- Manages shift productivity every 4 hours, including staffing for ADT, midnight census, and sitter utilization
Clinical Effectiveness
Using the clinical effectiveness model, leads improvement efforts that improve clinical outcomes, patient safety, patient satisfaction and appropriate resource utilization. Maintains and administers the Seton Operation System for continuous monitoring and improvement of the quality of care and services provided. Responsible for monitoring daily compliance to standards of care, operational, and regulatory requirements. Promotes a culture of safety, continually evaluating the delivery of care and services that result in eliminating harm.
Regulatory Compliance
Monitors compliance with all applicable external agency regulations. Ensures compliance with all personnel safety standards, Hazardous Materials Management program, Universal Precautions, and Infection Control.
Human Resource Management
Demonstrates sound management and leadership principles. Promotes employee growth and development through effective use of resources. Uses effective interviewing skills to hire qualified and compassionate staff. Coaches for success and uses progressive counseling for sub‑standard performance. Demonstrates awareness of and ability to apply knowledge of current developments in healthcare.
Accountability
Performs active daily management to ensure operations are efficient and achieve a state of continual regulatory readiness. Sets and holds standards for performance, patient care delivery, and department operations. Maintains confidentiality of all patient and hospital related communications, documents, and records. Maintains clinical and management skills and expands knowledge base. Performs required duties in accordance with prescribed hospital policies and procedures. Maintains a positive attendance record and is prompt in reporting to work. Assesses personal learning needs and utilizes available resources in self‑development to address learning opportunities. Demonstrates active listening skills and treats all contacts with dignity and respect. Accomplishes objectives within prescribed time frames by prioritizing and organizing workload. Works under stressful situations while maintaining a positive attitude.
Qualifications
QUALIFICATIONS/JOB REQUIREMENTS
- Education: Bachelor degree in Nursing or in progress of obtaining BSN. Master’s degree preferred.
- Experience: At least one year of supervisory experience required or at least 3 years of charge nurse experience.
- Certifications/Licensure: Current California Registered Nurse License. Certification in area of specialty preferred. Current BLS/ACLS through American Heart Association.
- Other skills, abilities & knowledge: Effective written and verbal communication skills; able to communicate with various individuals both inside and outside the organization; able to understand and create reports, presentations, and proposals. Proficient with computer systems including but not limited to MS Office.