About The Position

Provides leadership and oversight for hospital operations during off-shifts, ensuring patient safety, quality care, and service excellence. Manages staffing, responds to emergencies, resolves issues, and supports professional practice and regulatory compliance.

Requirements

  • Leadership and oversight for hospital operations during off-shifts.
  • Ensuring patient safety, quality care, and service excellence.
  • Managing staffing.
  • Responding to emergencies.
  • Resolving issues.
  • Supporting professional practice and regulatory compliance.
  • Assessing patient needs and acuity.
  • Handling incidents and operational issues.
  • Making operational decisions.
  • Implementing professional practice standards.
  • Maintaining compliance with local, state, and federal regulations, OSHA, Joint Commission, and other relevant accrediting bodies.
  • DOH mandatory reporting of applicable events.
  • Overseeing performance and adherence to patient safety initiatives.
  • Creating a positive working environment.
  • Reducing and controlling expenses.
  • Monitoring staffing levels.
  • Implementing workforce adjustments.
  • Addressing and resolving concerns from patients, staff, visitors, and physicians.
  • Providing support and communication to patients and families.
  • Investigating complaints or service disruptions.
  • Facilitating conflict resolution.
  • Performing administrative responsibilities.
  • Participating on committees.
  • Supporting Shared Governance.
  • Providing guidance, feedback, and performance documentation for staff.
  • Acting as a liaison between nursing staff, department managers, and administrators-on-call.
  • Ensuring timely and accurate documentation.
  • Communicating quality performance concerns and patient care/safety concerns.
  • Counseling and disciplining assigned personnel.
  • Coordinating activity in response to emergency codes.
  • Acting as a liaison for the assignment of nursing personnel.
  • Rewarding and recognizing employee excellence.
  • Assisting with transfer/bed assignment of patients.
  • Leading hospital-wide emergency responses.
  • Promoting shared decision-making and professional autonomy.
  • Maintaining engagement with relevant professional organizations.
  • Supporting the organization’s Magnet journey.
  • Facilitating daily huddles.

Nice To Haves

  • Experience in a hospital setting during off-shifts.
  • Experience with staff management and development.
  • Familiarity with regulatory reporting requirements.
  • Experience in conflict resolution and service recovery.
  • Knowledge of shared governance principles.
  • Experience supporting Magnet designation initiatives.

Responsibilities

  • Make rounds in all patient care areas to assess patient needs and acuity.
  • Respond to emergencies and assist as needed.
  • Handle incidents, emergencies, and operational issues, escalating as needed.
  • Facilitate patient throughput.
  • Serve as the senior administrative authority on site during off shifts, making operational decisions until relieved by senior leadership or designated department managers.
  • Ensure the implementation of professional practice standards in alignment with organizational policies and evidence-based guidelines.
  • Maintain compliance with all applicable local, state, and federal regulations, OSHA, Joint Commission, and other relevant accrediting bodies.
  • Responsible for DOH mandatory reporting of applicable events while on duty.
  • Oversee performance and ensure adherence to patient safety initiatives and regulatory requirements.
  • Create a working environment that promotes positive employee engagement, effective communications and collaboration.
  • Identify and implement ways to reduce and control expenses.
  • Monitor staffing levels in relation to patient census and acuity.
  • Implement workforce adjustments as needed, including sending staff home, placing them on stand-by, or reallocating personnel to other areas to ensure safe, cost-effective staffing while maintaining patient care standards.
  • Communicate staffing decisions with the appropriate unit manager / director to ensure transparency and alignment with departmental needs.
  • Serve as a key point of contact for addressing and resolving concerns from patients, staff members, visitors, and physicians in a timely and professional manner.
  • Provide real-time support and communication to patients and families during times of dissatisfaction, conflict, or heightened emotion ensuring compassionate, empathetic responses and service recovery.
  • Promote a culture of service excellence by modeling effective communication, empathy, and responsiveness.
  • Investigate complaints or service disruptions, document findings.
  • Facilitate conflict resolution and escalate complex issues to senior leadership when necessary.
  • Perform additional administrative responsibilities as requested to meet the needs of the department/organization.
  • Participate on committees, actively support the Shared Governance.
  • Provide guidance, feedback, and performance documentation for staff.
  • Act as liaison between nursing staff, department managers, and administrators-on-call.
  • Ensure timely and accurate documentation to all significant events, staffing adjustments, patient/ family interactions, and service recovery actions, communicating to appropriate leaders by the next business day.
  • Communicate quality performance concerns and patient care/safety concerns to appropriate personnel.
  • Counsel and discipline assigned personnel, document issues and follow up with appropriate managers.
  • Coordinate activity in response to activation of emergency codes until relieved by senior management on premises or presence of manager having expertise in specific area of concern.
  • Act as a liaison for the assignment of nursing personnel.
  • Reward and recognize employee excellence.
  • Assist with transfer/bed assignment of patients to appropriate, available beds.
  • Lead hospital-wide emergency responses such as mass casualty incidents, IT system downtime, and utility failures until relieved by senior leadership.
  • Promote shared decision-making and professional autonomy through active participation in a professional governance structure.
  • Maintain engagement with relevant professional organizations.
  • Support the organization’s Magnet journey by advancing nursing excellence and staff empowerment.
  • Facilitate daily huddles to enhance communication, reinforce a culture of safety.

Benefits

  • Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
  • Life & AD&D Insurance.
  • Short-Term and Long-Term Disability (with options to supplement)
  • 403(b) Retirement Plan: Employer match, additional non-elective contribution
  • PTO & Paid Sick Leave
  • Tuition Assistance, Advancement & Academic Advising
  • Parental, Adoption, Surrogacy Leave
  • Backup and On-Site Childcare
  • Well-Being Rewards
  • Employee Assistance Program (EAP)
  • Fertility Benefits, Healthy Pregnancy Program
  • Flexible Spending & Commuter Accounts
  • Pet, Home & Auto, Identity Theft and Legal Insurance
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