Hospital - Adv Care Charge RN (PT-Days)

UT Health San Antonio•San Antonio, TX

5d•Onsite

About The Position

The Advanced Care Charge Nurse fosters an environment for managing and delivering safe patient care in a hospital setting. In addition to performing clinical nursing duties, the charge nurse serves as a role model, coach, mentor, and clinical resource for department personnel, helping develop their skills and knowledge. The role provides nursing care to a diverse patient population, models compassionate communication with physicians and the interprofessional healthcare team, and assumes leadership responsibilities with high-level contributions across the institution. The position coordinates nursing care and staffing throughout shifts, promotes patient- and family-centered care, supports safe and effective patient flow, and contributes to quality, safety, service, and financial goals. The charge nurse supports staff development and engagement, resolves concerns, assists with audits and documentation, participates in continuous improvement and shared governance, and helps implement evidence-based practice and operational changes.

Requirements

Demonstrated skills and competencies necessary to perform the assigned job safely, as assessed through ongoing skills and competency assessments and performance evaluations.
Sufficient proficiency in spoken, read, and written English to perform essential job functions, particularly those affecting patient or employee safety and security.
Ability to communicate effectively with patients, physicians, family members, and coworkers in a customer-service-focused manner using positive language principles.
Strong assessment, organizational, and problem-solving skills, including the ability to prioritize multiple tasks and role components.
Ability to function independently and exercise judgment when interacting with physicians, interprofessional healthcare teams, patients, and families.
Ability to use critical thinking and clinical judgment to work autonomously as defined by the Nurse Practice Act.
Proficient time-management skills.
Highly developed assessment skills and ability to contribute to policies, procedures, and protocols.
Knowledge of the Nursing Unit's Dashboard and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores.
Expertise operating an electronic medical record.
Proficiency with Microsoft Office products.
Current Texas Board of Nursing or Compact State RN license, or a Temporary Texas RN License with a permanent Texas license obtained within 90 days of hire.
American Heart Association Basic Life Support (BLS) certification within 7 days of hire.
BSN.

Responsibilities

Foster staff engagement by listening to and acknowledging feedback, making equitable decisions, supporting organizational goals, anticipating staff needs, and assisting with staff stress management.
Model effective leadership, team-building, problem-solving, coaching, and communication; include patients and families in care planning and provide input into staff performance reviews.
Mentor and serve as a resource to unit staff, oversee students and new employees during preceptorships, and resolve conflicts or disputes involving patients, families, physicians, and healthcare team members.
Lead patient- and family-centered care standards, mentor others regarding specialty populations, and audit plans of care.
Round with patients, families, and staff to identify opportunities to improve care and collaborate with other departments on patient-process issues.
Drive department service standards and activities to improve patient satisfaction scores.
Model nursing-process standards, participate in improving nurse-sensitive quality indicators and patient safety goals, and support continuous improvement.
Coordinate nursing care throughout the shift based on patient acuity, staff skill levels, and safety; model regulatory and professional practice standards.
Facilitate patient flow to, from, and through the department; ensure accurate and timely care plans and documentation; coordinate with OAs and bed management on patient placement; and respond to rapid responses, CERTs, and emergency codes.
Participate in quality and safety initiatives, promote peer accountability and near-miss reporting, identify solutions with the interprofessional team, model situational awareness, and assist with audits.
Implement strategies to meet financial targets, optimize efficiency and resources such as overtime, and support accurate care documentation and appropriate length of stay.
Attend daily care coordination rounds, follow up on identified concerns, and manage productivity according to the staffing grid.
Provide input on unit resource utilization, including capital and operational budget needs, and oversee resource use shift by shift.
Lead and participate in unit projects and shared governance; investigate and incorporate evidence-based practices; develop innovative practice or operational changes; and support change initiatives and adapt to unexpected changes.
Expand nursing knowledge and coach staff to develop their knowledge and skills; serve as a clinical resource and develop or disseminate educational resources and programs to improve quality and professional practice.
Perform other job-related duties as assigned.

Benefits

Free employee UT SELECT medical insurance; family-member coverage is available through payroll deduction.
$50,000 group term life insurance and $50,000 basic accidental death and dismemberment insurance at no cost, with options to purchase additional coverage.
Three dental insurance plan options through Delta Dental, including two PPOs and one HMO.
Two vision plan options offering standard or enhanced benefits.
Optional disability insurance providing income if a non-work-related illness or injury prevents work.
Flexible spending accounts for qualifying dependent-care and out-of-pocket healthcare expenses.
Eligibility for the Teacher Retirement System or Optional Retirement Plan; TRS includes employer matching of employee contributions. Voluntary retirement programs are also available.
Paid Time Off of 128 to 208 hours (16 to 26 days) per fiscal year based on years of service, potentially prorated in the first year.
Extended Illness Bank accrual of 8 hours per month, usable for illness or injury after one day of PTO is taken.
Up to 240 hours (6 weeks) of paid family leave after 6 months of consecutive employment.
12 paid holidays each year.
Discounts on services, tickets, and gym membership.