Charge Nurse - Labor & Delivery

Intermountain Health

3d•$41 - $62•Onsite

About The Position

Working with the department manager, the RN Charge Nurse provides leadership and clinical expertise on the assigned shift and within the department. The nurse coordinates unit resources to ensure appropriate staffing based on patients’ clinical needs and financial considerations, supports staff clinically, and models competency and professionalism. The role is at Intermountain Health St Vincent Regional Hospital in Billings, Montana, and is scheduled for three variable 12-hour shifts per week (36 hours weekly). Charge Nurse training is required.

Requirements

Current Registered Nurse license in the state of practice; valid compact licenses must be transferred to the state of practice within 60 days of the employment start date.
Basic Life Support (BLS) certification for Healthcare Providers.
Unit-specific certification as required, such as ACLS or PALS.
Experience in the assigned clinical area.
Mentoring experience.
Bachelor’s degree in nursing (BSN) from an accredited institution; the degree will be verified.
Registered Nurses hired or promoted into this role must obtain a BSN within four years of the hire or promotion date, unless an existing education agreement takes precedence.

Nice To Haves

One year of clinical nursing experience.

Responsibilities

Assess patients’ physical, social, and psychological status, including cognitive, communicative, and developmental skills as appropriate.
Gather and evaluate information from patients, families, physicians, interdisciplinary team members, and support staff.
Use assessment information and critical thinking to collaboratively develop individualized plans of care, involving patients, families, team members, and physicians, including in needed education.
Plan for patients’ ongoing support needs after the current episode of care, including teaching, referrals, and follow-up.
Direct interdisciplinary care through delegation, coordination, and collaboration, and provide or delegate care consistent with the plan of care, guidelines, and professional licensure.
Set priorities and coordinate patient care by managing time, supplies, and resources.
Evaluate patient responses to interventions and outcomes, revise plans of care as indicated, and reassess changes.
Demonstrate professional behavior, hold staff to professional standards, and coach and develop others.
Apply legal and ethical standards, comply with regulatory requirements, practice within licensure scope, and provide accurate and timely documentation.
Estimate current- and next-shift staffing needs and match nurse skill levels to patient requirements.
Manage premium pay and overtime efficiently and allocate resources appropriately.
Provide operational and clinical leadership for the unit or department, set clear expectations, and hold staff accountable for outcomes and behaviors.
Mediate conflicts among staff, families, physicians, and other departments.
Provide guidance on expectations for hourly rounds, communication boards, and joint bedside reports.
Guide others in resolving problems, promoting accountability, and supporting professional growth.
Support and enforce Intermountain and unit policies and procedures to ensure safety, quality, compliance, and patient care.
Activate the chain of command, rapid response, or code alerts when appropriate.
Participate in and facilitate continuous quality improvement in clinical care, service experience, and operational effectiveness.
Complete required Charge Nurse training.