Clinical Nurse Manager Emergency Room

St. John's Riverside Hospital•Yonkers, NY

About The Position

Overview St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St. John's Riverside has been and continues to be a unique and comprehensive network of medical professionals dedicated to a tradition of service that spans generations. St. John’s has been an integral part of the community since the 1890's and its’ commitment to provide the community with the most advanced medical services available continues to be the hospitals’ vision, mission and value. St. John's Riverside Hospital built itself around an early foundation of nursing and community service. In 1894, the Cochran School of Nursing, the oldest hospital-based school of nursing in the metropolitan area, was founded, thus making the St. John's Nursing Staff more than just the backbone of the hospital, but the heart and soul. St. John’s dedicated nurses give superior attention to those who need it most with a strong emphasis on patient and family-focused nursing care. St. John’s Riverside Hospital staff is committed to making life better for all patients. The hospital continues to elevate the services provided with the goal of increasing the quality of life for all who entrust St. John's Riverside Hospital to their care. St. John’s Riverside Hospital is an equal opportunity employer. We maintain a policy of non-discrimination in providing equal employment to all qualified employees and candidates regardless of race, creed, color, national origin, sex, age, disability, marital status, or other legally protected classification in accordance with applicable federal, state, and local law. Personalized care together with advanced technology is what it means to be Community Strong Responsibilities The Clinical Nurse Manager (CNM) – Emergency Department provides 24/7 operational and clinical leadership to ensure safe, timely, efficient, and patient-centered emergency care. The CNM is directly accountable for the execution, validation, and reliability of Emergency Department processes that impact patient experience, quality outcomes, patient safety, staffing effectiveness, throughput, regulatory compliance, and staff readiness. This role maintains a visible, hands-on leadership presence across all shifts and serves as the operational authority during assigned coverage. The Clinical Nurse Manager plays a critical role in managing Emergency Department throughput, patient flow, and real-time operational decision-making in a high-acuity, fast-paced environment. The Clinical Nurse Manager partners closely with the Director of Critical Care and Leadership to translate organizational priorities into consistent frontline practice. The role supports American Nurses Credentialing Center (ANCC) principles through staff engagement, accountability, shared governance, and continuous improvement. Scope of Accountability Accountable for unit operations and performance across all shifts Responsible for execution, validation, follow-through, and escalation of operational, quality, and patient experience standards Serves as clinical and operational leader during assigned shifts. The position has supervisory authority including responsibility to hire, assign, direct, evaluate, discipline, and recommend termination of employees, using independent judgment and discretion. Recommendations regarding personnel actions are given significant weight by senior leadership. Works closely with direct report to review operation, patient experience, and quality outcomes and adjusts to the needs of the unit accordingly Builds strong working relationships across all service lines, including but not limited to Critical Care, Medical Surgical, Telemetry, Maternal Child, Surgical Services, Case Management, Radiology, Laboratory, EVS, Security, and ancillary services. Staffing Coordination & Assignment Support Collaborates with Nursing Leadership to ensure safe staffing, skill mix, and equitable assignments Manages real-time staffing challenges including unplanned absences Ensures appropriate coverage for high-risk patients, including constant observation (1:1) Communicates staffing updates and escalates trends using data-supported recommendations Responds timely to Protests of Assignment (POA) utilizing the Management Response form as outlined per policy Patient Experience & Service Recovery Conducts patient experience rounds during assigned coverage Assesses responsiveness, communication, comfort, pain management, and understanding of care Initiates real-time service recovery and documents interventions Reviews patient experience data and addresses unit-level trends Validates patient experience tactics (i.e. Bedside Shift Report, Hourly Rounding) through direct observation Provides real-time coaching and reinforcement of best practices Escalates repeated non-compliance patterns through appropriate channels Throughput, Patient Flow & Length of Stay Leads real-time Emergency Department patient flow from arrival through disposition Monitors ED census, arrivals, holds, and throughput metrics Identifies and removes barriers related to diagnostics, consults, transport, and discharge readiness. Collaborates with physicians, case management, ancillary services, and receiving units to reduce delays and ED boarding. Balances throughput decisions with patient safety, staffing capacity, and patient experience. Responds to patient surges, EMS volume, disasters, staffing shortages, and system disruptions. Lead throughput rounds when boarding inpatients holds. Ensures clarity of care plans, disposition goals, and identified barriers. Ensures timely ICU downgrades and appropriate utilization of critical care services. Tracks unresolved throughput issues and escalates delays impacting safety or Emergency Department length of stay. Quality, Patient Safety & Performance Improvement Monitors key performance indicators including medication scanning, hand hygiene, restraints, falls, and observation compliance Collaborates with Risk/PI on occurrence reviews and follow-up actions Identifies trends, near misses, and opportunities for improvement Conduct real-time Root Cause Analysis in response to unexpected patient safety events as needed Hospital Acquired Conditions & Harm Prevention Supports prevention strategies for all Hospital Acquired Conditions and patient safety outcomes Validates prevention practices and timely interventions related to patient quality and safety outcomes Partners with Infection Prevention, Wound Care, Pharmacy, and Quality teams Environment of Care & Regulatory Readiness Conducts routine environment of care and safety rounds and documents accordingly Maintains continuous readiness for regulatory and accreditation standards Works with Emergency Management and Environment of Care team to develop attainable action plans for environmental risks Identifies and escalates environmental, equipment, and safety risks Staff Engagement Conducts employee rounding across all shifts Provides real-time coaching, feedback, and support Facilitates safety huddles and reinforces quality and safety priorities Escalates recurring performance or operational concerns Leads or supports pre-shift huddles and unit communication Encourages staff participation in shared governance councils Supports ANCC initiatives Collaboration with NPD, HR & Employee Health Supports compliance with mandatory education, competencies, and certifications Collaborates with Nursing Professional Development, Human Resources, and Employee Health on annual employee requirements Tracks compliance and escalates gaps for remediation

Requirements

Minimum of 3–5 years of acute care clinical experience
Strong communication, critical thinking, and operational leadership skills
Registered Nurse (RN), active and in good standing
Bachelor of Science in Nursing (BSN) required

Nice To Haves

Prior charge nurse, coordinator, or leadership experience preferred
Master’s degree preferred
National Certification in Nursing Leadership or clinical specialty preferred

Responsibilities

Accountable for unit operations and performance across all shifts
Responsible for execution, validation, follow-through, and escalation of operational, quality, and patient experience standards
Serves as clinical and operational leader during assigned shifts.
The position has supervisory authority including responsibility to hire, assign, direct, evaluate, discipline, and recommend termination of employees, using independent judgment and discretion.
Recommendations regarding personnel actions are given significant weight by senior leadership.
Works closely with direct report to review operation, patient experience, and quality outcomes and adjusts to the needs of the unit accordingly
Builds strong working relationships across all service lines, including but not limited to Critical Care, Medical Surgical, Telemetry, Maternal Child, Surgical Services, Case Management, Radiology, Laboratory, EVS, Security, and ancillary services.
Collaborates with Nursing Leadership to ensure safe staffing, skill mix, and equitable assignments
Manages real-time staffing challenges including unplanned absences
Ensures appropriate coverage for high-risk patients, including constant observation (1:1)
Communicates staffing updates and escalates trends using data-supported recommendations
Responds timely to Protests of Assignment (POA) utilizing the Management Response form as outlined per policy
Conducts patient experience rounds during assigned coverage
Assesses responsiveness, communication, comfort, pain management, and understanding of care
Initiates real-time service recovery and documents interventions
Reviews patient experience data and addresses unit-level trends
Validates patient experience tactics (i.e. Bedside Shift Report, Hourly Rounding) through direct observation
Provides real-time coaching and reinforcement of best practices
Escalates repeated non-compliance patterns through appropriate channels
Leads real-time Emergency Department patient flow from arrival through disposition
Monitors ED census, arrivals, holds, and throughput metrics
Identifies and removes barriers related to diagnostics, consults, transport, and discharge readiness.
Collaborates with physicians, case management, ancillary services, and receiving units to reduce delays and ED boarding.
Balances throughput decisions with patient safety, staffing capacity, and patient experience.
Responds to patient surges, EMS volume, disasters, staffing shortages, and system disruptions.
Lead throughput rounds when boarding inpatients holds.
Ensures clarity of care plans, disposition goals, and identified barriers.
Ensures timely ICU downgrades and appropriate utilization of critical care services.
Tracks unresolved throughput issues and escalates delays impacting safety or Emergency Department length of stay.
Monitors key performance indicators including medication scanning, hand hygiene, restraints, falls, and observation compliance
Collaborates with Risk/PI on occurrence reviews and follow-up actions
Identifies trends, near misses, and opportunities for improvement
Conduct real-time Root Cause Analysis in response to unexpected patient safety events as needed
Supports prevention strategies for all Hospital Acquired Conditions and patient safety outcomes
Validates prevention practices and timely interventions related to patient quality and safety outcomes
Partners with Infection Prevention, Wound Care, Pharmacy, and Quality teams
Conducts routine environment of care and safety rounds and documents accordingly
Maintains continuous readiness for regulatory and accreditation standards
Works with Emergency Management and Environment of Care team to develop attainable action plans for environmental risks
Identifies and escalates environmental, equipment, and safety risks
Conducts employee rounding across all shifts
Provides real-time coaching, feedback, and support
Facilitates safety huddles and reinforces quality and safety priorities
Escalates recurring performance or operational concerns
Leads or supports pre-shift huddles and unit communication
Encourages staff participation in shared governance councils
Supports ANCC initiatives
Supports compliance with mandatory education, competencies, and certifications
Collaborates with Nursing Professional Development, Human Resources, and Employee Health on annual employee requirements
Tracks compliance and escalates gaps for remediation