Critical Care Nurse Manager

Littleton Regional Healthcare•Littleton, NH

About The Position

The Manager of the Intensive Care Unit (ICU) and Respiratory Therapy is responsible for the leadership, staffing, quality, and financial performance of both departments. The role ensures delivery of safe, evidence-based care in critical and acute settings, effective resource utilization, and a culture of teamwork and accountability. The manager maintains 24/7 accountability for ICU and Respiratory Services, provides visible leadership during off-hours, participates in the nursing leadership call rotation shared with other nurse managers, and fulfills Manager of the Day (MOD) responsibilities.

Requirements

  • Current RN license in New Hampshire.
  • Minimum of 5 years of ICU staff RN experience.
  • Minimum of 3 years of progressive nursing leadership experience, preferably in critical care.
  • Strong knowledge of critical care nursing practice, regulatory requirements, and quality improvement methods.
  • ACLS certification.
  • PALS certification.
  • TNCC certification within 6 months of hire.

Nice To Haves

  • BSN; an equivalent combination of education and experience is considered.

Responsibilities

  • Provide direct supervision, coaching, and evaluation of ICU nurses and respiratory therapists.
  • Ensure appropriate staffing levels for ICU and respiratory services based on patient acuity and census.
  • Support staff onboarding, competency validation, and continuing education.
  • Oversee daily operations of the ICU and Respiratory Services and ensure compliance with CMS and state regulations.
  • Support clinical supervisors in managing patient flow, admissions, discharges, and transfers across hospital units.
  • Lead performance improvement initiatives focused on critical care outcomes, including sepsis, ventilator management, and infection prevention.
  • Manage departmental budgets, including labor, supplies, and equipment.
  • Collaborate with medical staff, ancillary departments, and hospital leadership to optimize patient outcomes and throughput.
  • Maintain consistent communication with staff through meetings, rounding, and feedback.
  • Maintain 24/7 accountability for ICU and Respiratory Therapy operations and respond to emergent issues as needed.
  • Participate in the nursing leadership call rotation, including nights and weekends shared with other nurse managers, and fulfill Manager of the Day responsibilities.
  • Provide presence during off-hours and weekends to support staff and patient care needs.
  • Represent ICU and Respiratory Therapy on hospital committees and councils, including Quality, Patient Safety, Critical Care, and Professional Practice.

Benefits

  • Medical, dental, and vision insurance.
  • Retirement savings plans (403(b) and/or 457(b)) with employer match eligibility.
  • Earned time off (ETO) and paid holidays.
  • Short-term and long-term disability coverage.
  • Life insurance options.
  • Employee Assistance Program (EAP).
  • Tuition assistance and professional development opportunities.
  • Wellness programs and additional employee resources.
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