Current Department Employees Only: Lead Staff Nurse - ICU

Tahoe Forest Health System•Truckee, CA

About The Position

Under the general direction of the MedSurg/ICU Manager, the Lead Staff Nurse coordinates and delivers care to patients aged 7 years and older throughout their hospital stay, from admission through discharge. The RN uses the nursing process to develop a plan of nursing care and is responsible for assessing, planning, implementing, and evaluating direct and indirect nursing care, as well as identifying patient outcomes and post-discharge needs. When working in the ICU, the nurse is designated Team Lead and oversees daily clinical operations to support high-quality, cost-effective care and customer service. The role coordinates with physicians and staff, supports staffing and training, monitors regulatory compliance, and contributes to department operations, quality improvement, documentation, and policy updates. The position also serves as a resource and mentor to other nurses. The role is open to current department employees and may be full-time or part-time; it is a night-shift opportunity.

Requirements

  • Associate's degree from an NLN-, CCNE-, or equivalently accredited school of nursing, including clinical experiences with actual patients under the supervision of qualified faculty.
  • 1–2 years of relevant experience.
  • California Registered Nurse (RN) license upon hire.
  • Nevada Registered Nurse (RN) license upon hire.
  • Upon hire, enrollment in the Resuscitation Quality Improvement (RQI) BLS, ALS, and PALS Entry or Prep Curriculum, depending on previous BLS, ACLS, and/or PALS certification.
  • Leadership ability.
  • Ability to communicate well with others.
  • Previous ICU experience.
  • Prior work as a Team Lead.
  • Prior experience coordinating staff schedules and daily assignments.
  • Prior involvement in performance improvement projects.

Nice To Haves

  • Proficiency with Electronic Health Records (EHR) and/or EPIC experience.

Responsibilities

  • Perform all aspects of the Staff Nurse ICU job description.
  • Serve as Team Lead when working in the ICU.
  • Oversee daily clinical operations to ensure high levels of clinical quality and customer service in a cost-effective manner.
  • Communicate with physicians and staff throughout the day to coordinate medical services.
  • Assist the MedSurg/ICU Manager with interviews and training.
  • Ensure adequate daily staffing.
  • Implement operational changes as directed by the MedSurg/ICU Manager.
  • Ensure regulatory compliance and survey readiness.
  • Coordinate with the MedSurg/ICU Manager and Lead Unit Clerk to ensure accurate and complete billing and charge capture.
  • Resolve customer complaints or refer them to the MedSurg/ICU Manager as appropriate.
  • Serve as the site specialist for computer software used to manage department operations.
  • Educate staff on software use, troubleshoot issues, and coordinate with IT staff as needed.
  • Coordinate ordering of medical supplies.
  • Monitor clinic staffing and expenditures for budget compliance, and justify necessary staff overtime or unbudgeted expenditures to the MedSurg/ICU Manager.
  • Attend ICU meetings as an alternate for the MedSurg/ICU Manager.
  • Assist the MedSurg/ICU Manager in coordinating staff meetings and Skills Days.
  • Participate in data collection and department quality improvement programs.
  • Monitor and maintain department records and documentation.
  • Participate in updating policies and procedures to reflect department workflow.
  • Act as a resource and mentor for other nurses.
  • Demonstrate System Values and comply with System policies and procedures.
  • Perform other duties as assigned.
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