Nurse Manager Emergency Departmennt

Intermountain Health

5d•$52 - $80•Onsite

About The Position

The Nurse Manager leads the Emergency Department at St. Vincent Regional Hospital, a high-acuity, 26-bed Level I Trauma Center and Accredited Chest Pain and Stroke Center serving approximately 40,000 patients annually, with average daily volume of 110–115 patients. The department serves Billings and surrounding communities, including areas extending into the Dakotas and Wyoming. The manager oversees approximately 73–75 FTEs and is supported by an established Nurse Clinical Lead and educator. The department has a typical nurse-to-patient ratio of 4:1 and works closely with emergency providers, ancillary departments, specialty teams, air medical transport, and EMS ground crews. The role manages and supervises nursing operations and is accountable for departmental structure, processes, and outcome standards. Work is divided among tactical day-to-day activities, operational responsibilities such as budgets and staff performance, and strategic goals aligned with Intermountain and regional plans. The manager oversees the clinical nursing environment, contributes to strategic planning, supports standards of care, facilitates collaborative problem-solving and shared decision-making, advocates for resources, and implements the organization's vision and values. The role reports to a Nurse Director. This is a full-time, Monday-through-Friday position requiring flexibility to support department needs, including occasional nights or weekends. The manager is responsible for financial and staffing resources, employee engagement, recruitment, retention, competency verification, patient safety, regulatory compliance, patient satisfaction, and partnerships with physicians and community organizations. A supportive and collaborative team culture emphasizes teamwork, mentorship, and professional growth.

Requirements

Bachelor's degree in nursing (BSN) from an accredited institution; degree will be verified.
Current Registered Nurse license in the state of practice. Valid compact licenses must be transferred to the state of practice within 60 days of employment start.
Basic Life Support (BLS) certification for Healthcare Providers.
Leadership or supervisory experience.
Complete Intermountain Health's required leadership training and development courses within one year of accepting the leadership position.
Two years of clinical experience.
Approximately three years of leadership experience at the Nurse Clinical Lead level or above is desired.

Nice To Haves

Specialty certification.
Demonstrated experience in the area of oversight.
Strong nursing leadership experience.

Responsibilities

Champion effective use of resources to ensure nursing care is efficient, effective, safe, compassionate, and consistent with current practice standards.
Facilitate collaborative decision-making, uphold professional independence, contribute departmental perspectives to executive decisions, and keep staff informed about executive-level activities.
Assist with development, implementation, and management of the unit's annual capital, operating, and personnel (FTE) budgets; manage expenses to meet financial goals.
Model and foster professionalism and employee engagement on the unit.
Ensure sufficient, competent staffing to meet patient care needs through hiring, orientation, retention, and attention to employee satisfaction.
Ensure new-skill training and annual ongoing competency verification are completed, providing mentorship and professional educational opportunities as delegated.
Evaluate staff competency through performance reviews and peer reviews.
Coordinate performance and compliance with patient safety initiatives and applicable federal, state, and other regulatory and accrediting requirements, including Joint Commission, OSHA, CMS, and DOPL.
Facilitate nursing staff access to resources such as nurse practitioners, expanded-role RNs, and other specialty roles.
Promote integration of Healing Commitments and Healing Connections into patient care.
Monitor and improve patient satisfaction using service metrics and national benchmarks, and develop and implement action plans to achieve desired outcomes.
Partner with physicians at the unit level to achieve clinical, operational, and service goals.
Support the Nurse Director in overseeing, organizing, and facilitating student nurse activities.
Support staff participation in community organizations such as volunteer health clinics, health fairs, and nonprofit advisory boards.