Nurse Manager - Rochester General Hospital

Rochester Regional Health
•$95,000 - $145,000•Onsite

About The Position

The Off-Shift Nurse Manager serves as an extension of unit leadership and provides visible nursing leadership during evenings, nights, weekends, and holidays. The role focuses on staff engagement, quality outcomes, patient experience, and operational excellence, rather than solely crisis management. The position initially reports directly to the Chief Nursing Officer (CNO); the reporting structure will be evaluated after 6–9 months to ensure alignment with organizational needs and objectives. The Nurse Manager supports excellence in patient care through clinical leadership, staff engagement, quality oversight, and operational partnership. The role promotes accountability, professional practice, safety, and compassionate care while supporting frontline teams and collaborating closely with House Supervisors. It aims to strengthen staff retention, engagement, and quality outcomes by providing night and weekend staff with support, coaching, and engagement comparable to daytime operations.

Requirements

  • BSN required; a Bachelor of Science in Nursing is required.
  • New York State RN license required.
  • BLS (Basic Life Support) certification from the American Heart Association.
  • RN (Registered Nurse) credential from the New York State Office of Professions.

Responsibilities

  • Provides nursing leadership across assigned departments.
  • Oversees the Nursing Support Services (NSS) team.
  • Promotes accountability for nursing standards and professional practice.
  • Supports complex clinical situations and escalations.
  • Coaches and develops nursing staff and emerging leaders.
  • Conducts purposeful leadership rounding with staff and provides real-time coaching, recognition, and performance feedback.
  • Mentors charge nurses and future leaders; addresses concerns proactively, assists with conflict resolution and team development, and reinforces organizational values and expected behaviors.
  • Reviews safety events, trends, and Safe Connect reports; conducts patient safety rounds.
  • Monitors falls, pressure injuries, medication safety, and infection prevention practices; ensures compliance with regulatory and nursing standards.
  • Follows up on near misses, identifies improvement opportunities, and reinforces bedside shift report and other evidence-based practices.
  • Conducts patient and family rounding, addresses service recovery concerns in real time, and reinforces compassionate care practices.
  • Supports difficult patient and family conversations and escalates concerns requiring additional leadership intervention.
  • Partners with House Supervisors on staffing, capacity, and throughput.
  • Supports admissions, transfers, and discharges when barriers arise; monitors productivity and operational performance.
  • Removes obstacles affecting patient care and team effectiveness.
  • Collaborates with Unit Managers and the Director of Nursing Operations on department initiatives.
  • Serves as the after-hours representative for nursing leadership and communicates significant events and emerging concerns to nursing leaders and executives.
  • Ensures appropriate handoff and follow-up to day-shift leadership; participates in leadership huddles and organizational communication efforts.
  • Reinforces organizational culture, engagement, and accountability.
  • Identifies opportunities to improve workflow, efficiency, and patient care delivery; supports Lean and Performance Improvement initiatives.
  • Audits compliance with nursing standards and operational expectations, assists with implementing new programs and initiatives, and collects frontline feedback to inform leadership decision-making.
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