About The Position

The Nursing Administrator is a registered professional nurse with progressive administrative experience who leads hospital operations during assigned evening, night, weekend, and holiday shifts. As the organization’s senior administrative representative during those shifts, the Nursing Administrator supports the CNO, Nursing Directors, Nurse Managers, Assistant Nurse Managers, and hospital/site leadership in managing clinical units and specialty areas. The role is responsible for hospital and patient care services and for ensuring the safe, efficient, and effective delivery of patient care while promoting operational excellence, regulatory compliance, and exceptional patient and staff experiences. The Nursing Administrator provides clinical and administrative oversight of patient care, staffing, support services, interdisciplinary collaboration, resources, and financial viability. The role leads patient-experience, quality, safety, and operational initiatives; ensures compliance with institutional and regulatory requirements; and supports staff performance, development, and engagement. The administrator also responds to hospital emergencies and may serve as incident commander during evening and night shifts and on weekends and holidays.

Requirements

  • Master’s degree in Nursing or a healthcare-related field.
  • Minimum of 3–5 years of clinical nursing experience.
  • Current BLS certification through the American Heart Association.
  • Demonstrated clinical competence relevant to the assigned area of nursing practice.

Nice To Haves

  • Prior Charge Nurse and/or supervisory experience.

Responsibilities

  • Lead nursing practice according to the Professional Practice Model of Relationship Centered Care and the Modified Primary Nursing Care Delivery Model.
  • Role-model and oversee Purposeful Hourly Rounding, validate that staff round on patients, assess staff competency, and provide feedback.
  • Communicate patient-experience and staff-engagement information to staff and interdisciplinary teams and support action planning.
  • Collaborate with physician dyads and escalate concerns appropriately.
  • Follow up on patient concerns and provide service recovery for patients and families.
  • Facilitate Relationship Centered Care practices, including admission welcome, bedside shift report, HELP, AM/PM care, five-minute sit-downs, medication review, discharge wrap-up, and MD/RN unit collaboration.
  • Ensure shift-start staff huddles occur, identify high-risk patients, and communicate concerns to nursing leadership.
  • Interpret patient-experience scores and benchmarks, keep staff informed, and encourage evidence-based practices that improve patients’ perceptions of care.
  • Design, support, and lead a safe, therapeutic, efficient, patient-centered care environment.
  • Investigate practice or operational variances, participate in root cause analysis, and implement corrective action plans.
  • Promote reporting of errors and near misses and lead interdisciplinary quality-improvement work using high-reliability principles.
  • Review quality and safety metrics, address safety hazards and gaps in practice, monitor clinical documentation, and lead compliance initiatives.
  • Maintain accountability for unit quality and safety practices and required staff competency evaluations.
  • Support implementation of departmental mission, vision, goals, and objectives.
  • Provide administrative and clinical oversight of staffing, support services, interdisciplinary collaboration, resources, and financial viability.
  • Ensure nursing-unit compliance with regulatory requirements, including New York State Department of Health and The Joint Commission standards.
  • Oversee patient care delivery, throughput, staffing, and operational processes during the assigned shift.
  • Oversee budgets, including overtime and vacancies, in line with health-system financial goals.
  • Provide input on staff management and retention; evaluate performance and mentor, coach, counsel, or discipline staff as needed.
  • Monitor the availability and maintenance of nursing equipment and supplies.
  • Conduct staff meetings and recognize staff participation and achievements in quality, safety, and compliance.
  • Facilitate organizational change and lead shared decision-making, shared governance, just culture, and staff engagement.
  • Interpret and implement collective bargaining agreements, and respond to assignment protests in accordance with those agreements.
  • Respond to hospital emergencies, escalate matters to appropriate leadership, and act as incident commander during evening/night shifts and weekends/holidays.
  • Serve as a clinical leader and professional role model, support an effective care environment, and incorporate ethical principles into decision-making.
  • Promote scholarship, lifelong learning, innovation, evidence-based practice, and the development of knowledge and skills relevant to the role and patient population.
  • Lead shared decision-making through practice councils, committees, and clinical service or unit initiatives.
  • Precept new leadership staff and students and contribute to the nursing profession through leadership and professional organizations.
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