Registered Nurse Patient Flow

Mount Sinai Medical Center•Miami Beach, FL

3d•Onsite

About The Position

As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence. Department: Job Description Summary: Position Responsibilities Patient Flow & Capacity Management Maintain real-time oversight of hospital bed availability across all inpatient and observation units. Coordinate patient placement decisions based on acuity, isolation status, service line, staffing, and bed readiness. Prioritize admissions from the Emergency Department, PACU, procedural areas, and direct admissions. Facilitate internal patient transfers to optimize unit capacity and census balance. Throughput & Discharge Optimization Collaborate with nursing leaders, physicians, case management, and ancillary departments to expedite discharges. Proactively identify barriers to patient flow (pending discharges, bed turnaround delays, staffing constraints). Partner with Environmental Services to ensure timely bed turnover and room readiness. Support alternative discharge pathways (e.g., discharge lounge, observation units). Operational Command & Communication Serve as the centralized communication hub for bed status, surge planning, and census management. Lead daily capacity huddles and escalation calls during high census or surge events. Communicate effectively with ED leadership, nursing supervisors, physicians, and hospital administration. Escalate capacity concerns and recommend mitigation strategies when thresholds are met. Data, Metrics & Performance Improvement Monitor and report key throughput metrics (LOS, ED boarding time, bed turnaround time, diversion hours). Identify trends and opportunities for process improvement in patient flow. Participate in quality improvement initiatives related to capacity management and patient safety. Utilize electronic bed management systems and dashboards to support decision-making. Surge & Emergency Preparedness Activate surge protocols in collaboration with Nursing leaders and Nursing supervisor during high census, disasters, or internal capacity constraints. Support opening/closing of units or flex beds as directed by leadership. Collaborate with administrative supervisors during after-hours and weekend operations.

Requirements

Current Florida State License.
BLS certification
BSN required.
2 years of acute hospital experience as a RN required.

Nice To Haves

Leadership experience (Charge Nurse, House Supervisor, Director, or Operations role) preferred.

Responsibilities

Maintain real-time oversight of hospital bed availability across all inpatient and observation units.
Coordinate patient placement decisions based on acuity, isolation status, service line, staffing, and bed readiness.
Prioritize admissions from the Emergency Department, PACU, procedural areas, and direct admissions.
Facilitate internal patient transfers to optimize unit capacity and census balance.
Collaborate with nursing leaders, physicians, case management, and ancillary departments to expedite discharges.
Proactively identify barriers to patient flow (pending discharges, bed turnaround delays, staffing constraints).
Partner with Environmental Services to ensure timely bed turnover and room readiness.
Support alternative discharge pathways (e.g., discharge lounge, observation units).
Serve as the centralized communication hub for bed status, surge planning, and census management.
Lead daily capacity huddles and escalation calls during high census or surge events.
Communicate effectively with ED leadership, nursing supervisors, physicians, and hospital administration.
Escalate capacity concerns and recommend mitigation strategies when thresholds are met.
Monitor and report key throughput metrics (LOS, ED boarding time, bed turnaround time, diversion hours).
Identify trends and opportunities for process improvement in patient flow.
Participate in quality improvement initiatives related to capacity management and patient safety.
Utilize electronic bed management systems and dashboards to support decision-making.
Activate surge protocols in collaboration with Nursing leaders and Nursing supervisor during high census, disasters, or internal capacity constraints.
Support opening/closing of units or flex beds as directed by leadership.
Collaborate with administrative supervisors during after-hours and weekend operations.