Registered Nurse (RN) Nurse Manager - Acute Care

Shriners Children's•Sacramento, CA

55d•$90 - $127•Onsite

About The Position

Shriners Children’s is seeking a Registered Nurse (RN) Nurse Manager for Acute Care. This role involves performing professional nursing services, acting as a clinical and administrative leader with 24-hour unit responsibility. The Nurse Manager supervises licensed and unlicensed nursing staff, oversees daily nursing practice to ensure safe and appropriate care, and collaborates with medical, administrative, and interdisciplinary leadership to achieve optimal patient care outcomes. The position also involves managing fiscal resources, including budget preparation and monitoring. The Nurse Manager is responsible for personnel management, including interviewing, hiring, and recommending terminations. They communicate job duties clearly, plan and direct staff work, provide performance feedback, and consult with the Director on staff performance and departmental issues. Delegation of responsibility and authority, evaluation of staffing needs, and coordination of new employee orientation are also key functions. The role includes acting as a resource for staff, assessing educational needs, and coordinating training. Administrative functions include timely communication with the Director, monitoring and controlling departmental expenditures, and developing annual operating and capital budgets. The Nurse Manager works as part of the Management Team to achieve hospital goals, develop strategic plans, and foster positive working relationships. They develop and implement a department Performance Improvement Program, manage supply inventory, conduct staff meetings, and coordinate department volunteer programs. Policy and procedure development and revision are also part of the role. Leadership responsibilities include planning safe and efficient nursing care, coordinating multidisciplinary patient care, and ensuring emergency equipment is available and functional. The Nurse Manager assesses patient acuity, structures staffing and assignments accordingly, and demonstrates strong leadership, problem-solving, and decision-making skills. They must maintain composure in high-pressure situations, recommend policy changes, evaluate clinical competency, and structure staffing based on patient acuity. Professional conduct involves complying with regulatory requirements, acting as a positive role model, and demonstrating responsibility for ongoing professional development. Adherence to hospital philosophy, policies, dress code, and professional interaction standards is expected. The role requires self-directed performance with minimal supervision, active participation in meetings and training, adherence to safety procedures, and timely completion of tasks. Attendance and punctuality are also important.

Requirements

BSN Required
RN license in state of practice – Required.
Pediatric Advanced Life Support (PALS) – Required.
BLS – Required.
Have knowledge and comply with Title 22, OSHA, The Joint Commission requirements, and the SHCNC Mission.
Provide leadership and supervision.
Assess patient care data and formulate appropriate nursing diagnoses.
Supervise or carry out clinical skills related to pediatric, burn, orthopedic and rehabilitation nursing.
Function effectively in a multicultural patient / family / staff environment.
Practice standard precautions.
Communicate effectively in oral and written form.
Adapt to changing patient care environment, including unscheduled admissions and emergency situations.
Utilize performance improvement and research processes.
Apply principles of personnel management.
Appropriately use available resources (personnel, equipment and supplies) to ensure that the patients receive safe and appropriate care.

Nice To Haves

MSN Preferred
2 Years Supervisory or Health Related Management Experience – Preferred.
Pediatric Experience Preferred.

Responsibilities

Performs professional nursing services as defined by the American Nurses Association and the California Nurse Practice Act.
Acts as a clinical leader and resource nurse, as well as an administrative leader assuming 24 hour responsibility for the functioning of the unit.
Supervises both licensed and unlicensed nursing staff.
Oversees daily nursing practice on an assigned unit to ensure that safe and appropriate care is provided and is responsible for overall management of the unit during all shifts.
Collaborates actively with medical, administrative and interdisciplinary leadership staff to ensure optimal patient care outcomes.
Participates in the preparation and ongoing monitoring and control of fiscal resources.
Performs a variety of functions related to the management of department personnel in compliance with organizational and human resources policies and procedures.
Interviews, hires, and recommends termination of employees in accordance with Human Resources policies and procedures and in consultation with the Director.
Communicates job duties to staff in a clear, understandable, and concise manner; plans, directs, and supervises work of assigned staff utilizing positive communications and effective problem solving skills.
Provides consistent input on performance in consultation with Director; to include initial planning/review session, annual performance appraisal, and counseling, if necessary, based on defined criteria and in compliance with Human Resources policies and procedures.
Consults in a timely manner with Director regarding staff performance, problems or concerns which may affect efficient and effective department operations, and hospital-wide issues which may have a direct or indirect effect on department morale.
Delegates appropriate responsibility and authority to staff according to relevant job descriptions and individual capabilities.
Evaluates department staffing/scheduling requirements, taking into account requests for holiday/vacation time; recommends appropriate use of per diem staff.
Coordinates new employee orientation to department within established timeframes.
Acts as a resource to staff; assesses the need for, plans, and coordinates priority educational offerings and skills training for staff.
Performs a variety of administrative functions to coordinate, supervise, and monitor department operations under the direction of the Director.
Communicates in an appropriate and timely manner with Director; seeks input, provides accurate information and makes recommendations for policy and/or practice change.
Monitors, controls, evaluates and reports departmental expenditures for salary, equipment and supplies; reports over/under budget variances and recommends control measures within established timeframes.
Develops annual department operating and capital budget requests with justification and within established timelines.
Works effectively as a member of the Management Team to accomplish hospital organizational goals, develop a strategic plan, develop a positive working relationships with the medical staff, and to develop positive interdepartmental communications regarding department programs and services.
Develops and implements a department Performance Improvement Program in compliance with The Joint Commission standards for hospital accreditation.
Maintains inventory of supplies required to provide services; assures completion of appropriate requisition forms; reviews all purchase requisitions for accuracy and appropriateness prior to approval; consults with Director as specified.
Conducts regularly scheduled staff meetings to explain administrative and department policies, improve communications, to identify and propose resolution of problems and to plan future activities.
Coordinates the implementation of the department volunteer programs in support of Volunteer Services and in compliance with the department volunteer policy and procedure.
Develops, reviews, and revises department policies and procedures, and job descriptions in compliance with regulatory and hospital standards. Ensures medication-related Patient Care Services Policies are consistent, if applicable.
Plans safe and efficient nursing care while ensuring optimal patient care by all member of the team.
Coordinates all aspects of patient care provided by a multidisciplinary team.
Accountable for assuring all emergency equipment is available for immediate use and is in working order.
Responsible for assessing patient acuity. Structures staffing and nurses to patient assignments based on patient acuity and classification and assures that staffing is in compliance with any and all Federal/State regulations.
Demonstrates leadership and management skills to provide direction and a sense of purpose to departmental staff.
Utilizes problem solving skills to independently recognize and define a problem, identifies the resources available to help solve the problem, creates and implements viable solutions, and follows through to ensure the problem is resolved to the satisfaction of all parties.
Demonstrates decision-making skills to independently exercise delegated authority to take action and to recognize when it is appropriate to seek assistance from others when limits of delegated authority have been reached.
Possesses ability to maintain composure, efficiency and a positive customer-service oriented manner during periods of peak workload, with frequent interruptions, or under tight deadlines, or when dealing with challenging customers.
Recommends changes to policies, procedures, and department environment to enhance the department’s ability to provide optimum service to all clients.
Evaluates and takes action to assure clinical competency of nursing staff.
Structures staffing and nurse to patient assignments based on patient acuity and classification.
Complies with activities mandated by Title 22/OSHA/The Joint Commission.
Acts as a positive role model and demonstrates positive problem solving skills while upholding professional standards.
Demonstrates responsibility for ongoing professional development and self-evaluation.
Supports the philosophy, objectives and policies of Shriners Hospital for Children Northern California.
Adheres to dress code in accordance with hospital policy.
Demonstrates the ability to professionally interact and communicate appropriately with staff, patients, families, and visitors.
Consistent with position and level of responsibility, demonstrates knowledge of and application of sound financial management.
Fosters and participates in a team-oriented approach to management, consistent with position. Demonstrates ability to participate in and build effective work teams and promote team-based projects.
Actively participates in Performance Improvement activities within the Department and the Hospital. Demonstrates knowledge of Performance Improvement and makes suggestions for PI projects as appropriate.
Performs duties in a self-directed manner with minimal supervision or direction according to defined level of responsibility.
Attends and actively participates in designated Hospital and departmental meetings and training classes.
Follows safety procedures, operates equipment and performs job-related duties in a safe manner which prevents accidents/injuries from occurring to self or others.
Ensures that routine and priority tasks are completed within established timelines.
Adhere to SHCNC attendance/tardiness policy (i.e. reports to work on time, uses paid leave times appropriately, etc.).