RN House Operations Administrator - Per Diem-1

Endeavor Health•Arlington Heights, IL

1d•$45 - $70

About The Position

The RN House Operations Administrator (HOA) serves as the highest-level clinical and operational leader on duty during assigned shifts when senior leadership is not on site. The HOA provides hospital-wide oversight of clinical operations, patient flow, staffing, safety, and emergency response. Acting in the organization’s interest, the HOA exercises independent judgment and has authority to interpret and enforce policies, direct team members and clinical and operational activity, resolve complex issues, allocate resources, and make real-time decisions to ensure continuity of safe, high-quality patient care across all units. The HOA is the central decision-maker for real-time operations, supports frontline staff, coordinates interdepartmental activity, and maintains awareness of capacity, acuity, and resource needs. When situations require additional review, investigation, formal follow-up, or action related to a team member’s performance, conduct, or employment status, the HOA partners with the appropriate supervisor, department leader, Human Resources, and/or chain of command. The HOA escalates clinical, operational, safety, staffing, or employee-related concerns as needed based on urgency, risk, scope, or organizational policy.

Requirements

Bachelor’s degree in Nursing required.
At least three years of progressive nursing experience, including at least two years in a formal or informal leadership role such as Charge Nurse, Team Lead, or Supervisor.
Demonstrated leadership ability, including experience in direct supervision and staff development.
Strong critical-thinking, problem-solving, and decision-making skills.
Excellent communication and interpersonal skills for conflict resolution and team collaboration.
Registered Nurse (RN) license through the Illinois Department of Financial and Professional Regulation (IDFPR) required.
Basic Life Support (BLS), including CPR and AED, through the American Heart Association (AHA) required.
Advanced Cardiovascular Life Support (ACLS) through the American Heart Association (AHA) required or to be obtained within 90 days of hire.

Nice To Haves

Master’s degree in Nursing preferred.
Master’s degree in Health Administration preferred.
At least one year of experience in a critical-care or high-acuity setting is highly preferred.

Responsibilities

Exercise independent judgment and serve as the house-wide supervisory clinical and operational authority during assigned shifts when senior leadership is not on site.
Provide direction, supervision, coaching, and mentoring to Charge Nurses, Resource Team staff, and other clinical and operational team members as needed.
Direct shift-based clinical and operational activity, including patient flow, staffing deployment, resource allocation, issue resolution, and response to emergent or high-risk situations.
Manage shift-based performance in real time, provide coaching and feedback, and provide performance feedback upon request or when appropriate.
Partner with supervisors, department leaders, Human Resources, and/or the chain of command when additional review, investigation, formal follow-up, or performance management action is needed.
Keep hospital leadership and the appropriate chain of command informed of significant clinical, operational, staffing, safety, patient experience, or employee-related situations.
Support real-time patient placement, transfers, and discharges to optimize capacity and reduce delays.
Collaborate with the central command center (Hub)/CMC, Emergency Department, and Admitting to support efficient patient throughput.
Serve as the final arbiter for complex patient placement decisions based on clinical acuity and resource availability.
Conduct rounds across clinical areas to monitor patient acuity, assess operational needs, and ensure adherence to standards of care.
Serve as the primary clinical and administrative authority in the absence of senior leadership, making decisions to maintain safe operations in partnership with acute care leadership.
Provide expert clinical guidance on complex patient care issues and intervene in high-risk situations.
Assess and adjust staffing levels across units based on census, acuity, and skill mix.
Direct allocation of resource team, float pool, and agency personnel to address immediate staffing needs.
Monitor staff assignments to ensure they are appropriate for patient needs and staff competencies.
Lead the hospital’s response to clinical emergencies, including RRTs, Code Blue, and other critical events.
Conduct safety rounds to identify and mitigate risks and support a safe environment for patients and staff.
Ensure compliance with regulatory standards, including The Joint Commission and IDPH requirements, and hospital policies.