Nurse Manager (RN), M&B

Job Title

Leads patient care services and operations in alignment with the organization's strategic goals ensuring clinical, financial, and service excellence. Oversees care delivery systems, team member performance, care quality, regulatory compliance, programmatic oversight, and multidisciplinary collaboration. Fosters a culture of safety, innovation, and continuous improvement while promoting professional development and high reliability practices. Directly supervises Assistant Nurse Managers, charge nurses, and frontline team members, with responsibility for performance management and operational/programmatic oversight across all shifts.

Accountable for 24/7 operational, clinical, financial, and workforce performance for assigned department(s)/programs, including quality outcomes, safety metrics, patient experience, throughput, engagement, and budget performance. Engages team members in delivering exceptional patient- and family-centered care, including leader rounding, service recovery, and performance feedback based on safety and experience data. Fosters professional governance and team member engagement by facilitating participation in unit, hospital, and system-level councils, and by fostering a culture of shared decision-making and continuous improvement.

• Ensures regulatory compliance and professional standards are met through effective systems, coaching, and policy enforcement.
• Demonstrates and models High Reliability behaviors including:
• Preoccupation with failure
• Deference to expertise
• Sensitivity to operations
• Reluctance to simplify
• Commitment to resilience
• Ensures structured safety huddles, leader rounding, and transparent review of safety events. Holds accountability for achieving established targets in:
• Quality and safety indicators
• Patient experience performance
• Workforce engagement and retention
• Financial performance metrics
• Regulatory readiness
• Interprets and analyzes financial performance reports, labor variance trends, cost per case, and productivity benchmarks to proactively drive corrective action.
• Integrates health equity principles into care delivery and workforce practices.
• Manages human and fiscal resource management to ensure efficient, cost-effective care delivery. Leads the development, communication, and oversight of productivity, salary, non-salary, and capital budgets. Integrates patient care needs, physician practice patterns, and payer requirements into staffing and optional planning. Answers optimal staffing through effective scheduling skill mix management, and systems that adapt to changes in volume and acuity.
• Identifies and develops emerging leaders through structured mentoring, stretch assignments, and succession planning aligned with system leadership pipelines. Implements performance management systems that set clear expectations, support peer feedback, and address individual and team outcomes.
• Cultivates a high-performing, inclusive work environment that values diversity, fosters innovation, and supports team member well-being, collaboration, and career advancement. Translates organizational goals and values into unit-level strategies, aligning team efforts with the organization's mission and vision.
• Creates a psychologically safe environment that encourages speaking up, reporting concerns, and engaging in learning from failure through just culture principles. Implements strategies to mitigate burnout and promote resilience.
• Utilizes electronic health record analytics, quality dashboards, and workforce data to drive evidence-based operational decisions. Fosters innovation and evidence-based practice by staying current with healthcare trends, incorporating research, and supporting team-generated improvement initiatives at the unit- and organizational level.
• Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives. Takes action to correct observed risks to patient and team member safety. Reports adverse events and near misses to appropriate management authority. Identifies possible risks in processes, procedures, devices and communicates the same to those in charge. Escalates safety concerns expediently when necessary and shares learning from safety concerns and events.
• Represents the department and system-level committees and strategic initiatives.
• Performs all other duties as assigned.

Work Experience

• Bachelor of Science in Nursing required. If bachelor's degree is not in nursing, graduate degree must be in nursing.
• Registered Nurse license in the State of Maryland or eligibility for licensure due to Compact state agreements outlined through the Maryland Board of Nursing.
• Five (5) years of previous RN clinical experience.
• Advanced certification required* Incumbents must obtain advanced certification within three (3) years of assuming the position.
• ACLS, BLS, and/or others for patient populations served.
• Master's degree preferred.

University of Maryland Medical Center