Charge Registered Nurse / Floor Lead

Charge Nurse (RN) – Clinical Operations & Accountability Lead Madison Medical | Madison, NJ Full‑Time | In‑Person | Rotating Weekends Required Compensation: $102,000 – $110,000 per year About Madison Medical Madison Medical is a physician‑led, multidisciplinary practice built for the future of healthcare — not the past. We operate with exceptionally high clinical and operational standards. Our model depends on strong systems, disciplined workflows, and visible leadership on the floor to ensure professionalism, accountability, and seamless patient care. Technology is not optional here; AI and automation are core operational tools used to reduce friction, protect staff time, and improve clinical decision‑making. We believe systems matter more than heroics, and clarity beats chaos. Position Summary The Charge Nurse (RN) serves as the senior clinical and operational authority on‑site during assigned shifts. This role leads day‑to‑day floor operations by coordinating staff, managing patient flow, supporting providers, enforcing professional standards, and resolving issues in real time to ensure the clinic runs smoothly from open to close. This position requires an experienced and confident nurse with a calm but commanding presence. The ideal candidate is decisive, composed under pressure, and comfortable setting boundaries to protect patients, staff, and workflow. The Charge Nurse partners closely with Nursing Leadership, Medical Providers, and Human Resources to identify issues early, address them directly, and maintain a consistently high‑performing clinical environment. In This Role, You Are Expected To Use AI‑enabled systems daily as operational support tools Follow and enforce documented workflows and SOPs Validate AI‑assisted documentation for accuracy and compliance Lead through change as systems evolve and improve Key Responsibilities Floor Leadership & Operational Control Serve as the primary on‑site authority for clinical operations and professional conduct during assigned shifts Manage floor flow including staffing coordination, room utilization, patient movement, and provider support Anticipate operational challenges and resolve issues before escalation Adjust staffing and workflows in real time based on volume, acuity, delays, and call‑outs Act as the escalation point for clinical, operational, and patient‑related concerns Staff Accountability & Performance Management Set and enforce expectations for attendance, punctuality, professionalism, and quality of care Address performance concerns and unprofessional behavior immediately and directly Provide firm, fair, consistent corrective guidance in the moment Document issues accurately and elevate patterns appropriately Maintain a steady leadership presence during high‑volume or high‑stress periods Professional Environment & Staff Protection Maintain a respectful, safe, controlled clinical environment for staff and patients De‑escalate conflicts calmly and decisively when issues arise Protect staff from inappropriate behavior while maintaining professionalism Escalate serious or repeated issues to leadership and HR as needed Clinical Support & Patient Care Provide direct patient care as needed (assessments, injections, IV therapies, medication administration) Support providers across multiple specialties with procedures and patient coordination Serve as a clinical resource for complex or sensitive patient situations Ensure patient safety, regulatory compliance, and accurate EMR documentation Collaboration with Leadership & HR Partner with Nursing Leadership and HR on staffing, scheduling, and conduct concerns Communicate issues clearly, professionally, and consistently Contribute to continuous improvement of workflows, systems, and operational standards Leadership Expectations Engage actively with AI and automation tools Follow and enforce established workflows and SOPs Think critically and validate AI outputs Adapt quickly to evolving systems Contribute ideas that improve efficiency, accountability, and care delivery Perfection is not required. Leadership participation is. Qualifications (Required) Active New Jersey RN license in good standing Current CPR/BLS certification Minimum 5+ years of nursing experience (outpatient or multidisciplinary preferred) Prior experience as a Charge Nurse, Lead Nurse, or senior clinical leader Strong command of clinical workflows, standards, and professional conduct expectations Availability for rotating weekend shifts Preferred Proven ability to lead in high‑accountability environments Strong conflict management and communication skills Calm, decisive leadership style under pressure Reputation for being firm, fair, and consistent This Role Is a Fit If You… Bring a confident leadership presence to the medical floor Enforce standards without hesitation Anticipate problems and resolve them before they impact workflow Value structure, accountability, and systems‑driven operations View technology as a leadership tool rather than an obstacle Thrive in environments with clear expectations and real authority This Role Is Not a Fit If You… Avoid difficult conversations or conflict Prefer informal or inconsistent standards Resist new technology or evolving systems Expect workflows to remain static Lead through popularity rather than accountability Compensation & Benefits Salary: $102,000 – $110,000 per year 401(k) Health, dental, and vision insurance Paid time off Tuition reimbursement Work Location Madison, NJ (In‑Person) Our Commitment to You Clear authority and defined scope of leadership Strong systems, documentation, and support Executive leadership partnership Tools that make leadership more effective—not harder In return, we expect ownership, decisiveness, and adaptability. “We don’t hire leaders to manage chaos. We build systems that allow strong leaders to run excellent floors.” #J-18808-Ljbffr Madison Medical and Sports Rehabilitation Center