Nurse Manager (RN) House Supervision/Flexible Staffing, Full Time, Days

Hospital Nursing Services Operational Leadership

Provides operational leadership for hospital nursing services across all shifts. Responsible for coordinating daily hospital operations, house supervision activities, and staffing management.

Reports To

Director of Emergency Services

Job Requirements

Supervisory Responsibilities: YES or NO

Number of Direct Reports: 20-50

Minimum Education: Bachelors required; Masters preferred

Degree: Nursing

License/Certification Required: TN or Compact RN Licensure Required

Minimum Work Experience: 2-3 years pediatric nursing experience required; 2-3 years management experience required with preference of experience as a house supervisor or organizational level operations preferred.

Required Knowledge, Skills, and Abilities

• Demonstrated leadership ability and potential managerial competency. Evidence of this includes, but is not limited to, effective communication, skills and abilities to deal well with people, ability to problem solve, confront/resolve issues, and motivate others, ability to plan, organize, and direct the activities of others.
• Demonstrated clinical competence in specific area of nursing practice.

Duties and Responsibilities

Hospital Operations Management

• Oversee day-to-day nursing and hospital operations to ensure efficient patient care delivery.
• Collaborate with Transfer Center Manager to monitor and improve hospital-wide patient flow, admissions, transfers, discharges, and bed management activities.
• Monitor capacity management and collaborate with clinical leaders to optimize throughput and resource utilization.
• Address operational issues impacting patient care, staff productivity, and departmental performance.
• Support implementation of organizational initiatives, strategic goals, and performance improvement efforts.

House Supervision Oversight

• Provide leadership and support to house supervisors across all shifts.
• Ensure consistent operational decision-making and adherence to organizational policies.
• Serve as an escalation point for complex staffing, patient placement, and operational concerns.
• Coordinate after-hours, weekend, and holiday operations as needed.
• Support management of hospital incidents, emergency situations, and critical events.
• Facilitate communication between hospital leadership, nursing units, physicians, and ancillary services during off-shift operations.

Staffing and Workforce Management

• Directly supervises Flexible Staffing Pool Registered Nurses (RNs), Licensed Practical Nurses (LPNs), Unit Techs (UTs) and Patient Safey Companions (PSCs), and other assigned personnel.
• Collaborates with Clinical Education and Nursing Leaders to develop robust float pool competencies and flexible staffing strategies.
• Monitor staffing productivity, labor utilization, overtime, premium pay, and agency usage.
• Utilizes staffing software and scheduling systems to optimize workforce allocation.
• Collaborate with nursing leaders regarding staffing allocations and workforce planning.
• Support recruitment, retention, succession planning, and employee engagement initiatives.
• Participate in performance management, staff development, and leadership mentoring.

Quality, Safety, and Regulatory Compliance

• Promote a culture of patient safety, accountability, and continuous improvement.
• Monitor quality indicators, safety events, patient complaints, and operational metrics.
• Ensure compliance with Joint Commission, CMS, state regulations, EMTALA requirements, and organizational policies.
• Participate in regulatory readiness, accreditation surveys, and corrective action planning.
• Support infection prevention, risk management, and patient experience initiatives.

Emergency Management and Incident Command

• Participate in hospital emergency preparedness planning and response activities.
• Serve in leadership roles during emergencies, disasters, mass casualty incidents, and internal operational disruptions.
• Coordinate staffing and resource allocation during emergency events.
• Assist with activation and operation of the Hospital Incident Command System (HICS).
• Ensure hospital readiness for surge events and continuity of operations.

Financial and Resource Management

• Assist in development and management of operational and labor budgets.
• Monitor labor costs, productivity benchmarks, and departmental expenses.
• Identify opportunities to improve operational efficiency and reduce unnecessary costs.
• Support capital planning and resource allocation decisions.

Leadership and Collaboration

• Collaborate with nursing managers and directors, clinical leaders, physicians, and administrative leadership to achieve organizational objectives.
• Lead operational meetings and communicate organizational priorities throughout the hospital.
• Foster teamwork, accountability, and service excellence across departments.
• Utilize data and performance metrics to drive decision-making and operational improvements.

Physical Requirements-Note: Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position.

• Heavy lifting, pushing, and pulling is required up to 50 lbs occasionally, 20-30 lbs frequently, and 10lbs constantly to move objects of up to 150 lbs. Sudden emergency situations have the potential for exposure to lifting or moving of up to 150 lbs. Frequent bending, walking, sitting squatting, reaching, and standing are required. Keyboard/computer use and/or repetitive motions may be required.

Come work where you can make a difference everyday.