Full-time (80 hours biweekly)

Primarily dayshift with occasional evenings

On-call rotation and weekend shifts as needed

General Summary

Manages the daily operations and work activities of professional nursing and nursing support staff on Extended Acute Inpatient, a 40-bed Long Term Care unit.

Mission including population served: To provide competent, safe care provided by a professionally skilled and capable staff, maintaining established standards of nursing practice, promoting autonomy and accountability for nursing professional practice. Patient populations served are adult and geriatric.

Services provided: The Extended Acute Unit also serves clients aged 18 and older, but with a typical length of stay of 3-6 months. This program serves adults 18 years and above who have demonstrated a severe and persistent mental illness, evidenced by a behavioral health diagnosis or constellation of symptoms. This unit is designed to serve the chronically mentally ill with the goal of decreasing recidivism. The plan of care is individualized using the Recovery Model to assist clients to move to a less restrictive level of care within the community.

Unit Operations & Census Management

- Primary responsibility for maintaining 100% census by actively monitoring and responding to referral inquiries, coordinating admission processes, and collaborating with outreach and intake teams.

- Partners with behavioral health manager to support treatment team and bedside operations

Safety & Clinical Oversight

- Ensures a safe, therapeutic environment through routine safety rounding, incident prevention strategies, and review of patient behavioral data.

- Maintains readiness for compliance audits and regulatory inspections in accordance with state and federal requirements.

Nursing Operations & Medical Acuity

- Provides oversight for both bedside nursing teams and treatment team coordination, ensuring continuity of care and adherence to evidence-based practices.

- Leads clinical review and recommends strategic interventions for medically complex residents, addressing acute changes and chronic disease management.

Staff Engagement & Culture

- Actively builds a cohesive, emotionally intelligent team through mentorship, performance feedback, and recognition initiatives.

- Creates professional development plans for staff nurses and fosters a supportive environment that encourages input and innovation.

Cross-Functional Collaboration

- Works closely with the Director to contribute to hospital-wide operational goals, including quality improvement initiatives and leadership development.

- Participates in strategic planning sessions, performance reviews, and multidisciplinary committees to align unit goals with organizational vision.

Duties and Responsibilities

Essential Functions:

Recommends staffing levels as per professional organizations' staffing guidelines. Structures an adequate staffing mix of competent personnel for all shifts by supervising and approving the development, preparation, and maintenance of staffing schedules that meet department/unit needs and ANA staffing principles. Ensures that appropriate nursing standards and practices are developed and implemented as a result of research and non-research findings. Maintains established policies and procedures, objectives, quality assessment, safety, environmental, and infection control standards as per National Patient Safety goals, agency, and state regulations. Identifies patient/client needs and collaborates with appropriate stakeholders to use outcomes data to direct quality improvement action plans. Encourages staff to resolve patient/family concerns in a timely manner, and assists staff when necessary. Maintains awareness of high risk and complicated cases assisting as needed, collaborates with multi-disciplinary teams as needed and ensures appropriate nursing interventions are implemented. Initiates or makes recommendations for personnel actions in coordination with appropriate stakeholders using a Just Culture model and as per the System policies. Ensures staff education in appropriate communication to protect patient confidentiality. Advocates social/professional equity among staff; promotes culturally congruent patient care. Acts as a role model/mentor to charge nurses and staff; creates a culture that empowers professional governance; promotes staff participation in professional governance activities; establishes a vision/goal for succession planning. Consults with other specialists as required and adjusts nursing care processes as indicated to ensure optimal patient care. Variation of duties may result based on the assigned customer care unit(s). This may include differences in the specific clinical skills required of the RN. Unit based skill lists outline expectations beyond the house wide RN requirements. SYS-NURS-L Nursing Education Requirements Policy outlines current certification(s) required for specific areas of nursing practice and is considered to be part of the job description. In addition to requirements specified in the license and certification section below, current BLS certification for all areas of nursing practice is required.Current certification may be required for the following areas of nursing practice:Emergency Care Center - ACLS, PALSIntensive Care Center & MSCC Lead - ACLS, PALSL&D - ACLS, NRP, - Experienced L&D nurses will obtain within 6 months and new L&D nurses will obtain at 1 year of experienceNICU - NRPPEDS - PALSPCC/PACU/ENDO - ACLS, PALSProcedural - ACLS

Common Expectations:

Interviews applicants with staff to select best match for patient population and unit culture; evaluates staff performance; monitors continuing education, oversees the competency testing of staff (as applicable) and orientation. Develops budget(s) for the department/unit/entity and allocates funds within budget(s) to accomplish objectives. Monitors variance against budget(s). Ensures that unit strategic plan, vision, and goals are aligned with the System/nursing strategic plan, vision, mission, and goals; Acts as liaison between nursing administration and medical staff; Assists the staff in establishing and maintaining positive, constructive communication in a collaborative model between other units/departments within the System when solving issues. Coordinates and integrates services within the department/service line/entity, with other departments/service lines/entities, and with the System's primary functions. Participates in the selection of outside services (if needed). Continuously assesses and improves the department/service line/entity/System's performance. Maintains appropriate quality control/assessment programs (if applicable). Demonstrates knowledge of the principles of growth and development over the life span of the assigned patient population; Assesses and interprets age specific data for patient population and oversees the delivery of appropriate age specific treatments. Demonstrates a commitment to patient, visitor and staff by: complying with all applicable safety regulations; knowledge of the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and "error proof" systems that will lead to increased safety; and participating in safety education programs and root cause analyses as required. Enhances professional growth and development through participation in educational programs, current literature, conferences, professional organizations and workshops. Participates in patient rounds. Ensures and monitors staff participation in patient rounds as part of the delivery care model to optimize collaboration between nursing and medical staff. Collaborates with appropriate departments to ensure proper care and timely maintenance of department/entity equipment and supplies. Attends administrative meetings and actively participates on nursing committees. Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications

Minimum Education:

Bachelor's Degree Required

Work Experience:

3 year's relevant experience required Supervisory experience preferred

Licenses:

Licensed Registered Nurse Upon Hire Required or Registered Nurse Multi State License Upon Hire Required and Basic Life Support Upon Hire Required Board Certified Nurse Executive Upon Hire Preferred

Benefits Offered:

Comprehensive health benefits Flexible spending and health savings accounts Retirement savings plan Paid time off (PTO) Short-term disability Education assistance Financial education and support, including DailyPay Wellness and Wellbeing programs Caregiver support via Wellthy Childcare referral service via Wellthy

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