Nurse Manager

Position Summary:

A Registered Nurse with 24 hour accountability for managing one or more defined areas. Provides overall supervision of Registered Nurses and other healthcare providers who deliver nursing

care within areas of responsibility. Responsible for recruitment and retention, performance review, and professional development; involved in the budget formulation process and quality outcomes; and helps to plan for, organize, and lead the delivery of nursing care for a designated patient care area. A leader that communicates organizational vision and values and asks for the involvement of the work group to achieve target performance in quality, safety, service, efficiency and effectiveness.

Core Behaviors

Dependability, Attendance and Punctuality.

a. Unscheduled absences and tardiness must be minimal.

b. Properly uses home clock and badges for clocking (if applicable).

c. Calls 2 hours prior to the start of a shift.

d. Demonstrates respect for others time by arriving on time.

e. Is ready to begin work by scheduled start time.

Safety

a. Communication/Teamwork.

b. Safe working practices.

c. Respect for others and patient privacy/dignity.

d. Environment of Care/Employee safety/Emergency management.

e. Incident Reporting.

f. Promotion of safe practices and accident prevention.

g. Hand Hygiene

Compliance and Adherence to Policies, Procedures and Regulations

a. Demonstrates his/her knowledge and willingness to comply with all policies, procedures and regulations.

Organizational Priorities & Position-Specific Responsibilities / Performance Standards

List the major duties/key responsibilities of the position with details on how to achieve that responsibility. Classify each key responsibility under one of the UTMC Organizational Priorities: Service, Efficiency/Effectiveness or Quality/Safety.

Service

Engages staff and other team members in a Shared Governance Framework that identifies and addresses issues, solves problems, and evaluates outcomes

a. Participates on unit and hospital Shared Governance Councils to address issues and facilitate information exchange.

b. Educates and supports staff on principles of Shared Governance.

c. Provides an environment conductive to opinion sharing and involves staff in decision making that is patient centered.

d. Tracks outcomes and celebrates achievements of Shared Governance Councils.

e. Builds credibility and collaborates with medical staff leaders in determining patient care needs, services, policies, and procedures.

Efficiency and Effectiveness

Ability to manage expenses to established budget and staffing plan

a. Prepares annual operating and capital expense needs.

b. Demonstrates fundamental business expertise.

c. Reviews expense variances and develops an appropriate plan to meet the budget.

d. Educates the patient care team members on financial implications of patient care decisions.

e. Responsible for staffing and scheduling personnel utilizing self- scheduling principles.

f. Meets agreed upon staffing targets.

Participates in attracting, hiring, and training of new staff

a. Follows Human Resource procedures related to selection and hiring of new employees.

b. Engages and educates staff in peer interviewing and selection of staff.

c. Provides staff evaluations utilizing peer feedback and self-evaluations. Evaluations are provided in a timely manner.

d. Creates an environment conducive to professional growth and development.

e. Assures appropriate maintenance of employee files.

f. Monitors staff satisfaction through NDNQI staff nurse satisfaction and employee satisfaction surveys.

f. Identifies key issues related to satisfaction and retention and develops an action plan based on input from staff.

i. Executes and evaluates effectiveness of the plan.

j. Provides mentorship and career counseling to aspiring clinicians and leaders so they may develop required skill sets to achieve succession planning.

Quality and Safety

Articulates and supports the quality/performance improvement programs and goals

a. Determines patient care quality/performance improvement goals and objectives.

b. Defines and utilizes metrics to measure goal attainment.

c. Measures successes of improvement and analyzes root cause or variation from quality standards.

d. Sustains successes and celebrates with the team.

Maintains knowledge of current nursing practice and roles and functions of patient care team members to include care delivery systems and innovations

a. Articulates and ensures compliance with standards and regulations such as The Joint Commission, CMS, Tennessee State Nurse Practice Act, Tennessee State Board of Nursing Licensure Process, and policies and procedures of the hospital and assigned areas.

b. Ensures that policies and procedures are reviewed and updated in accordance with evidence based practice.

c. Role models lifelong learning to others.

d. Serves as a change agent when patient care delivery processes or work-flow redesign is developed and implemented.

e. Utilizes evidence based practice findings in the establishment of standards, practices, and patient care models with the interdisciplinary team.

Leadership Responsibilities

Job Knowledge: Responds to administrative and technical questions demonstrating a level of expertise.

a. Demonstrates ability to resolve complex issues. Considered an expert in a particular subject matter and shares that knowledge with others in the health system.

b. Seeks to educate and improve self or others to raise performance levels and/or quality of care.

c. Recognizes and utilizes special skills of employees.

d. Supports and contributes to ongoing performance improvement activities. Seeks out information and applies knowledge to specific actions in his/her own work area and in cross function areas.

e. Remains current in the latest technologies, products or trends in the field.

f. Participates in professional organizations/societies relevant to responsibilities.

Leadership: Demonstrates the behaviors that organizational leaders need to drive performance. Provides the strategic and operational guidance to a division, department or unit as well as promotes a working environment that reflects the values and vision of UHS.

a. Demonstrates ability to motivate employees.

b. Demonstrates effectiveness in selecting employees, developing staff, and preparing employees for career advancement.

c. Inspires employees by providing guidance and is a role model in maximizing one's own or others' performance to consistently deliver a high level of performance.

d. Develops a culture that recognizes, rewards and appreciates employees for achieving organizational goals and demonstrating UHS values. Acts as a role model and inspires others to respect one another by helping them to clearly understand how their behavior impacts others.

e. Provides division, department or unit with the strategic and operational direction and support needed to be successful. Looks for external events, which may have an impact on the organization, alerts management, and makes suggestions to plan for and act in anticipation of these events.

f. Embraces, supports and implements change initiatives.

Managerial Effectiveness: Demonstrates ability to quickly understand a situation and find the best possible solution, even when under pressure. Understands that the solution may lead to either immediate action, or to reviewing the situation with someone at a higher level of authority, and knows which is the best course of action at the time.

a. Effectively handles managerial situations including planning, control, problem solving, and communication. Implements and follows through on organizational and team decisions and plans.

b. Organizes work volume and scheduling to produce quality product or service.

c. Exercises sound decision-making. Takes appropriate risks in making decisions and demonstrates a clear understanding of the consequences involved. Follows through on decisions made, and if the best decision was not made, moves quickly to correct it.

d. Communicates to all key people following a decision to be sure that high quality patient/customer care is given.

e. Demonstrates an understanding of the implications that decisions have on financial objectives. Constructs and manages budgets and resources to preserve the financial viability of UHS.

Organizational Commitment: Demonstrates initiative and strong drive to achieve results that support the vision, mission and values of UHS and their division, department or unit.

a. Demonstrates high ethical standard(s) in business practices.

b. Actively and positively supports organizational goals and changes as they occur.

c. Communicates organizational goals in a positive, supportive manner.

d. Supports management decisions that have been made by more senior management.

e. Acts as a role model by leading organizational initiatives, and encourages others to actively participate.

Marginal Responsibilities

Essential Functions

Regular and reliable attendance is an essential function. A team member who does not meet attendance standards outlined in the Personnel Policy, Attendance and Tardiness, is not qualified for this position.

The performance of key responsibilities must meet expectations as defined in the performance standards of this position description.

Ability to meet the physical requirements for the position.

Ability to get along with others and consistently engage in and promote positive interactions in the workplace.

Ability to report for work in a condition to perform job responsibilities and essential functions in a safe and productive manner.

Ability to receive, process and communicate in oral, written, and keyboarding formats.

Ability to read documents and assimilate ideas

Ability to independently make judgements, come to conclusions and make decisions.

Ability to communicate effectively both verbally and in writing.

Ability to maintain composure during confrontations.

Ability to supervise team members effectively to maximize potential.

Ability to retain information and maintain confidentiality

Supervisory Responsibilities

# team members reporting directly to this position

varies upon unit

# team members reporting indirectly to this position

0

Bloodborne Pathogen Category

Category I

Team members who have routine duties/tasks with potential for exposure to blood and other potentially infective body fluids.

Personal Protective Equipment

Barrier gown

Face mask with shield for blood/OPIM

Hat

Lab coat

Latex gloves

N-95 respirator or PAPR

Scrubs

Safety goggles

Position Qualification:

Degree / Diploma Type

Program

Required/Preferred (and/or)

Bachelors

Healthcare

Required

Bachelor of Science in Nursing is minimal nursing degree accepted.

Master's degree preferred (MSN, MBA, MHA, MPH) and if absent must initiate Master's program within two years of hire.

Experience

Years of Experience

Type of Experience

Required/Preferred (and/or)

3

Healthcare/Medical - Nurse: Registered Nurse

Required

Proven leadership and organizational skills required.

Familiarity with medical terminology.

Years of Experience can be related experience and/or training; or equivalent combination of education and experience.

Licensure, Certification, Registration

RN

Registered Nurse in the state of Tennessee or Multi-State Compact License

Comments

ACLS, NRP and/or PALS may be required based on unit.

Language Skills

Skill and Description

Ability to read, analyze, and interpret medical/business periodicals, professional journals. Ability to write reports and correspondence. Ability to present information and respond to questions from groups of managers, clients, etc.

Mathematical Skills

Skill and Description

Ability to calculate figures and amounts such as decimals, interest, proportions and percentages. Ability to apply concepts or basic algebra and geometry.

Reasoning Ability

Ability and Description

Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. Ability to deal with nonverbal symbols (formulas, scientific equations, graphs) in the most difficult phases. Ability to deal with a variety of abstract and concrete variables.

Skills and Abilities

Skill/Ability and Description

Demonstrated supervisory and leadership skills to effectively recruit, select, train, and evaluate staff.

Equipment

Ambulating devices: walker, cane, wheelchair, gait belt

Baer Hugger - blanket warmer

Beds: adult, critical care, pediatric, cribs, bassinettes, isolettes, radiant warmers

Blood pressure cuff

Defibrillator

DVD (or VHS) player/recorder

Fax machine

I-Stat/ Blood Gas Analyzer

Multi-line telephone

Nurse call and intercom systems

Computer

Respiratory Care/Therapy equipment

Scales: stand on, bed

Sphygmomanometer

Specialty beds

Stethoscope

Television

Thermometers: temporal artery and oral

Printer

Physical Demands Frequency Table

8 hour shift10 hour shift12 hour shift

Occasionally (1-33% of day)Up to 2.5 hrsUp to 3 hrsUp to 4 hrs

Frequently (34-66% of day)2.5 - 5 hrs3 - 6.5 hrs4 - 8 hrs

Continuously (67-100% of day)5 hrs or more6.5 hrs or more8 hrs or more

Physical Demands

Occasionally

Frequently

Continuously

Climbing

None

Balancing

x

Kneeling

x

Crouching

x

Crawling

None

Reaching

x

Standing

x

Standing Work

x

Walking

x

Static Position

x

Physical Demands Continued

Sitting

x

Pushing

x

Pulling

x

Fingering

x

Grasping

x

Feeling

x

Talking

x

Hearing

x

Seeing

x

Physical Demands Continued

Repetitive Motions

x

Carrying

x

Driving

None

Lifting (weight)

Occasionally

Frequently

Continuously

Up to 10 lbs

x

Up to 25 lbs

x

Up to 50 lbs

x

Up to 100 lbs

x

More than 100 lbs

x

Lifting (level)

Low-Level (between floor and 36")

Mid-Level (between 36" and 55")

High-Level (exceeding 55" or overhead)

Up to 10 lbs

x

Up to 25 lbs

x

Up to 50 lbs

x

Up to 100 lbs

x

More than 100 lbs

x

Pushing / Pulling

Up to 40 lbs

Up to 80 lbs

More than 80 lbs

Horizontal Push

x

Lateral Pull

x

Vertical Pull

x

Horizontal Pull

x

Environmental Conditions

Occasionally

Frequently

Continuously

Wet or humid conditions

None

Work near moving mechanical parts

None

Work in high, precarious places

None

Work in confined spaces

None

Hazardous chemicals

None

Outdoor weather conditions

None

Extreme cold (non-weather)

None

Extreme heat (non-weather)

None

Risk of electrical shock

None

Environmental Conditions Continued

Occasionally

Frequently

Continuously

Risk of radiation

None

Vibration

None

Standing surface condition

None

Vision

Occasionally

Frequently

Continuously

Close Vision

x

Distance Vision

x

Color Vision

x

Peripheral Vision

x

Depth Perception

x

Ability to Adjust Focus

x

Noise Conditions

Occasionally

Frequently

Continuously

Very quiet conditions

None

Quiet conditions

x

Moderate noise

x

Loud noise

None

Very loud noise

None

Team Member Statement of Understanding

I have read and understand the position description for my job. I am able to perform all of the physical demands and essential functions of this position.

I agree to comply with the corporate compliance policy and all laws, rules, regulations and standards of conduct relating to my position. As a team member, I understand my duty to report any suspected violations of the law or the standards of conduct to my immediate supervisor.

As a team member, I will strive to uphold the mission and vision of the organization. I am required to adhere to the values in all my interactions with patients, customers, and fellow team members.