Nurse Manager of Emergency Services

The Manager of Emergency Clinical Services primary purpose is to provide direct and indirect provision of professional nursing and patient care to the patients served.  The Manager of Emergency Clinical Services manages 24-hour operations of nursing and other clinical departments in the areas of responsibility. He/she assumes authority, responsibility, and accountability for nursing activities and patient care to include; directing and developing staff;  collaborating with providers and other multidisciplinary staff; providing support for staff, patients and family; assuring the quality of care by developing and interpreting company policies, clinical policies and nursing service’s philosophies and standards of care; enforcing adherence to state board of nursing and state nurse practice act requirements and to other governing agency regulations; measuring health outcomes against standards, and making or recommending adjustments to practices to assure the highest standard of nursing and clinical care. As a nursing and clinical care leader, the Manager of Emergency Clinical Services must create a collaborative team environment through active and participative leadership.  He/she evaluates and sets the goals and standards for nursing and other clinical departments in collaboration w/ the Chief Nursing/Clinical Officer and other stakeholders

Position Requirements:

Education Qualifications and Credentials:

  • Minimum of a Bachelor of Science in Nursing or completion of Bachelor of Science in Nursing within two years of hire.
  • Minimum of two years clinical/nursing supervisory experience in an acute care hospital setting required.  Minimum of two years experience in emergency medicine required.
  • Must be graduate of an accredited registered nursing program with current state licensure.

Essential Job Functions:

  • Serves as a daily resource person to the clinical team, consistently displaying and modeling CapRock Health System’s vision and core values, and can perform emergency nursing functions, training staff and evaluating performance of nursing tasks.  Is an active participant in day to day operations.
  • Facilitates a culture of safety and high reliability by monitoring daily the operations, incidents and concerns to identify opportunity for improvement.  Implements appropriate reviews and develops/completes action plans.  Promotes staff engagement in High Reliability Organization (HRO) practices.
  • Assures nursing and clinical support staff possess adequate knowledge and skills to provide compassionate, quality care and to be successful in their role.  Provides applicable educational opportunities as per industry standards, regulatory requirements, individual staff needs and/or in response to improvement opportunities identified. Assures staff is competent in skills to provide high quality care and coaches/directs staff to achieve desired outcomes. Identifies educational needs for staff and establishes in-service/development programs as needed, but no less than monthly.
  • Assures adequate nursing and clinical staff coverage for needs of facility; oversees schedules to assure appropriate skills to meet patient needs and regulatory/budgetary requirements. Ensures schedules are balanced and produced in a timely fashion.  Monitors staffing adequacy as per patient acuity and census. 
  • Participates in the recruitment and selection of nursing and clinical personnel; conducts interviews, hires and on-boards staff. On-boarding includes routine face to face evaluations, 30, 60 and 90 day evaluations and any efforts to retain staff.
  • Evaluates the work performance of nursing and clinical personnel and implements timely coaching/discipline according to operational policies; completes annual performance evaluations and ongoing assessment of staff competencies.
  • Ensures departmental activities and records adhere to regulatory requirements; evaluates the nursing and clinical care given and makes recommendations to develop action plans for improvements; assists with development and implementation of service standards and patient satisfaction.
  • Works closely with Manager of Inpatient Services to ensure cross training, coverage of nursing staff, share resources and knowledge and to cover for each other in times of absence.
  • Manages and ensures compliance with company policies and procedures to include but not limited to; Quality, Education, Patient Outcomes, Health and Safety Codes, Infection Control, and applicable state and federal rules and regulations for hospitals, DEA, State Board of Pharmacy, CLIA/COLA, OSHA, etc.  Monitors applicable rules and regulations for updates and develops, maintains, and implements policies and procedures that conform to current standards of nursing, applicable clinical policies and in compliance with state and federal laws and regulations. Communicates and interprets policies and procedures to staff, and monitors staff practices and implementation. Actively participates in policy/procedure development and provides input beyond discipline to assure optimal patient care.
  • Provides a safe environment by monitoring outcomes and operations to assure patient, staff, provider and visitor safety.  Actively participates in assuring Infection Control practices; monitoring outcomes and by providing input for improvement when opportunities are identified.
  • Maintains documentation of patient care by auditing patient and department records.  Trains staff in utilization of Electronic Health Record to maximize efficiencies, assure optimal documentation, and reviews reports for improvement opportunities.  Maintains all necessary documents in an orderly fashion in preparation for regulatory surveys. 
  • Assists with medical equipment selection and procurement. Ensures operation of medical equipment by verifying emergency equipment availability; assures equipment is kept in optimal working condition prior to use, that staff are adequately trained for use, and that appropriate QA is completed as per regulatory standards and company policy.  Assures routine maintenance, cleaning and assessments are performed on medical equipment including communication with Biomedical Engineering and vendors regarding repairs and loaner equipment. 
  • Assures appropriate levels of stock and replenishes supplies as required.  Meets inventory and supply chain objectives to assure adequate use of resources. Maintains pre-set inventory standards for solutions, supplies, medicines and equipment.
  • Assists leadership and works with Pharmacist to; supervise narcotic procurement and inventory as per regulatory standards and pharmacy/company polices; supervise medication procurement and inventory; supervise, in collaboration with other hospital leaders, the medication administration/documentation process; assures compliance with all regulatory standards. Participates on the Pharmacy and Therapeutics Committee as a nursing representative for medication related functions.  Participates in the investigation of medication errors, near miss medication related errors, and adverse drug events to include oversight of performance improvement to prevent errors.
  • Assists the Chief Nursing/Clinical Officer in formulating fiscal and operational practices including preparation of the annual nursing and clinical budgets.
  • Collaborates with physicians, consultants, community agencies, and institutions to improve the quality of services and to resolve identified problems. Contributes to team efforts and uses appropriate conflict management skills proactively to resolve intradepartmental and interdepartmental grievances/concerns.
  • Proactively develops positive employee relations and staff engagement by implementing appropriate communication methods to assure staff are knowledgeable about organizational goals, regulatory standards, and facility/organizational performance.  Schedules routine unit meetings for the purpose of communicating new policies, procedures, equipment, and unit and organizational concerns. Collaborates with other discipline’s staff meetings to assure optimal operations and patient care. Rounds to role model expectations and to ensure that nursing service and clinical personnel are performing their work assignments in accordance with acceptable standards.
  • Is an active member of the Quality and Patient Safety Committee and Infection Prevention Committee and coordinates and/or develops on-going quality/patient safety indicators/activities to monitor compliance with standards and regulatory requirements in nursing and patient care; actively investigating and implementing improvement processes.
  • Participates with other leadership to develop emergency preparedness activities to ensure staff are ready for crisis situations and that the necessary training, supplies and procedures are available and consistent with industry standards and regulatory requirements.
  • Works closely with Emergency Department Medical Director to ensure the operations of patient care work safely, efficiently and in harmony.
  • Assists with preparing staff for inspection surveys, instructing staff on matters of conduct and disclosure, being interviewed by inspectors, immediate corrections of problems noted by surveyors, etc. Participates in the preparation of the Plan of Correction response to an inspection survey and implements any follow-up/monitoring required.
  • Promotes customer service and hospitality and responds to and adequately resolves complaints or concerns from patients/families and others. Interacts courteously with patients, family members, employees, medical staff, visitors, vendors, business associates, and representatives of government agencies.
  • Develops/monitors processes to ensure reportable events are immediately identified and reported to appropriate administration to ensure regulatory compliance.
  • Uses discretion to maintain confidentiality concerning patients, employees and medical staff to protect the privacy and rights of all involved.
  • Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.
  • Performs other duties as directed/assigned; researches and analyses information; prepares statistical and narrative reports as needed.

Knowledge, Abilities, and Skills:

  • Familiar with a variety of nursing concepts, practices, and procedures. Relies on extensive experience and judgment to plan and accomplish goals. 
  • Obtains/Maintains a knowledge of current federal and state laws and regulations and accrediting bodies including but not limited to; HIPAA, EMTALA, TDSHS, Board of Nurse Examiners, CLIA/COLA, CIHQ, OSHA, that apply to hospitals, laboratory, nursing, and other clinical departments in areas of responsibility. 
  • Possesses ability to facilitate, build consensus and negotiate.   Ability to demonstrate sensitivity for and understanding of clinical disciplines and issues. 
  • Possesses strong organizational and time management skills and the ability to prioritize responsibilities. Is self-motivated and able to problem solve and follow through to achieve outcomes.  Ability to define problems, collect data, establish facts, and draw valid conclusions.
  • Demonstrates the ability to effectively communicate with all staff at various levels in the organization, both oral and written.
  • Possesses the ability to read, analyze, and interpret journals, financial reports, and legal documents, ability to apply mathematical concepts such as fractions, percentages, ratios, and proportions to practical situations.
  • Ability to use basic Microsoft Office applications and applicable computer-based business programs.
  • Work with high degree of accuracy and attention to detail.
  • Can adapt to changing environments, be innovative, and be dependable.

Physical Demands:

The physical demands below are typical of those that must be met by the employee to successfully perform the essential functions of the position. Reasonable accommodations may be available for individuals with disabilities.

  • Employee is regularly required to hear and speak; is frequently required to sit, stand, walk, use hands to finger, reach with hands and arms, lift and move more than 10 lbs.
  • Employee is occasionally required to lift and move objects up to 25 lbs., climb, balance, stoop, kneel, crouch or crawl. 
  • Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. Required to constantly make decisions and concentrate.
  • Ability to work with and around potentially hazardous materials and disease.

Position Location(s):

The positions will serve at both the Bryan Hospital and the College Station 24-Hour Emergency facilities.

Position Benefits:

CapRock Health System offers:

  • Competitive pay
  • Self-scheduling
  • Low patient to nurse ratios
  • Embroidered scrubs

To Apply:

To apply, please fill out the form below.