Job Summary: Provides leadership and oversight for hospital operations during off-shifts, ensuring patient safety, quality care, and service excellence. Manages staffing, responds to emergencies, resolves issues, and supports professional practice and regulatory compliance.

Job Function 1: Overall Hospital role- Make rounds in all patient care areas to assess patient needs and acuity. Respond to emergencies and assist as needed. Handle incidents, emergencies, and operational issues, escalating as needed. Facilitate patient throughput. Serves as the senior administrative authority on site during off shifts, making operational decisions until relieved by senior leadership or designated department managers. thoughts

Job Function 2: Quality- Ensures the implementation of professional practice standards in alignment with organizational policies and evidence-based guidelines. Maintains compliance with all applicable local, state, and federal regulations,  OSHA, Joint Commission, and other relevant accrediting bodies. Responsible for DOH mandatory reporting of applicable events while on duty.Oversees performance and ensures adherence to patient safety initiatives and regulatory requirements. Creates a working environment that promotes positive employee engagement, effective communications and collaboration

Job Function 3: Budget- Identifies and implements ways to reduce and control expenses. Monitors staffing levels in relation to patient census and acuity. Implements workforce adjustments as needed, including sending staff home, placing them on stand-by, or reallocating personnel to other areas to ensure safe, cost-effective staffing while maintaining patient care standards. Communicates these decisions with the appropriate unit manager / director to ensure transparency and alignment with departmental needs. 

Job Function 4: Service- Serve as a key point of contact for addressing and resolving concerns from patients, staff members, visitors, and physicians in a timely and professional manner.  Provide real-time support and communication to patients and families during times of dissatisfaction, conflict, or heightened emotion ensuring compassionate, empathetic responses and service recovery. Promote a culture of service excellence by modeling effective communication, empathy, and responsiveness.  Investigate complaints or service disruptions, document findings. Facilitate conflict resolution and escalate complex issues to senior leadership when necessary.

Job Function 5: Administrative Responsibilities- Performs additional administrative responsibilities as requested to meet the needs of the department/organization. Participates on committees, actively supports the Shared Governance. Provide guidance, feedback, and performance documentation for staff. Act as liaison between nursing staff, department managers, and administrators-on-call. Ensure timely and accurate documentation to all significant events, staffing adjustments, patient/ family interactions, and service recovery actions, communicating to appropriate leaders by the next business day. 

Job Function 6: Communicates quality performance concerns and patient care/safety concerns to appropriate personnel. Counsels and disciplines assigned personnel, documents issues and follows up with appropriate managers. Coordinates activity in response to activation of emergency codes until relieved by senior management on premises or presence of manager having expertise in specific area of concern. Acts as a liaison for the assignment of nursing personnel. Rewards and recognizes employee excellence. Assists with transfer/bed assignment of patients to appropriate, available beds. Leads hospital-wide emergency responses such as mass casualty incidents, IT system downtime, and utility failures until relieved by senior leadership.

Job Function 7: Professional Practice- Promotes shared decision-making and professional autonomy through active participation in a professional governance structure. Maintains engagement with relevant professional organizations. Supports the organization’s Magnet journey by advancing nursing excellence and staff empowerment. Facilitates daily huddles to enhance communication, reinforce a culture of safety.