Clinical Nurse Manager - Emergency - MGH

Site: The General Hospital Corporation

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The Clinical Nurse Manager (CNM) is accountable for the facilitation of excellence in patient care delivery operational efficiencies and compliance with hospital and regulatory policies and practices. This role has managerial oversight for emergency department nursing. The CNM coordinates patient flow and efficient/cost effective use of human fiscal and material resources. The CNM identifies initiates and participates in hospital and unit-based quality improvement activities. She/he participates in a collaborative relationship with the interdisciplinary team including physicians nurses support staff and other members of the health care teams. She/he is responsible for the development and evaluation of professional and support staff on her/his services. As a Nurse Leader the CNM directs and evaluates all staff within Emergency Nursing and serves as a resource and role model for the nursing technical and support staff.

Clinical Practice
and maintains an environment that is patient/family focused and sensitive to the diverse needs of patients and staff
staff development
effective accountability systems to assure the patient care standards are met
the effectiveness of patient care through direct observation and supervision of nursing and support staff
closely with the Nursing Practice Specialist to ensure the highest competent nursing care is provided for all ED patients from arrival to disposition
all patient care responsibilities will be performed consistent with age specific criteria including but not limited to the pediatric and geriatric populations
staff and leadership in the provision of nursing care using but not limited to the philosophy of MGH Patient Care Services ENA and regulatory agency standards
safe and efficient delivery of care in collaboration with the Interdisciplinary Emergency Medicine and Administrative Leadership Teams
Resource Management
collaboration with the ED Resource Nurses ED Time-planning and Payroll Nurses and the Nursing Director evaluates and develops staffing patterns to support patient care needs and unit operations
on patient care assignments based on staff competencies patient acuity illness complexity and knowledge of technology
with ED Operations Manager regarding supply and equipment decisions and issues
decisions that support appropriate use of human fiscal and environmental resources for patient care
and hires candidates to fill vacant staff positions and participates in the interview process to fill vacant leadership positions
and coordinates staff orientation activities with the Nursing Practice Specialist
with the Nursing Leadership Team on annual review and update of position descriptions and competencies
knowledge of current and relevant issues and changes in nursing social and medical science to improve patient care and foster staff development
with the leadership team on capital and personnel budget needs; monitors and tracks budget variances


Leadership
interdisciplinary collaboration through effective communications and negotiations
and communicates to staff members in collaboration with the Nurse Practice Specialists all changes in standards of care nursing practice activities and hospital and departmental policies and procedures
compliance with policies and procedures
as a member and leader in ED and hospital wide committees
safety reports and/or complaints and initiates appropriate action
in Quality and Safety initiatives including root cause analysis formulation and implementation of corrective action and monitoring of action outcomes
and coaches unit Excellence Every Day Champions for Magnet and JCAHO readiness initiatives and activities
and documents pertinent incidents actions and follow-up to the Nurse Director in a timely manner
problem-solving activities with the staff and arranges meetings as needed
annual performance appraisals for staff including staff competency assessments
with Human Resource representatives re: corrective action and initiates appropriate corrective action with employees
in unit staff meetings and disseminates appropriate information to staff
an environment where interdisciplinary collaboration related to patient care needs are paramount
a practice environment that maintains high professional standards of clinical care and conduct
professional development of staff through the MGH Clinical Recognition Program and specialty certification for nursing and support staff
with the nursing leadership of the inpatient units the ED Boarder and ED Observation Nurse Directors to promote smooth patient handoff and transitions and to solve problems which arise

Professional Development
with the ED nursing leadership team to ensure that staff achieve competency in generic and specialty knowledge skills
effectiveness of orientation program in collaboration with ED Nursing Leadership
support to preceptors
the Nurse Practice Specialists and ED Nursing Leadership Team in coordinating student assignments and the evaluation of student performances while in the clinical unit
in MGH Leadership and development opportunities as appropriate to further professional development
professional development of staff through Clinical Recognition Program and other appropriate mechanisms
supports staff participation for all MGH Collaborative Governance Committees
knowledge of current and relevant issues and changes in nursing social and medical science to improve patient care and foster staff development
in and promotes evidence-based practice and professional research
Performs other related duties as directed

Supervisory responsibility

Supervise approximately 90 RNs
Reports directly to Nurse Director

Fiscal Responsibility

Appropriate cost-effective use of staffing and material resources

Qualifications:

Education
Massachusetts Nursing License required
in Nursing required If Bachelor degree not in Nursing the higher degree must be in Nursing.
Degree preferred

Experience
least 3 years of Emergency Nursing experience required with demonstrated clinical competence and professional accountability
or leadership experience desirable

Skills and Abilities
communication and problem-solving skills
be flexible and able to manage stressful situations; ability to encourage and foster teamwork

Working Conditions

day work week structured to meet unit/team needs
volume fast paced emergency department providing care for inpatients and outpatients at all levels of acuity
Unit operates 24/7 and cares for approximately 300 patients/day
be able to stand for long periods of time

Job Summary

Summary
Directs plans and coordinates the service activities and staffing performance of professional nursing and auxiliary nursing personnel in rendering quality patient care. May provide direct patient care.


Essential Functions
Ensure the development implementation and evaluation of staff onboarding training and education.

Provide ongoing coaching and performance feedback for staff.

Ensures a positive work environment that is safe for patients visitors and staff.

Coordinating unit activities with other hospital departments of the hospital

Develops and implements staffing plans.


Required for All Jobs
Performs other duties as assigned

Complies with all policies and standards

Does this position require Patient Care (indirect/direct) Yes

Education

Bachelors Degree Nursing required or
Masters Degree Nursing preferred

Can this role accept experience in lieu of a degree No

Licenses and Credentials

Registered Nurse RN - State License required
Advanced Cardiovascular Life Support ACLS Certification preferred
Basic Life Support BLS Certificate preferred

Experience

Nursing experience 2-3 years required and
Nursing leadership experience 1-2 years preferred

Knowledge Skills & Abilities

Strong organizational and interpersonal skills.
Must have excellent critical thinking and problem-solving skills.
Strong commitment to clinical excellence.
Ability to remain calm in stressful situations.
Knowledgeable of the care required by respective age groups for which care is being provided.

Physical Requirements

Standing Frequently (34-66%)Walking Frequently (34-66%)Sitting Occasionally (3-33%)Lifting Frequently (34-66%) 35lbs (w/assisted device)Carrying Frequently (34-66%) 20lbs - 35lbsPushing Occasionally (3-33%)Pulling Occasionally (3-33%)Climbing Rarely (Less than 2%)Balancing Frequently (34-66%)Stooping Occasionally (3-33%)Kneeling Occasionally (3-33%)Crouching Occasionally (3-33%)Crawling Rarely (Less than 2%)Reaching Frequently (34-66%)Gross Manipulation (Handling) Frequently (34-66%)Fine Manipulation (Fingering) Frequently (34-66%)Feeling Constantly (67-100%)Foot Use Rarely (Less than 2%)Vision - Far Constantly (67-100%)Vision - Near Constantly (67-100%)Talking Constantly (67-100%)Hearing Constantly (67-100%)

Onsite

267 Charles Street

40

Regular

Rotating (United States of America)

The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .

Mass General Brigham Competency Framework