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Assistant Director, Nursing

NYC Health + Hospitals logo

NYC Health + Hospitals

New York, New York

RN

Posted Aug 21 · Not open to new grads

Shift
12-hour nights
Hours a week
35
Unit
ER

What the listing says

Role

Schedule
12-hour nights · 35 hours
Weekends
Weekends required
Term
Travel
Practice
Union position
Setting
Hospital
Accepts
RN
More role details
Experience
3+ years

Ratio not posted. Ask in the interview.

Pay

Against the board
This role$77/hr
nursing in New York$40/hr

The median for nursing in New York is $40/hr, across 880 postings. It covers every nursing role in the state, so it is a bearing, not a like-for-like comparison.

About this role

About NYC Health + Hospitals

Lincoln Medical and Mental Health Center is one of New York City’s premier acute care hospitals. Located in Downtown Bronx, Lincoln is a teaching hospital renowned for its Centers of Excellence, and a recognized industry leader in the implementation of state-of-the art medical technology and best practices. Our team of highly trained and caring medical professionals is dedicated to providing the highest quality health care that is safe, compassionate, culturally competent and patient-centered.

Comprehensive services are offered in three major primary care areas: Medicine, Pediatrics, and Women’s Health in addition to more than eighty (80) specialty services. At Lincoln, the safety and comfort of our patients is our number one priority.

Read the full posting

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Work Shifts

7:30 P. M – 8:00 A. M; Rotating Weekends & Holidays. *[35 Hours per Week.]

Duties & Responsibilities

Purpose of Position

Assists with the planning, organizing, directing, coordinating and evaluating of nursing service of a health care setting within the Department of Nursing. Ensures optimal utilization of resources, service delivery, safe patient care, and compliance with all applicable local, state, federal and NYC Health + Hospitals rules and regulations and nursing standards of care to improve outcomes and the patient experience.

Essential Duties and

Responsibilities

  • Oversees daily nursing clinical operations and patient care delivery for one unit/department. Ensures structured safety huddles and appropriate patient assignments.
  • Assists in developing policies, objectives and standards of nursing service. Assists in reviewing and recommending revisions, as needed, to unit-specific policies and procedures and interprets policies and objectives of nursing service to staff and other disciplines.
  • Participates in planning, organizing, and evaluating of nursing service and/or health programs. Monitors delegation, care coordination, and escalation pathways.
  • Assists in implementing organizational plans for nursing service that delineate nursing functions, define relationships with other departments/disciplines and ensure maintenance of competent nursing staff.
  • Oversees daily staffing, scheduling, and equipment coverage. Makes staffing adjustments and manages overtime to achieve departmental goals and objectives, as necessary. Ensures effective use of resources within budgetary guidelines.
  • In collaboration with nursing leadership, develops strategies to identify nursing candidates, retain and engage staff to ensure quality care while maintaining staff and patient satisfaction. Ensures staff are properly oriented.
  • Assists in the development of administrative procedures and programs of patient care. Identifies and investigates issues or variances in practice and/or operations by participating in the Root Cause Analysis process and implements corrective action plans, as necessary.
  • Directs, supervises, and evaluates activities of Supervisor of Nurses and other nursing personnel. Conducts staff performance reviews to ensure that standards of quality care are met and monitors unit-level quality indicators and patient outcomes. Supports performance management and competency validation and promotes evidence-based practice and professional development.
  • Prepares and makes periodic and daily reports on administrative matters relating to staff and patient management.
  • Monitors information technology infrastructure and corrects gaps in clinical nurse documentation. Reinforces policy adherence and documentation standards.
  • Maintains readiness for regulatory surveys and audits.
  • Participates in the direction and implementation of a quality assurance program for nursing. Leads staff participation in quality and safety initiatives and required compliance measures.
  • Assesses nursing services through rounds, chart reviews and observation/evaluation of patient care.
  • Participates in departmental and other relevant activities, meetings, and health care events, as required.
  • Ensures adherence to established protocols during emergencies and declared disasters, while maintaining staff preparedness through clear communication of roles, responsibilities, and required training.
  • Effectively applies ICARE values: Integrity, Compassion, Accountability, Respect, and Excellence.
  • May have responsibility for planning, organizing, directing, coordinating and evaluating the nursing service in a health care setting participating in selection, placement and follow-up of patients transferred to homes.
  • May assume responsibility for planning, directing, coordinating and evaluating nursing service on the weekend/evening and/or night tours. Provides guidance to nursing administrators to ensure continuity of patient care on off tours.

Minimum Qualifications

  • Valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and
  • Master’s Degree from an accredited college or university in Nursing Administration or a related nursing discipline; and three (3) years of satisfactory nursing experience, one (1) year of which must have been in an administrative or supervisory capacity, which may include managing a specific department or nursing unit within a hospital or health care setting, overseeing patient care, staff management and the day-to-day operations of the department, as well as demonstrating clinical competency in relevant clinical area; or
  • Bachelor’s Degree from an accredited college or university in Nursing; and four (4) years of satisfactory nursing experience (i.e., clinical care), two (2) years of which must have been in a clinical supervisory capacity (i.e., Head Nurse, Supervisor experience), as well as demonstrating clinical competency in relevant clinical area.
  • May require Basic Life Support (BLS) through the American Heart Association (AHA) depending on assignment/health care setting. If required, BLS must be obtained within sixty (60) calendar days of appointment to the title and maintained for the duration of the assignment.

Department Preferences

Clinical & Leadership

Experience

  • Minimum of 3–5 years of progressive nursing leadership experience (e.g., Nurse Manager, Supervisor of Nurses, or Clinical Care Coordinator) specifically within a high-volume Emergency Department or Level 1 Trauma Center.

Demonstrated expertise in managing complex trauma resuscitations, rapid triage protocols, disaster response, and surge capacity management.

Operations & Resource Optimization

  • Proven track record in optimizing ED throughput, reducing Left Without Being Seen (LWBS) rates, managing Door-to-Provider times, and balancing bed utilization during high-acuity surges.
  • Proficiency in dynamic staffing models, crisis scheduling, and overtime control within a unionized public healthcare system.

Certifications & Advanced Training

  • Active NYS Registered Nurse (RN) License; Master’s Degree in Nursing (MSN), Nursing Administration, or Healthcare Administration preferred.
  • Certified Emergency Nurse (CEN) or Nurse Executive (NE-BC) strongly preferred.

Active certifications in Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Trauma Nursing Core Course (TNCC), and Advanced Trauma Care for Nurses (ATCN).

Regulatory & Quality Assurance

  • Direct experience maintaining survey readiness for major regulatory and accreditation bodies (e.g., The Joint Commission, NYSDOH Trauma Center Designation, CMS).
  • Demonstrated ability to lead Root Cause Analyses (RCA) for emergency care variances and drive quality improvement initiatives around time-sensitive conditions (e.g., STEMI, Stroke, Sepsis, and Mass Casualty events).

Benefits

NYC Health and Hospitals offers a competitive benefits package that includes:

  • Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
  • Retirement Savings and Pension Plans
  • Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
  • Loan Forgiveness Programs for eligible employees
  • College tuition discounts and professional development opportunities
  • College Savings Program
  • Union Benefits for eligible titles
  • Multiple employee discounts programs
  • Commuter Benefits Programs

How To Apply

If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.

Sourced from a public job board.

Department Preferences Clinical & Leadership Experience: Minimum of 3-5 years of progressive nursing leadership experience (e.g., Nurse Manager, Supervisor of Nurses, or Clinical Care Coordinator) specifically within a…· from this posting

Requirements

  • Valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and
  • Master’s Degree from an accredited college or university in Nursing Administration or a related nursing discipline; and three (3) years of satisfactory nursing experience, one (1) year of which must have been in an administrative or supervisory capacity, which may include managing a specific department or nursing unit within a hospital or health care setting, overseeing patient care, staff management and the day-to-day operations of the department, as well as demonstrating clinical competency in relevant clinical area; or
  • Bachelor’s Degree from an accredited college or university in Nursing; and four (4) years of satisfactory nursing experience (i.e., clinical care), two (2) years of which must have been in a clinical supervisory capacity (i.e., Head Nurse, Supervisor experience), as well as demonstrating clinical competency in relevant clinical area.
  • May require Basic Life Support (BLS) through the American Heart Association (AHA) depending on assignment/health care setting. If required, BLS must be obtained within sixty (60) calendar days of appointment to the title and maintained for the duration of the assignment.

Place

City
New York, New York
Rent against this pay
16% of monthly gross
This role$1,821/mo rent
Monthly gross$11,678/mo

$1,821 median rent against $11,678 a month at $77/hr for 35 hours a week, before tax. Census ACS 2024.

Local household income
$80,483/yr

all local households, not nurse pay · Census ACS 2024

Metro price level
13% above the national average

New York area index 112.6, where 100 is the national average.

New York City delivers unmatched energy, world-class hospitals, and career opportunities few cities can rival. From the bustling streets of Manhattan to the brownstone-lined blocks of Brooklyn, every borough offers distinct character. It's fast-paced and expensive, but for nurses seeking high-acuity experience, cultural richness, and a true 24-hour city vibe, the payoff is enormous.

Map showing the location of New York, NY
Approximate location in New York, NY. · © Mapbox © OpenStreetMap· Open the live map

Cost figures from U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024.

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About the employer

NYC Health + Hospitals logo
NYC Health + Hospitals
Hiring organization

NYC Health + Hospitals is the nation's largest municipal health care delivery system in the United States, serving as the public safety net health care system for New York City. The integrated network includes 11 acute care hospitals, 5 post-acute/long-term…

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  • Can you walk me through differentials?
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  • How are patient load, floating, and staffing support handled day to day?
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