Registered Nurse Manager

Summary

The Nurse Manager provides operational leadership and oversight of nursing services at Benson Hospital, ensuring safe, high-quality, patient-centered care across assigned departments. Reporting to the Rural Clinical Executive Director, this position serves as the primary on-site nursing leader responsible for daily clinical operations, staffing decisions, resource management, employee performance, and coordination of patient care services.

The Nurse Manager directly supervises three clinical RN Supervisors and provides leadership, guidance, and accountability to ensure consistent nursing practices, regulatory compliance, operational efficiency, and achievement of organizational goals. Within established organizational policies, approved budgets, and delegated authority, the Nurse Manager independently evaluates operational needs, establishes priorities, and executes timely decisions for Benson Hospital nursing services. This authority includes implementing changes to enhance clinical quality and patient safety, improve workflows and resource utilization, and strengthen productivity and financial performance.

The Nurse Manager collaborates with the Rural Clinical Executive Director on strategic initiatives, significant financial or organizational matters, and priorities requiring executive alignment or approval.

Essential functions

Nursing Operations and Leadership

• Provides daily operational oversight of Benson Hospital nursing services, including Emergency/Trauma, Medical/Surgical, Outpatient Services, and Case Management/Utilization Review.

• Serves as the primary on-site nursing leader, making timely operational decisions regarding staffing, patient care needs, clinical resources, departmental priorities, and daily workflow.

• Directly supervises the three RN Supervisors, providing leadership, coaching, performance management, and accountability for departmental operations.

• Maintains overall accountability for nursing operations and patient care coverage, including timely response to urgent staffing, clinical, and operational concerns.

• Coordinates nursing operations across departments to ensure effective patient flow, appropriate staffing, efficient use of resources, and continuity of patient care.

• Responsible for developing the three RN Supervisors, including coaching, performance expectations, succession planning, and preparation for increased leadership responsibilities.

Personnel and Staffing Management

• Oversees staffing plans, scheduling practices, productivity, and nursing labor utilization to maintain safe staffing levels while supporting established financial goals.

• Provides oversight of recruitment, hiring, orientation, employee development, performance evaluations, corrective actions, and retention initiatives for nursing departments.

• Supports RN Supervisors in resolving employee concerns, managing performance issues, and promoting a positive, professional, and accountable work environment.

• Collaborates with Human Resources and Clinical Education to support nursing competencies, professional development, succession planning, and workforce readiness.

Quality, Safety, and Regulatory Compliance

• Ensures nursing departments maintain compliance with applicable federal and state regulations, hospital policies, accreditation standards, and Critical Access Hospital requirements.

• Provides leadership oversight of the Level IV Trauma Program, ensuring the Emergency Department/Trauma Supervisor maintains program readiness, required documentation, and performance improvement activities.

• Monitors nursing quality indicators, patient safety events, clinical outcomes, patient satisfaction, and departmental performance improvement initiatives.

• Oversees the implementation, review, and consistent application of nursing policies, procedures, clinical standards, and evidence-based practices.

• Collaborates with Quality, Infection Prevention, Clinical Education, and other hospital leaders to address identified risks, implement corrective actions, and maintain survey readiness.

Clinical Program and Patient Care Oversight

• Provides leadership oversight of Medical/Surgical, Swing Bed, Infusion, Wound Care, Cardiac Rehabilitation, and other assigned outpatient nursing services.

• Oversees Case Management, Utilization Review, discharge planning, and Swing Bed care coordination to support appropriate patient placement, length of stay, reimbursement compliance, and safe transitions of care.

• Collaborates with physicians, medical staff, ancillary departments, and clinical supervisors to address patient care concerns, improve communication, and support timely, coordinated care delivery.

• Serves as an escalation resource for complex clinical situations, patient or family concerns, staffing challenges, and operational issues requiring management-level decisions.

Financial and Organizational Accountability

• Assists in developing, monitoring, and managing nursing departmental budgets, including labor expenses, overtime, supplies, equipment, and other operational resources.

• Evaluates departmental productivity, staffing patterns, patient volumes, and operational performance to identify opportunities for improved efficiency and cost-effective care.

• Implements organizational initiatives and operational improvements in collaboration with the Rural Clinical Executive Director and TMCH Rural leadership.

• Provides regular updates to the Rural Clinical Executive Director regarding nursing operations, staffing challenges, quality indicators, financial performance, and emerging departmental needs.

• Participates in hospital leadership meetings, committees, emergency preparedness activities, and interdisciplinary initiatives representing Benson Hospital nursing operations.

• Supports strategic planning, program development, and service line growth while ensuring daily nursing operations align with the goals and priorities of TMCH Rural.

• Promotes a culture of accountability, collaboration, patient safety, employee engagement, and service excellence consistent with TMCH organizational values.

Decision-Making Authority

The Nurse Manager independently evaluates operational needs and is authorized, within approved budgets, organizational policies, and delegated authority, to make routine and time-sensitive operational decisions affecting Benson Hospital nursing departments. These include staffing adjustments and coverage, resource allocation, daily workflow, patient care coordination, implementation of operational improvements, and resolution of departmental concerns.

Decisions involving significant budgetary commitments, organizational restructuring, major service changes, or matters requiring executive approval will be escalated to the Rural Clinical Executive Director in accordance with organizational policies and established approval authority.

Leadership Accountability

The Nurse Manager is responsible for ensuring that each RN Supervisor effectively manages the daily functions, employee performance, quality outcomes, and regulatory requirements of their assigned departments.

While RN Supervisors retain direct responsibility for their respective service lines, the Nurse Manager provides overall nursing operational leadership, ensures consistency across departments, resolves escalated issues, and maintains accountability for the collective performance of Benson Hospital nursing services.

Minimum qualifications

Education

Associate’s degree in nursing required; Bachelor’s (BSN) degree or Master’s degree preferred.

Experience

Four (4) years of related nursing experience, with two years of demonstrated charge nurse, supervisory, or leadership experience preferred.

Licensure OR

Certification

Current RN licensure permitting work in the State of Arizona required. Additional certifications may be required based on department. CPI (Crisis Prevention Intervention) Certification or ability to complete required training.

Knowledge, skills and abilities

• Knowledge of patient care best practices.

• Knowledge of inventory control.

• Skill in evaluating performance and operations and making recommendations for improvement.

• Skill in training and leading others.

• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.

• Ability to complete routine reports and correspondence.

• Ability to listen and accurately interpret others’ communication or instructions to take appropriate action.

• Ability to speak effectively before groups of customers or employees of organization.

• Ability to calculate figures and compute rates, ratios, and percentages and to draw and interpret bar graphs and apply basic algebraic concepts.

• Ability to define problems, collect data, establish facts, and draw valid conclusions.

• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.

• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Benefits

• 401(k)

• 401(k) matching

• Continuing education credits

• Dental insurance

• Employee assistance program

• Health insurance

• Health savings account

• Life insurance

• Paid sick time

• Paid time off

• Professional development assistance

• Retirement plan

• Tuition reimbursement

Experience

• Leadership: 2 years (Preferred)

License/

Certification

• RN License (Preferred)

Work Location: In person