Nurse Manager Emergency Department

Job Description:

This job description applies to Nurse Manager and Nurse Manager-Complex. The difference is the scope level below. This role involves managing and supervising nursing departments. Collaborating with nursing leaders and other facility managers and departments, the nurse manager is key in ensuring excellent patient care, achieving financial objectives, and fostering leadership development. The position is accountable for developing departmental structure, processes, and outcome standards, typically for one unit. The job duties are distributed as follows: 50% Tactical (day-to-day activities like staffing and equipment availability), 40% Operational (budget management, supply acquisition, and employee performance evaluations), and 10% Strategic (developing goals to meet the Intermountain/Regional Strategic Plan and holding employees accountable to these goals).

Scope:
Level 1 Nurse Manager:
Manages <50 headcount or manages a department operating Monday through Friday.

Level 2 Nurse Manager-Complex:
Manages >50 headcount or more than 2 departments and manages a department operating 24/7.

Span of control may vary for leaders responsible for complex nursing programs with multi-center or enterprise-wide reach. Variances from established guidelines must be supported by demonstrated program complexity and scope and require iNet approval.

Our Emergency Department is a 26-bed, Level I Trauma Center and an Accredited Chest Pain and Stroke Center. We are a high-volume department serving Billings and surrounding communities, extending east into the Dakotas and south into Wyoming. Our region is supported by a dedicated air medical transport team and EMS ground crews, providing care for a diverse and complex patient population.

With a typical nurse-to-patient ratio of 4:1, we are committed to delivering exceptional patient care while fostering a supportive and collaborative work environment. Our nurses work closely with emergency providers, ancillary departments, and specialty teams to provide the highest quality care possible. We pride ourselves on our unique culture where team members feel welcomed, valued, and supported. Many describe our department as an "ED family" where teamwork, mentorship, and professional growth are encouraged every day.

Beyond a rewarding career, Billings, Montana offers an exceptional quality of life. Known as Montana's Trailhead, Billings provides easy access to endless outdoor adventures including hiking, trail running, mountain biking, fishing, hunting, skiing, snowboarding, camping, rock climbing, and boating. With over 300 days of sunshine annually, residents enjoy four distinct seasons and breathtaking scenery year-round. The city combines the amenities of a regional healthcare hub with a friendly, family-oriented atmosphere, excellent schools, and a strong sense of community. Whether you're exploring the Rimrocks, the Yellowstone River, Red Lodge, or Yellowstone National Park, adventure is never far from home.

Position Details

• Benefits Eligible: Yes
• Shift Details: Full-time, Monday through Friday, with flexibility to support department needs, including occasional nights or weekends as needed.
• Department: Emergency Department
• Primary Location: St. Vincent Regional Hospital
• Additional Details: This Nurse Manager will lead a high-acuity, Level I Trauma Emergency Department serving approximately 40,000 patients annually, with an average daily volume of 110–115 patients. The manager will oversee approximately 73–75 FTEs and will be supported by an established Nurse Clinical Lead and educator. Strong nursing leadership experience is highly preferred, with approximately three years of leadership experience at the Nurse Clinical Lead level or above desired.

This role encompasses a range of responsibilities that report to a Nurse Director. The responsibilities include overseeing the clinical nursing environment, contributing to strategic planning, day-to-day operations, and standards of care. The role involves facilitating collaborative problem-solving, advocating for resources, promoting shared decision-making, and implementing the organization's vision and values. Additionally, the responsibilities encompass managing budgets, ensuring employee engagement, recruitment, retention, and competency verification.

• Champions the use of available resources to ensure nursing care is efficient, effective, safe, and delivered with compassion, in line with current practice standards.
• Facilitates collaborative decision-making and upholds professional independence by contributing departmental perspectives to executive decisions and ensuring staff are updated on activities at the executive level.
• Assists with development, implementation and management of annual capital/operating and personnel (FTE) budget for unit. Uses resources effectively and manages expenses to meet financial goals of department.
• Models and fosters an environment of professionalism and employee engagement on the unit.
• Ensures competent and sufficient number of staff to meet patient care needs, which includes hiring, orientation, retention, and employee satisfaction.
• As delegated, ensures that new skill training and ongoing competency verification is completed annually by providing mentorship and professional educational opportunities.
• Evaluates staff competency through use of performance reviews and peer reviews.
• Coordinates performance and compliance with patient safety initiatives, federal, state and other regulatory bodies such as Joint Commission, OSHA, CMS, DOPL, and other unit specific accrediting and certifying bodies.
• Facilitates use of resources by nursing staff such as nurse practitioners, other expanded role RNs, and other specialty roles.
• Serves as an exemplary figure for employees, promoting the integration of Healing Commitments and Healing Connections within all facets of providing patient care.
• Monitors and improves patient satisfaction utilizing available service metrics and national benchmarks to develop and implement action plans to achieve desired outcomes.
• Partners with physicians at the unit level to achieve clinical, operational, and service goals.
• Supports the Nurse Director in overseeing, organizing, and facilitating the activities of student nurses.
• Supports staff participation in outside community organizations such as volunteer health clinics, health fairs and advisory boards for not-for-profit organizations.

Skills

• Leadership
• Communication
• Problem-solving
• Financial acumen
• Clinical knowledge
• Resource management
• Patient safety
• Mentorship
• Community outreach

Minimum Qualifications

• Bachelor’s degree in nursing (BSN) from an accredited institution (degree will be verified).
• Current Nursing License to practice as a Registered Nurse in state of practice.  Valid compact licenses must be transferred to the state of practice within 60 days of the start of employment.
• Basic Life Support (BLS) certification for Healthcare Providers.
• Leadership/supervisory experience.
• Must complete Intermountain Health’s required leadership training and development courses within one year of accepting this leadership position.
• 2 years clinical experience.

Preferred Qualifications

• Specialty Certification
• Demonstrated experience in the area of oversight.

Physical Requirements

• Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.
• Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, medication preparation, etc.
• Expected to lift and utilize full range of movement to transfer patients. Will also bend to retrieve, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
• Need to walk and assist with transporting/ambulating patients and obtaining and distributing supplies and equipment. This includes pushing/pulling gurneys and portable equipment, including heavy items. Often required to navigate crowded and busy rooms (full of equipment, power cords on the floor, etc.)
• May be expected to stand in a stationary position for an extended period of time.
• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location:

Intermountain Health St Vincent Regional Hospital

Work City:

Billings

Work State:

Montana

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$51.73 - $79.87

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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