Main Responsibilities and Required Skills for Nurse Manager

registered nurse working on a computer

A Nurse Manager is a health professional who supervises nursing department staff. They manage the day to day shift activities and plan and conduct staff meetings. In this blog post we describe the primary responsibilities and the most in-demand hard and soft skills for Nurse Managers.

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Main Responsibilities of Nurse Manager

The following list describes the typical responsibilities of a Nurse Manager:

Address

Address and resolve patient and family complaints.

Adhere to

Adhere to dealing appropriately and fairly with employee misconduct.

Adjust

Adjust staffing for acuity and unusual situations.

Administer

Administer medications and monitor for side effects.

Alert

Alert the Administrator on Call (AOC) when urgent or extreme events occur.

Assist in

  • Assist in completing nurse competency and evaluations.

  • Assist in development of policies, procedures and standards reflective of evidence based practice.

  • Assist in ensuring adequate staffing for assigned shift.

  • Assist in nurse recruitment, retention and professional development.

  • Assist in overseeing the admission process Detox units and Inpatient units.

  • Assist the administrative staff to submit grant applications for clinical expenses.

  • Assist with managing a productive nursing department while promoting cooperation and teamwork.

  • Assist with the preparation of the nursing budgets and supports the budget of the Unit.

Assume

  • Assume responsibility for own personal continuing education and developmental needs.

  • Assume the role of patient advocate when necessary.

Assure

Assure communication to all responsible parties including hospital administration.

Attend

  • Attend and actively participate in departmental staff meetings.

  • Attend and participate in sales, operational or external meetings as requested.

  • Attend treatment planning rounds to provide nursing support to formulation of treatment plan.

  • Attend various meetings to provide medical expertise.

Audit

Audit all seclusion or manual hold interventions on assigned shift.

Authorize

Authorize and coordinate vacation and overtime requests.

Build

Build meaningful and lasting relationships with your residents.

Carry out

Carry out the personnel management activities associated with direct staff.

Collaborate

  • Collaborate and contribute in practice committees.

  • Collaborate and develops improvement plan.

Collect

Collect, interpret, and / or analyze complex data and information.

Communicate

  • Communicate all client and staff issues to Nurse Manager.

  • Communicate and documents professional practice.

  • Communicate with and supports families in their involvement and participation.

Complete

  • Complete all mandatory compliance, HIPAA and state and federal regulatory training as required.

  • Complete and submit a weekly report to ED, RDQS, and RDO by noon every Thursday.

  • Complete monthly and quarterly chart audits, PI reports and Administrative reports as required.

  • Complete monthly unit meetings as well as risk management and treatment team meeting.

  • Complete monthly unit meetings, risk management, attend treatment team.

  • Complete other tasks as requested.

  • Complete time records for all staff and forward to payroll each pay period.

Conduct

  • Conduct compensation reviews of positions on a routine basis.

  • Conduct performance reviews.

  • Conduct weekly, documented supervision for all nursing staff.

Contribute to

Contribute to divisional policies and procedures development and update.

Convey

Convey accurate information in supportive and courteous manner to clients and staff.

Create

  • Create and facilitate an environment that supports the nursing professional practice model.

  • Create / manages nursing schedule.

Develop

  • Develop, administers and manages unit budget plans.

  • Develop and conduct staff trainings.

  • Develop and implement nursing policies and procedures.

  • Develop / Coordinates education for the development of Home Health / Hospice leaders.

  • Develop, justify and maintain a budget for clinical services.

  • Develop, manage and evaluate area based on work team performance.

  • Develop opportunities within the organization for staff to advance within the system.

  • Develop service goals, coordinate new programs and identify plans for patients and programs.

Direct

  • Direct oversight of clinical operations.

  • Direct patient care and clinical triage calls according to department needs (15%).

  • Direct patient care activities in the assigned Nursing Administrative Departments.

  • Direct patient care program to ensure patients' needs are met.

  • Direct, plan, organize, supervise, coordinate controls and evaluate the Nursing Services.

Document

  • Document approved overtime on employee time adjustment forms.

  • Document according to prescribed procedures; and maintains an objective relationship with the staff.

  • Document incident in accordance with policy.

Educate

  • Educate patients and family through the continuum of care while striving to advance your.

  • Educate the client and family regarding pain management.

Encourage

Encourage and assist nursing personnel to identify learning needs.

Enforce

Enforce all compliance policies as they pertain to his / her area.

Ensure

  • Ensure accurate and timely shift-to-shift reports.

  • Ensure accurate teaching and safe discharge process.

  • Ensure appropriate and safe staffing levels.

  • Ensure appropriate staffing levels for the department based on established provider FTE ratios.

  • Ensure compliance with the Resident's Bill of Rights.

  • Ensure infection control policy and procedures are maintained.

  • Ensure infection control P&P maintained.

  • Ensure Infection Control procedures and HIPAA compliance.

  • Ensure institutional compliance with professional, accrediting and regulatory standards of care.

  • Ensure nursing staff is educated about policy changes and performance expectations.

  • Ensure staff treats patients with dignity and respect.

  • Ensure sufficient staffing daily by notifying your team of scheduling changes.

  • Ensure that Initial / Ongoing Assessments and Care Plans are developed, implemented and reviewed.

  • Ensure the delivery of safe, competent and compassionate care for our clients.

Establish

Establish and maintain an effective and supportive working relationship with your Administrator.

Evaluate

  • Evaluate and identify achievements and problems in meeting goals.

  • Evaluate and monitor for conduct that is safe, legal and ethical.

  • Evaluate and monitor the skills of Agency / Temporary staff.

Follow up

Follow up with staff education to prevent reoccurring incidents.

Gather

Gather and compile data for daily shift and routine reporting.

Give

Give and follow verbal and written instructions with attention to detail and accuracy.

Guide

  • Guide, develop, and support staff from a leadership perspective.

  • Guide the health care team to provide effective care for all individuals on the nursing unit.

Help

Help us carry out our mission.

Identify

  • Identify and evaluate instructional materials in all types of media and formats.

  • Identify areas for process improvements and presents solutions.

  • Identify opportunities for improvement in patient care and organizational processes.

  • Identify, plan and initiate cost saving initiatives.

  • Identify and assume responsibility for high risk clients.

  • Identify and coordinate activities with operations and management.

  • Identify and implement actions that continually improve the company's processes (10%).

Interact with

Interact with state reviewers.

Interpret

Interpret complex laws, regulations, and policies.

Interview

Interview, hire, and supervise designated staff members.

Investigate

  • Investigate and respond to client complaints.

  • Investigate and resolve patient / family member concerns regarding patient care.

  • Investigate customer service issues and incidents.

Keep

Keep reading for Benefits, Responsibilities, and Requirements.

Lead

Lead or assist with the implementation of Modified Work Programs for Field employees.

Liaise with

  • Liaise with other Case Managers, hospitals, funders or Government programs as required.

  • Liaise with Provincial regulating body as required.

Maintain

  • Maintain a clutter-free working environment.

  • Maintain a positive attitude, positive work habits.

  • Maintain appropriate degree of confidentiality.

  • Maintain a safe environment for staff, clients / families and visitors.

  • Maintain clinical expertise, functioning as clinical resource for staff.

  • Maintain communication between staff and nursing administration and other departments.

  • Maintain confidentiality and proper boundaries.

  • Maintain consistency with clients, staff, visitors, and the public.

  • Maintain designated lines of authority.

  • Maintain documentation and ensure compliance with all duties and responsibilities.

  • Maintain effective communication with all units and departments.

  • Maintain medical equipment in proper working order, supplies inventory and ordering.

  • Maintain nursing staff by recruiting, selecting, orienting, and training nurses.

  • Maintain outreach and education efforts throughout the community to promote the marketing effort.

  • Maintain staff development needs and ensure records are up to date.

  • Maintain, track and trend the productivity of employees.

Manage

  • Manage Community Care Service staff in delivering nursing care / services.

  • Manage time and resource effectively to meet objectives.

Mentor

Mentor technicians and assistants in goal setting for professional and personal growth.

Model

Model customer service standards for staff.

Monitor

  • Monitor clinical issues for high acuity patients or patients with unusual problems.

  • Monitor inventory of office, medical, and patient care supplies.

  • Monitor staff performance and provide coaching and formal counseling to staff as needed.

  • Monitor your clinical area to ensure materials are provided.

Oversee

  • Oversee and maintain a patient care system for nurse visits.

  • Oversee contract labor, including appropriate credentialing, orientation and evaluation.

  • Oversee the provision of nursing services provided by registered and personal support worker staff.

Oversee

  • Oversee that call lights are answered within 3-7 minutes or state guidelines, whichever is less.

  • Oversee the Nursing Supervisors to ensure compliance with all day to day operations.

Participate in

Participate in nursing and other departmental meetings.

Perform

  • Perform audits to collect and support data as necessary.

  • Perform crisis intervention.

  • Perform employee evaluations in a timely manner.

  • Perform management activities including interviewing, hiring, disciplinary actions and terminating.

  • Perform other duties as required.

Plan

  • Plan and conduct staff meetings and ensures meeting notes are available.

  • Plan and organize orientation and in-service training for clinical staff.

Prepare

  • Prepare and investigate Incident Reports (IR) in an accurate and timely fashion.

  • Prepare and present in-services for entire nursing staff in conjunction with leadership.

  • Prepare shift report and review with oncoming House Charge (HC) and forward copy to CNO.

  • Prepare short and long-term planning and programs to address identified needs.

Process

Process accurate nursing staff timesheets.

Promote

  • Promote professional development and motivates employees to work at optimal efficiency.

  • Promote shared accountability for professional practice.

  • Promote staff education opportunities and coordinates training when applicable.

  • Promote the highest standards of quality of patient care by appropriately managing patient flow.

Provide

  • Provide activities of daily living assistance to the residents as needed.

  • Provide annual MA trainings (Infection control, sterilization technics, etc..).

  • Provide a process for management / employee conflict resolution.

  • Provide assessments for potential residents to determine their eligibility for Assisted Living.

  • Provide clinical expertise in medical, behavioral, and crisis management.

  • Provide direction, supervision and evaluation of staff and / or staff education as necessary.

  • Provide direct nursing care to residents residing in the facility.

  • Provide educational opportunities that benefit nurses at all stages of their career development.

  • Provide education to staff on performance improvement.

  • Provide feedback and documentation as needed.

  • Provide input to the DOC as to prioritization of need for purchase of new equipment.

  • Provide on-call backup to community when not on duty.

  • Provide ongoing education for clients and staff.

  • Provide staff education, coaching, counseling, and evaluations within the department.

  • Provide staff recognition through positive reinforcement and constructive feedback.

  • Provide supervision to nurses per program supervision schedule.

  • Provide support to staff on high volume shifts.

  • Provide unit information to the service chief through accurate verbal and written reports.

Recognize

  • Recognize and assist in solving clinical and administrative problems.

  • Recognize changes in patient conditions, taking appropriate action and documenting intervention.

  • Recognize staff performance as necessary.

Recruit

Recruit, hire and train all nursing department staff.

Refer

Refer concerns as necessary to the DOC.

Report

  • Report any staffing concerns to CNO.

  • Report labor variances as required.

Research

Research, identify, and implement best practice models of other units.

Respond

Respond effectively to customer or client needs.

Review

  • Review detox protocols and length of stay.

  • Review detox protocols and length of stay with all new staff.

  • Review MAR's for clients to ensure completeness.

  • Review performance evaluations with CNO before reviewing with staff.

  • Review resident and staff data on a regular basis to measure the effectiveness of resident care.

  • Review staff level concerns with CNO.

  • Review trends and conducts unit analysis of complaints, abuse and critical incidents.

Routine

Routine reports include Shift Summary, Bed Control, and Incident Reports.

Schedule

  • Schedule and supervise staff.

  • Schedule the unit's nursing staff.

Supervise

Supervise the day to day shift activities.

Support

  • Support management / employee conflict resolution.

  • Support, reviews, and understands CMS / TJC / TXDHS compliance activities and expectations.

Take

Take action to ensure resident safety.

Trust

Trust determination process.

Understand

Understand role and responsibility related to Fire Plan and Emergency Plan.

Use

  • Use available time efficiently.

  • Use date available to make decisions.

Utilize

Utilize appropriate pain management techniques.

Visit

Visit clients as required and update care plans as appropriate.

Work with

  • Work collaboratively with medical directors and providers within the practice operations.

  • Work in a position of trust with vulnerable adults (residents).

  • Work in partnership with the union and adheres to EEO principles.

  • Work with consultant pharmacist as needed to assure community is in compliance.

  • Work with Program Director to ensure that all nursing staffing needs are met.

  • Work with the HM and MD to constantly improve and grow the practice.

Most In-demand Hard Skills

The following list describes the most required technical skills of a Nurse Manager:

  1. Nursing

  2. Active American Heart Association Basic Life Support

  3. Valid RN License

  4. BSN

  5. Supervisory

  6. BLS

  7. Acute Care

  8. Management

  9. ACLS

  10. Adventist Healthcare Values

  11. Life Support

  12. MSN

  13. Carf

  14. Microsoft Office

  15. CPR

  16. Pals

  17. State Licensing Regulations

  18. Hipaa Laws

  19. Hospital Environment

Most In-demand Soft Skills

The following list describes the most required soft skills of a Nurse Manager:

  1. Written and oral communication skills

  2. Leadership

  3. Problem-solving attitude

  4. Professionalism

  5. Confident

  6. Conflict resolution

  7. Critical thinker

  8. Interpersonal skills

  9. Time-management

  10. Flexible

  11. Decisive

  12. Multitasker

  13. Trouble-shooting

  14. Organized

  15. Team builder

  16. Interact well with people of diverse backgrounds

  17. Make decisions in an objective and ethical manner

  18. Showing initiative

  19. Accountable

  20. Analytical ability

  21. Social communication

  22. Confidentially

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