The Nurse Manager is responsible for the management of nursing practice and operations on a designated unit/service. This includes, but is not limited to, the management of: clinical nursing practice, staff recruitment, retention, labor relations, supply chain and budget, staffing, employee performance evaluation, quality improvement, staff education, medical records, internal and external regulatory and survey requirements. The Nurse Manager collaborates with multiple professionals to support and coordinate the provision / management of patient care. He or she works closely with the Nursing Clinical Director, unit Dyad partner and staff in insuring that the Service/Unit maintains the highest standards of patient care and is responsive to the needs of the patient & family as well as the organization.

• PATIENT CARE

1. Leads nursing practice using the tenets of the Professional Practice Model of Relationship Centered Care and the Care Delivery Model of Modified Primary Nursing for the promotion of the patient experience.
2. Demonstrates proficiency in all aspects of Purposeful Hourly Rounding (PHR) and role models expected behaviors.
3. Ensures the integration of PHR into clinical activities to enhance Relationship Centered Care.
4. Validates staff members round hourly on all patients by direct observation and patient feedback.
5. Assesses staff competency in PHR and provides consistent meaningful feedback with more focused feedback as needed.
6. Conducts rounding of all patients on a daily basis (Monday-Friday.)
7. Communicates quantitative and qualitative information regarding the patient experience and staff engagement to the staff and the Interdisciplinary Patient Care Team that leads to the development and implementation of an action plan.
8. Collaborates with the physician dyad and escalates concerns as appropriate.
9. Follows up on all patient concerns in a timely manner and provides service recovery as needed.
10. Demonstrates caring, respect, compassion, empathy and active listening through dialogue, body language and actions.

PATIENT EXPERIENCE

1. Role models the tenets of Mount Sinai Relationship Centered Care (MSHRCC) through facilitation of the following actions but not limited to: Admission Welcome, Bedside Shift Report, HELP (High Risk Medications, Equipment, Lines, Drains, Airway, Pain and Plan of Care),  AM/PM Care, 5 Minute Sit Down, Purposeful Hourly Rounding (PHR), Medication Review, Discharge Wrap Up, and MD/RN Unit Collaboration.
2. Huddles with staff at the start of each shift, identifying high-risk patients who require special attention.
3. Communicates to nursing leadership concerns or issues identified during huddle and throughout shift.
4. Initiates service recovery for patients and family members who have concerns and escalates to Associate Director of Nursing/designee and Patient Relations as needed.
5. Interprets and communicates patient experience scores and benchmarks and keeps staff informed of progress and areas of opportunity.
6. Considers the patient’s values, preferences, cultural diversity, expressed needs and knowledge in all aspects of care.
7. Empowers staff to use evidence-based practices to increase understanding of patients’ perceptions of care.
8. Demonstrates caring, respect, compassion, empathy and active listening through verbal and body language and actions.

QUALITY AND SAFETY

1. Designs, supports and leads a safe, therapeutic and efficient patient-centered care environment for professional practice.
2. Identifies and investigates issues or variances in practice/operations by participating in the RCA process and implements corrective action plans.
3. Fosters a fair and open culture that encourages error and near-miss occurrence reporting.
4. Leads interdisciplinary quality improvement teams using the principles of high reliability.
5. Reviews unit progress, changes, and compliance with quality and safety metrics with clinical nurses and other members of the healthcare team.
6. Responds to escalations of potential safety hazards or gaps from best practice by correcting concerns following institutional chain of command protocol.
7. Monitors institutional information technology infrastructure and corrects gaps in clinical nurse documentation.
8. Leads staff participation in quality and safety initiatives and mandated compliance measures.
9. Demonstrates accountability for all unit quality and safety practices and compliance, and ensures required evaluation of staff competencies is maintained.

OPERATIONS AND ADMINISTRATION

1. Supports implementation of the mission, vision, goals and objectives of the department, throughout the clinical service and individual patient care units.
2. Provides administrative and clinical oversight to ensure that all activity (staffing, support services, inter disciplinary collaboration, resources and financial viability) supports the goals of the organization.
3. Works collaboratively with physician dyads and all members of the healthcare team to promote patient care and regulatory standards.
4. Maintains a nursing unit in compliance with all regulatory agency mandates, including the regulations of NYS DOH and The Joint Commission.
5. Oversees 24 hour patient care delivery, throughput, staffing and processes to ensure efficient and effective operations.
6. Prepares, implements and monitors unit budgets, including capital equipment allocation,  budget variances, management of OT and vacancies according to MSHS financial goals.
7. Maintains control of established positions and manages the recruitment and retention of qualified staff.
8. Maintains patient/employee confidentiality in the management of information.
9. Evaluates nursing staff performance and mentors, coaches, counsels and disciplines staff as needed.
10. Monitors availability and maintenance of nursing equipment and supplies.
11. Conducts regular staff meetings to ensure communication with staff about progress, changes and compliance with all hospital policies and procedures.
12. Encourages, recognizes and rewards staff participation in quality and safety initiatives, compliance and successes.
13. Facilitates organizational change initiatives by using effective strategies. 
14. Leads a shared decision making model by establishing a structure of shared governance, just culture and staff engagement in practice councils, departmental meetings and initiatives.
15. Interprets and implements collective bargaining agreements affecting staff.
16. Responds to protest of assignment in a timely manner as detailed in the collective bargaining agreement and discusses the resolution in unit staff meetings.

PROFESSIONAL DEVELOPMENT

1. Performs as a clinical leader who actively creates and supports nursing practice and an environment of care that reflects clinical excellence.
2. Organizes the environment of care to support clinical colleagues, patients and their families and members of the healthcare team.
3. Projects and cultivates a professional image to colleagues by communicating caring, respect, compassion, empathy and trust.
4. Incorporates ethical principles into decision making for patient and family in collaboration with the clinical nursing staff and the healthcare team.
5. Fosters a spirit of scholarship, inquiry, life-long learning and innovation for self and others.
6. Acquires and disseminates knowledge and skills relative to the role, patient population, clinical specialty and global or local health community needs.
7. Leads shared decision making through unit/service practice councils, nursing department and hospital committees, and clinical service/unit initiatives.
8. Serves as a professional role model and preceptor for new leadership staff and students.
9. Integrates the values of research and evidence-based practice and its application to nursing practice and the environment of care.
10. Contributes to the profession of nursing through leadership and participation in professional organizations.

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