NYC Health + Hospitals

Assistant Director, Nursing

NYC Health + Hospitals • $100K — $120K *
Hospitals & Medical Centers
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Licensed and registered professional nurse in New York State
  • Master's Degree in Nursing Administration, Education, or related field or Baccalaureate Degree with additional experience
  • 5-7 years of nursing experience, including 3-4 years in supervisory/teaching positions
  • Experience in high-acuity surgical environments
  • Dual/triple experience in OR, PACU, and SICU is preferred

Responsibilities

  • Assist in planning, organizing, and evaluating nursing service and education programs
  • Develop policies, objectives, and standards for nursing
  • Prepare budgets for personnel, supplies, and equipment
  • Coordinate nursing services in major clinical divisions or home health
  • Conduct nursing education programs
  • Direct activities of nursing supervisors
  • Assess and report on staff and patient management issues

Benefits

  • Comprehensive health benefits for employees working 20+ hours per week
  • Retirement savings and pension plans
  • Paid holidays and vacation per contract
  • Loan forgiveness programs for eligible employees
  • College tuition discounts and professional development opportunities
  • College savings program
  • Union benefits for eligible titles
  • Employee discount programs
  • Commuter benefits programs
Full Job Description
Work Shifts

8:00 A.M - 4:00 P.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:
1. Oversees daily nursing clinical operations and patient care delivery for one unit/department. Ensures structured safety huddles and appropriate patient assignments.
2. 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.
3. Participates in planning, organizing, and evaluating of nursing service and/or health programs. Monitors delegation, care coordination, and escalation pathways.
4. 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.
5. 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. 6. 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. 7. 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. 8. 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.
9. Prepares and makes periodic and daily reports on administrative matters relating to staff and patient management.
10. Monitors information technology infrastructure and corrects gaps in clinical nurse documentation. Reinforces policy adherence and documentation standards.
11. Maintains readiness for regulatory surveys and audits. 12. 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.
13. Assesses nursing services through rounds, chart reviews and observation/evaluation of patient care.
14. Participates in departmental and other relevant activities, meetings, and health care events, as required.
15. Ensures adherence to established protocols during emergencies and declared disasters, while maintaining staff preparedness through clear communication of roles, responsibilities, and required training.
16. Effectively applies ICARE values: Integrity, Compassion, Accountability, Respect, and Excellence.
17. 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.
18. 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.

Duties & Responsibilities

Qualification Requirements:
1. Valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and
2. 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
3. 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.
4. 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 Oversight & Integration
The Perioperative Continuum: Preference will be given to candidates who demonstrate a holistic understanding of the patient journey from the surgical suite through acute recovery. The ideal candidate views the OR, PACU, and SICU as a single, integrated workflow rather than siloed departments.
High-Acuity Proficiency: Proven expertise in managing complex clinical scenarios common to all three areas, including advanced hemodynamic monitoring, ventilator management, and immediate post-operative crisis intervention.
Standardization of Care: A strong preference for leaders who have successfully implemented standardized handoff protocols (e.g., IPASS or SBAR) specifically designed to bridge the gap between the OR circulator and the receiving Critical Care/Post-Anesthesia team.

Operational Efficiency & Throughput
Capacity Management: Advanced experience in "active bed management." The candidate should prefer data-driven approaches to align SICU bed availability with OR block scheduling to minimize boarding and cancellations.
Resource Agility: A track record of developing cross-training programs that allow for "flexing" staff between the PACU and SICU during peak surges or emergency scenarios.
Performance Metrics: Preference for candidates skilled in balancing diverse KPIs: First-Case On-Time Starts (FCOTS) and Turnaround Time (TAT) in the OR, alongside Length of Stay (LOS) and Aldrete score optimization in the PACU.

Leadership & Culture
Collaborative Governance: Preference for a leader who fosters a "Unit-Neutral" culture, encouraging surgeons, anesthesiologists, and nursing staff across all three departments to work toward shared throughput goals.
Quality & Safety Advocacy: Deep familiarity with HRO (High Reliability Organization) principles, with a focus on Surgical Site Infection (SSI) prevention, VAP bundles in the SICU, and "Never Event" mitigation in the OR.
Professional Development: A preference for candidates who actively mentor staff toward dual certifications (e.g., CNOR, CPAN, and CCRN) to elevate the clinical standard of the entire perioperative division.

Preferred Qualifications Summary

Experience: Minimum of 5-7 years of progressive leadership experience specifically overseeing high-acuity surgical environments.

Clinical Background: Dual or triple experience in OR, PACU, and SICU is highly preferred to ensure technical credibility with diverse nursing teams.

Education/Certification: Master's degree (MSN/MHA/MBA) preferred. Professional certification in at least one of the three specialty areas is strongly desired.

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


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

About NYC Health + Hospitals

NYC Health + Hospitals is a healthcare system that provides medical care to residents of New York City. The system was founded in 1969 and is headquartered in New York, New York. NYC Health + Hospitals has a network of hospitals, clinics, and other healthcare facilities throughout the city. The system provides a wide range of medical services, including primary care, specialty care, and emergency care. NYC Health + Hospitals is committed to providing high-quality, affordable healthcare to all New Yorkers, regardless of their ability to pay.
Learn more about NYC Health + Hospitals
Size
42,000 employees
Industry
Net Income
-$500,000
5 Year Trend
-10%
Revenue
$7 billion

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