NYC Health + Hospitals

Associate Director, Nursing- Inpatient Medicine / Surgery

NYC Health + Hospitals$92K — $110K *
Hospitals & Medical Centers
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Current New York State Professional Nurse license
  • Master's degree in Nursing Administration or Education, plus 6 years nursing experience (4 years in a supervisory role)
  • Bachelor's degree in Nursing with 7 years nursing experience (5 years in a supervisory role)
  • Proven administrative and teaching capabilities
  • Strong leadership and crisis management skills

Responsibilities

  • Provide administrative oversight during evening/night shifts for nursing operations
  • Act as the key clinical and managerial liaison for staff and department heads during absences
  • Lead emergency responses for critical medical situations on-site
  • Identify and resolve operational challenges while escalating complex issues as needed
  • Develop and adjust staffing plans based on patient needs and unit acuity
  • Monitor compliance with clinical policies and provide performance feedback to staff
  • Enhance patient experience through active rounds and addressing inquiries

Benefits

  • Comprehensive health benefits for part-time employees
  • Retirement savings and pension plans
  • Paid holidays and vacation per collective bargaining
  • Loan forgiveness programs for eligible staff
  • Tuition discounts and professional development opportunities
  • College savings programs available
  • Union benefits for qualifying positions
  • Employee discount programs
  • Commuter benefits options
Full Job Description
Work Shifts

8:00 A.M - 4:00 P.M

Duties & Responsibilities

Position Overview

The Associate Director of Nursing (ADON) for Medical-Surigcal Services is an integral member of the Nursing Leadership team, providing critical administrative and clinical oversight. This management role delivers supervisory and operational coverage for the nursing department and the hospital at large, primarily during evening and night shifts. Operating under the direction of the Director of Nursing or Chief Nursing Officer, the ADON ensures seamless patient throughput, regulatory compliance, and the highest standards of patient care.
Key Responsibilities

Clinical & Operational Leadership
  • Shift Command: Provide administrative and supervisory coverage for the nursing department and overall hospital operations during designated evening/night shifts.
  • Interim Oversight: Serve as the vital managerial and clinical link between staff, nurse managers, and department directors in their absence.
  • Emergency Response: Respond to all critical medical emergencies (Rapid Responses, Cardiac Arrests, MTP, etc.) to provide on-scene leadership, guidance, and support.
  • Risk Management: Anticipate, troubleshoot, and resolve administrative or operational challenges, escalating complex issues to off-site department heads when necessary.

Workforce Management & Staff Development
  • Dynamic Staffing: Assess patient acuity and census across units to develop, implement, and dynamically adjust staffing plans to ensure safe, adequate care.
  • Performance Monitoring: Oversee staff compliance with clinical policies, including documentation, narcotic counts, medication administration, and code cart assessments.
  • Mentorship & Feedback: Provide ongoing support, guidance, and clinical problem-solving resources to floor staff; deliver written performance feedback and anecdotes to Nurse Managers to aid in evaluations or corrective actions.
  • Professional Growth: Facilitate staff participation in professional development and communicate continuing education needs to the Education Director.

Patient Throughput & Quality Excellence
  • Flow Optimization: Assist physicians and nursing staff with admission criteria, status assignments (observation vs. admission), and internal/external patient transfers.
  • Patient Experience: Make frequent, purposeful rounds to assess unit status; collaborate with the leadership team to address patient/family inquiries and strategize ways to elevate the patient experience.
  • Continuous Improvement: Review quality data, participate in performance improvement initiatives, and monitor the effectiveness of department action plans.
  • Policy & Compliance: Ensure strict adherence to hospital policies, safety protocols, infection control procedures, and regulatory standards (TJC, NYSDOH, NYCDOAH).


Minimum Qualifications
1. Licensed and currently registered to practice as a Professional Nurse in New York State, plus (2) or (3) below.
2. A Masters Degree in Nursing Administration, Education or an equivalent field and a minimum of six years of satisfactory nursing experience, of which four years shall have been in a supervisory, teaching or administrative capacity; or,
3. A Baccalaureate Degree in Nursing and seven years of satisfactory nursing experience, five years of which shall have been in a supervisory or teaching capacity; or,
4. A satisfactory equivalent combination of education and experience. However, all candidates must be licensed and currently registered to practice as a Professional Nurse in New York State.

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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