St. John's Riverside Hospital
• $100K — $120K *Qualifications
Responsibilities
Benefits
Responsibilities
The Clinical Nurse Manager (CNM) – Emergency Department provides 24/7 operational and clinical leadership to ensure safe, timely, efficient, and patient-centered emergency care. The CNM is directly accountable for the execution, validation, and reliability of Emergency Department processes that impact patient experience, quality outcomes, patient safety, staffing effectiveness, throughput, regulatory compliance, and staff readiness.
This role maintains a visible, hands-on leadership presence across all shifts and serves as the operational authority during assigned coverage. The Clinical Nurse Manager plays a critical role in managing Emergency Department throughput, patient flow, and real-time operational decision-making in a high-acuity, fast-paced environment.
The Clinical Nurse Manager partners closely with the Director of Critical Care and Leadership to translate organizational priorities into consistent frontline practice. The role supports American Nurses Credentialing Center (ANCC) principles through staff engagement, accountability, shared governance, and continuous improvement.
Scope of Accountability
Accountable for unit operations and performance across all shifts
Responsible for execution, validation, follow-through, and escalation of operational, quality, and patient experience standards
Serves as clinical and operational leader during assigned shifts.
The position has supervisory authority including responsibility to hire, assign, direct, evaluate, discipline, and recommend termination of employees, using independent judgment and discretion. Recommendations regarding personnel actions are given significant weight by senior leadership.
Works closely with direct report to review operation, patient experience, and quality outcomes and adjusts to the needs of the unit accordingly
Builds strong working relationships across all service lines, including but not limited to Critical Care, Medical Surgical, Telemetry, Maternal Child, Surgical Services, Case Management, Radiology, Laboratory, EVS, Security, and ancillary services.
Staffing Coordination & Assignment Support
Collaborates with Nursing Leadership to ensure safe staffing, skill mix, and equitable assignments
Manages real-time staffing challenges including unplanned absences
Ensures appropriate coverage for high-risk patients, including constant observation (1:1)
Communicates staffing updates and escalates trends using data-supported recommendations
Responds timely to Protests of Assignment (POA) utilizing the Management Response form as outlined per policy
Patient Experience & Service Recovery
Conducts patient experience rounds during assigned coverage
Assesses responsiveness, communication, comfort, pain management, and understanding of care
Initiates real-time service recovery and documents interventions
Reviews patient experience data and addresses unit-level trends
Validates patient experience tactics (i.e. Bedside Shift Report, Hourly Rounding) through direct observation
Provides real-time coaching and reinforcement of best practices
Escalates repeated non-compliance patterns through appropriate channels
Throughput, Patient Flow & Length of Stay
Leads real-time Emergency Department patient flow from arrival through dispositionMonitors ED census, arrivals, holds, and throughput metrics
Identifies and removes barriers related to diagnostics, consults, transport, and discharge readiness.
Collaborates with physicians, case management, ancillary services, and receiving units to reduce delays and ED boarding.
Balances throughput decisions with patient safety, staffing capacity, and patient experience.
Responds to patient surges, EMS volume, disasters, staffing shortages, and system disruptions.
Lead throughput rounds when boarding inpatients holds.
Ensures clarity of care plans, disposition goals, and identified barriers.
Ensures timely ICU downgrades and appropriate utilization of critical care services.
Tracks unresolved throughput issues and escalates delays impacting safety or Emergency Department length of stay.
Quality, Patient Safety & Performance Improvement
Monitors key performance indicators including medication scanning, hand hygiene, restraints, falls, and observation compliance
Collaborates with Risk/PI on occurrence reviews and follow-up actions
Identifies trends, near misses, and opportunities for improvement
Conduct real-time Root Cause Analysis in response to unexpected patient safety events as needed
Hospital Acquired Conditions & Harm Prevention
Supports prevention strategies for all Hospital Acquired Conditions and patient safety outcomes
Validates prevention practices and timely interventions related to patient quality and safety outcomes
Partners with Infection Prevention, Wound Care, Pharmacy, and Quality teams
Environment of Care & Regulatory Readiness
Conducts routine environment of care and safety rounds and documents accordingly
Maintains continuous readiness for regulatory and accreditation standards
Works with Emergency Management and Environment of Care team to develop attainable action plans for environmental risks
Identifies and escalates environmental, equipment, and safety risks
Staff Engagement
Conducts employee rounding across all shifts
Provides real-time coaching, feedback, and support
Facilitates safety huddles and reinforces quality and safety priorities
Escalates recurring performance or operational concerns
Leads or supports pre-shift huddles and unit communication
Encourages staff participation in shared governance councils
Supports ANCC initiatives
Collaboration with NPD, HR & Employee Health
Supports compliance with mandatory education, competencies, and certifications
Collaborates with Nursing Professional Development, Human Resources, and Employee Health on annual employee requirements
Tracks compliance and escalates gaps for remediation
Qualifications
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