Bargaining Unit: EAP

Rate of Pay: DOE

Summary

Under the general direction of the Manager of Patient Care, the Lead RN - Emergency & Acute Care Services serves as a clinical resource, mentor, and operational support nurse for the Incline Village Community Hospital Emergency Department and MedSurg units. This role supports daily department operations, staff development, patient flow, regulatory readiness, quality improvement initiatives, and interdisciplinary communication in a rural Critical Access Hospital environment where nurses function in many roles.

The Lead RN promotes consistency, teamwork, operational readiness, and high-quality patient care while supporting department initiatives and serving as a liaison between frontline staff and leadership.

Essential Duties and Responsibilities
Clinical Operations

• Performs all duties of the ED/MedSurg Staff RN position
• Serves as a clinical and operational resource for nursing staff
• Supports patient throughput, admissions, transfers, and coordination of care
• Collaborates with providers, ancillary departments, EMS partners, and leadership to optimize patient care delivery
• Collaborates with the Nurse Manager to optimize staffing by assisting with monthly schedule development, coordinating sick call coverage, and proactively addressing staffing needs to maintain safe patient care and team support.

Department Readiness

• Supports department readiness initiatives including huddles, stocking, equipment checks, downtime preparedness, and environmental organization
• Assists with identifying, escalating, and following up on equipment, facility, IT, or workflow issues
• Participates in maintaining survey and regulatory readiness

Education & Mentorship

• Assists with onboarding, orientation, competency validation, and education initiatives
• Serves as a mentor and resource for nursing staff
• Reinforces departmental workflows and standards

Quality Improvement

• Participates in departmental quality improvement initiatives, audits, and process improvement work
• Assists with data collection, documentation review, and follow-up related to departmental goals and regulatory measures
• Supports initiatives related to stroke, sepsis, trauma, patient safety, and organizational priorities

Communication & Collaboration

• Promotes effective communication between shifts and departments
• Serves as a liaison between frontline staff and department leadership
• Assists with dissemination and reinforcement of departmental updates and workflow changes

Schedule Structure

Position includes scheduled clinical shifts and designated operational leadership time which may include:

• Onboarding support
• Audits and quality initiatives
• Department readiness activities
• Education support
• Stocking oversight
• Workflow coordination
• Meeting participation

Professional Expectations

• Demonstrates professionalism, accountability, teamwork, and system values
• Maintains required certifications and competencies
• Complies with hospital policies and procedures
• Performs other duties as assigned

Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Supervisory Responsibilities
No supervisory responsibilities.

Minimum Education/Experience
Associate's Degree Graduation from a National League of Nursing (NLN), Commission on Collegiate Nursing Education (CCNE) or equivalent accredited school of nursing. The nurse shall have completed a nursing education program that included clinical experiences with actual patients under the supervision of qualified faculty.
and 2-3 years relevant experience

Required Licenses/Certifications
Nevada Registered Nurse (RN)

• Upon hire

California Registered Nurse (RN)

• Upon hire

Advanced Cardiovascular Life Support

• Upon hire

Basic Life Support (BLS) for Healthcare Providers

• Upon hire

Pediatric Advanced Life Support

• Upon Hire

BLS/ACLS/PALS: Employee will be enrolled in the Resuscitation Quality Improvement (RQI) Basic Life Support (BLS), Advanced Life Support (ALS) and Pediatric Advanced Life Support (PALS) Entry or Prep Curriculum (depending on their previous BLS, ACLS, and/or PALS certification).

• Within 3 months of hire into job

Other Experience/Qualifications
Preferred:

• Trauma Nursing Core Course (TNCC)
• Minimum 2 years Emergency Department and/or Acute Care experience
• Previous leadership, charge nurse, preceptor, or project involvement