Dartmouth-Hitchcock Medical Center

Nurse Manager (RN) - Service Line

Hospitals & Medical Centers
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of nursing leadership experience in a clinical setting
  • Bachelor of Science in Nursing (BSN) required; MSN, MHA, or MBA preferred
  • Proficiency in healthcare productivity metrics and budget management
  • Exceptional verbal and written communication skills
  • Strong critical thinking and problem-solving abilities
  • Currently licensed as a Registered Nurse in New Hampshire
  • Certification in nursing leadership (e.g., NE-BC or CNML) within 1 year

Responsibilities

  • Oversee daily operations across all nursing units and clinics
  • Ensure compliance with evidence-based care standards
  • Optimize workflow efficiency to improve patient experience
  • Serve as a clinical resource for patient care issues
  • Recruit and onboard nursing personnel to maintain staffing ratios
  • Mentor staff and conduct performance evaluations
  • Lead quality improvement initiatives targeting patient safety

Benefits

  • Professional development opportunities for staff
  • Collaborative interdisciplinary work environment
  • Focus on evidence-based and patient-centered care
  • Direct influence on operational budget management
  • Involvement in community outreach and hospital-wide initiatives
Full Job Description
Overview

The Service Line Nurse Manager (SLNM) is a strategic leader who oversees clinical operations, nursing care, and administrative functions for their designated clinical specialty. This role bridges bedside care and leadership by managing personnel, actively manages and ensures budgets in the inpatient setting, and collaborated with administrative leaders for ambulatory budgets. In addition, the SLNM will ensure quality improvement initiatives are developed and implemented across the nursing service line. The SLNM ensures the delivery of safe, evidence-based, and patient-centered care while fostering a collaborative environment across multiple departments or units.

Responsibilities
  • Clinical & Operational Leadership
  • Oversee daily operations across all units and clinics within the designated service line.
  • Maintain clinical standards by ensuring care aligns with evidence-based practice and hospital policy.
  • Optimize workflow efficiency to reduce patient wait times, manage length of stay, and improve throughput.
  • Serve as a clinical resource and escalation point for complex patient care issues or service recovery.
  • Personnel Management & Staff Development
  • Recruit, hire, and onboard qualified nursing and support personnel to maintain safe staffing ratios.
  • Mentor and coach staff, conducting regular performance evaluations and designing professional growth plans.
  • Foster a positive work culture to improve retention, and minimize burnout.
  • Manage scheduling and staff allocation to balance patient acuity with available staff.
  • Financial & Resource Stewardship
  • Develop and manage the annual operating budget and capital expenditure plans for the service line.
  • Monitor variance reports monthly, taking corrective action to control labor costs and supply expenses.
  • Evaluate resource utilization to ensure the cost-effective delivery of high-quality healthcare services.
  • Quality Improvement & Regulatory Compliance
  • Lead performance improvement (PI) initiatives targeting patient safety, fall reduction, and infection control.
  • Monitor key performance indicators (KPIs), including patient satisfaction scores (HCAHPS) and clinical outcomes.
  • Ensure continuous readiness for accreditation and regulatory surveys (e.g., The Joint Commission, CMS, State DOH).
  • Investigate clinical incidents and implement root-cause analyses to prevent future care variances.
  • Interdisciplinary Collaboration
  • Partner with administrative team to align clinical goals and standardize care protocols.
  • Collaborate with hospital executives to execute strategic growth plans for the service line.
  • Represent the service line on hospital-wide committees, task forces, and community outreach events.
  • Qualifications
    • Required Skills & Competencies
    • Financial Acumen: Proficiency in understanding healthcare productivity metrics, staffing grids, and budget sheets.
    • Communication: Exceptional verbal and written communication skills for interacting with staff, physicians, and executives.
    • Problem-Solving: Strong critical thinking skills to resolve operational bottlenecking and personnel issues.
    • Education: Bachelor of Science in Nursing (BSN) required; Master of Science in Nursing (MSN), MHA, or MBA preferred.
    Required Licensure/Certifications
    • Licensed Registered Nurse with NH eligibility
    • Basic Life Support (BLS)
    • National leadership certification, such as Nurse Executive (NE-BC) or Certified Nurse Manager and Leader (CNML) within 1 year

    About Dartmouth-Hitchcock Medical Center

    Dartmouth-Hitchcock Medical Center (DHMC) is a nonprofit academic health system that serves a population of 1.9 million in New England. DHMC includes a 396-bed tertiary care hospital, research and clinical facilities for the Geisel School of Medicine at Dartmouth, Norris Cotton Cancer Center, and the Dartmouth Institute for Health Policy and Clinical Practice. DHMC is the largest private employer in New Hampshire and is the only academic medical center in the state. The medical center is affiliated with the Geisel School of Medicine at Dartmouth and is part of Dartmouth-Hitchcock Health, a network of healthcare providers in New Hampshire and Vermont.
    Learn more about Dartmouth-Hitchcock Medical Center
    Size
    13,000 employees
    Industry
    Founded
    1983

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