Job Type

Full-time

General Summary:

The Night Shift Unit Manager mirrors the Day Shift position with additional responsibility for maintaining safe and efficient overnight operations when executive leadership and providers are not routinely onsite.

The SUD Inpatient Unit Manager is responsible for the overall clinical, operational, and personnel management of the inpatient nursing department during the assigned shift. The Unit Manager provides leadership and oversight for all nursing staff working within Withdrawal Management, Residential, and Crisis Stabilization services while ensuring safe, evidence-based, trauma-informed patient care. This position serves as the clinical leader for the shift and is responsible for maintaining regulatory compliance, supporting nursing staff, coordinating patient care with providers, responding to emergencies, ensuring documentation accuracy, and promoting continuous quality improvement. The Unit Manager functions as both a nursing leader and working clinical resource while fostering a culture of accountability, professionalism, collaboration, and excellence.

Normal Hours of Work:

• Sunday - Thursday 8pm-4am
• On - Call Rotation
• No weekends/No holidays

Essential Duties and Responsibilities:

• Clinical Leadership
  • Provides direct supervision of all inpatient nursing staff including CSU nursing personnel.
  • Serves as the clinical resource for complex medical situations.
  • Assists with admissions when necessary.
  • Assists with discharges and transfers.
  • Provides clinical oversight for:
    • Withdrawal Management (3.2/3.7)
    • Residential (3.1/3.5)
    • CSU
  • Coordinates nursing response during medical and psychiatric emergencies.
  • Ensures rapid assessment and stabilization of deteriorating patients.
  • Oversees CIWA, COWS and other withdrawal assessments for accuracy.
  • Reviews medication administration for accuracy and safety.
  • Ensures compliance with provider orders.
  • Assists providers with complex clinical decision making.

Staff Supervision

• Directly supervises all inpatient nurses during assigned shift.
• Responsible for:
  • Daily assignments
  • Break coverage
  • Clinical support
  • Performance coaching
  • Competency oversight
  • Documentation review
  • Workflow management
  • Shift communication
  • Delegation
  • Escalation of employee concerns
• Provides immediate coaching regarding:
  • Nursing assessments
  • Medication administration
  • Emergency response
  • Infection prevention
  • Documentation
  • Professional conduct

Operations Management

• Ensures efficient daily operations including:
  • Staffing assignments
  • Bed board accuracy
  • Admission flow
  • Transfers
  • Discharges
  • Medication inventory
  • Controlled substance accountability
  • Supply management
  • Equipment readiness
• Monitors:
  • Shift productivity
  • Nursing workload
  • Staffing needs
  • Patient acuity
• Coordinates staffing adjustments as necessary.

Documentation & Compliance

• Responsible for daily auditing of:
  • Nursing assessments
  • Admission documentation
  • Discharge documentation
  • MAR accuracy
  • CIWA documentation
  • COWS documentation
  • Incident documentation
  • Provider communication
  • Nursing notes
• Ensures compliance with:
  • CARF
  • OhioMHAS
  • CMS
  • DEA
  • Nursing Practice Act
  • Agency Policies
  • Medication standards
• Identifies documentation deficiencies and provides immediate corrective education.

Quality Improvement

• Participates in:
  • Chart audits
  • Incident reviews
  • Root Cause Analyses
  • Performance Improvement projects
  • Competency validation
  • Skills assessments
  • Mock emergency drills
• Monitors trends involving:
  • Medication errors
  • Falls
  • Code Blue activations
  • Emergency transfers
  • AMA discharges
  • Documentation deficiencies
• Provides recommendations for improvement.

Education

• Responsible for onboarding newly hired nurses.
• Coordinates:
  • Clinical orientation
  • Skills validation
  • Annual competencies
  • Mock emergency scenarios
  • Hands-on training
  • BLS competency reinforcement
  • Policy education
  • Serves as mentor to new nursing staff.

Communication

• Serves as liaison between:
  • Providers
  • Nursing Staff
  • Behavioral Health
  • Pharmacy
  • Admissions
  • Medical Director
  • Director of Nursing
  • Ancillary Departments
• Provides effective shift report to Night Unit Manager.
• Participates in interdisciplinary rounds.

Leadership Expectations

• Promotes a culture of:
  • Accountability
  • Compassion
  • Professionalism
  • Patient Safety
  • Trauma-Informed Care
  • Teamwork
  • Respect
  • Continuous Improvement
• Leads by example.

Specific/Individual Competencies

• Advanced assessment skills
• Leadership abilities
• Excellent communication
• Strong critical thinking
• Conflict resolution
• Delegation
• Time management
• Coaching skills
• Clinical judgment
• EHR proficiency (SmartCare)
• Medication safety
• Emergency management
• Regulatory knowledge

Organizational Competencies

• Demonstrates agency mission, vision and values.
• Promotes interdisciplinary teamwork.
• Maintains professional standards.
• Models ethical nursing practice.
• Supports employee engagement.
• Demonstrates exceptional customer service.
• Utilizes trauma-informed care.
• Promotes patient-centered care.
• Maintains BLS and CPI certification.

Additional Night Shift Responsibilities

• Functions as the highest-ranking nursing leader during overnight hours.
• Coordinates all overnight admissions.
• Oversees after-hours medical and psychiatric emergencies.
• Serves as primary escalation point for all nursing staff.
• Coordinates transfers to emergency departments or higher levels of care.
• Performs overnight chart audits and prepares follow-up items for the day shift.
• Verifies controlled substance counts and resolves discrepancies.
• Ensures completion of overnight assessments, medication administration, and documentation.
• Monitors patient safety rounds and observation compliance.
• Coordinates staffing adjustments and call-offs overnight.
• Ensures readiness of the facility for day shift operations, including admissions, supplies, and medication inventory.
• Communicates all significant overnight events during formal handoff to the Day Shift Unit Manager.

Requirements

Position Qualifications

• Current Ohio RN License (Required)
• BSN Preferred
• Minimum 3 years nursing experience
• Minimum 1 years supervisory experience preferred

Experience in:

• Substance Use Disorder
• Behavioral Health
• Medical Detox
• Emergency Nursing
• Inpatient Nursing
• BLS Required
• CPI Required
• Excellent leadership and organizational skills

Working Conditions & Physical Demands:

Physical Requirements:

• Able to sit for extended periods of time.
• Able to hear ordinary conversation and phone communications
• Ability to lift up to 25lbs
• Ability to climb stairs
• Ability to perform job responsibilities in a facility with multiple levels with/without elevator or mechanical transportation.'
• Operates a computer and keyboard

Environmental Conditions:

• Air-conditioned and/or heated office setting.

Accommodation(s):

• As appropriate and fiscally reasonable.

Those eligible to drive company vehicles must have a valid driver's license and be eligible for coverage as defined by the agency commercial insurance carrier. Those who drive personal vehicles in the course of business must be able to provide proof of insurance.