Assistant Nurse Manager

Assistant Nurse Manager

Job Summary

Provides leadership for assigned nursing units during their assigned shifts as a front line leader. Assumes shift responsibility and accountability for assigned units. Is responsible for monitoring performance of nursing unit staff and addressing issues. Leads the patient and administrative activities of the unit. Leads in the discharge process to ensure all discharges are completed within a timely manner. Contributes nursing input in conjunction with the Nurse manager into Hospital operations and new program/service development. Is responsible for ensuring that individualized nursing care is provided and that the plan of care is based on current standards of care including age related factors, physical status and the developmental needs of patients. Insures staff is competent to provide patient care through orientation and ongoing education. Is responsible to ensure nursing units are in compliance with standards for accreditation and state/federal regulations. Supports unit operations in the absence of the Nurse Manager, and/or the House Supervisor. Will assume rotation of coverage for House Supervisor shifts, both dayshift and nightshift as well as early/late assignments as needed and as assigned. Covers shifts as Staff Nurse when needed, including nights and weekends.

Scope of Authority / Leadership Responsibility / Reporting Relationships / Identification of Work Team

Supervisory responsibility for all nursing unit staff, students, and volunteers through either direct or indirect reporting relationships during their assigned shifts. Reports to the Nurse Manager. Works collaboratively with other patient care and support departments in meeting identified patient and Hospital needs. Collaborates with the Nurse Manager and unit staff in interviewing and selecting new staff. Contributes to annual employee evaluations by providing on-time mentoring/coaching with unit staff and documenting the coaching/mentoring activities. Keeps the Nurse Manager apprised of potential/actual unit issues in a timely manner (daily shift report/log).

Minimum Qualifications or Equivalents

(Education, experience, licensure, certification, and/or specific skills) * time frame for proficiency where appropriate


Graduation from accredited School of Nursing with current, unrestricted licensure as RN by State of Tennessee. BSN preferred.


1. Minimum of three years nursing experience, with a record of progressive leadership beyond staff levels. Nursing Management experience preferred.

2. Previous experience in a physical rehabilitation setting in either a staff or management capacity preferred.


1. Current, unrestricted Tennessee State RN licensure or licensure in a compact state.

2. Current CPR certification.

3. ACLS within six months of employment required.

4. CRRN required when eligible for exam.


1. Good interpersonal skills with strong team orientation.

2. Ability to organize thoughts and ideas into a cohesive and logical sequence for written work and oral presentation.

3. Strong fiscal skills and ability to effectively use management information to monitor budget expectations.

4. Well founded knowledge base within the field of rehabilitation nursing to enhance management decision making.

5. Consistency and objectivity in dealing with supervisory and policy issues.

6. Ability to demonstrate a high level of initiative and creative problem solving.

7. Ability to utilize computers for clinical and administrative functions.

8. Able to identify opportunities to improve quality of patient care, implement a plan and monitor outcomes.

Physical / Mental Requirements

Must be able to lift objects more than fifty pounds and assist with patient transfers (exceeding 200 pounds). Manual dexterity and coordination with the ability to perform moderately difficult manipulative skills such as positioning patients and performance of tasks requiring arm-hand steadiness. Able to walk and stand for prolonged periods of time. Ability to remember task assignments for varying periods of time. Must be able to concentrate on fine detail with frequent interruptions and remember multiple tasks given to self and others over long periods of time.

This position requires the ability to receive detailed/technical information from a variety of sources, retain it and use it effectively in future decision making. The position also requires the ability to communicate effectively with staff, patients, and visitors, and the ability to move about the hospital.

Environmental and Working Conditions

1. Exposure to blood, body tissue, fluids, and hazardous waste materials.

2. Hospital environment

3. Must occasionally travel to outside meetings/conferences.

4. May be exposed to infectious diseases.

OSHA, etc.

This includes direct responsibility for:

  • Awareness of the Join Commission’s National Patient Safety Goals (NPSG),
  • Correct application of any action related to NPSG in appropriate situations,
  • Reporting concerns related to NPSG situation.

3.5 Performs responsibilities with attention to compliance with all hospital policies, state

and federal statutes, scope of practice guidelines, regulations and guidelines while maintaining effective utilization of resources and cost efficiency.

3.6 Displays initiative in contributing ideas for improving the efficiency/effectiveness of

the department throughout the year as it relates to process improvement and the hospital-wide standards of ethics and corporate compliance.

3.7 Adheres to moral, business and legal obligation to maintain security and

confidentiality of protected health information.

3.8 Fulfills duty to report all security breaches as identified.

4. Teacher: coordinates educational activities and uses appropriate resources to develop and implement an individualized teaching and discharge plan with patients and their families.

4.1 Coordinates and provides for teaching needs of patient and/or family as

identified in nursing care plan, patient education record, and progressive increase in FIM scores.

4.2 Reviews discharge plans for patients as evidenced by resolution of discharge

goals in NCP and patient education record prior to discharge.

4.3 Documents patient and family education thoroughly in Patient Education


4.4 Documents abilities, progress, and adjustments of patient/caregiver on Patient

Education Record as evidenced by chart audit.

4.5 Shares information about the disease processes underlying disabilities and

teaches nursing techniques to help patients and/or families develop the self-care skills necessary to achieve the highest level of independent function.

4.6 The nurse will provide an accurate and prompt report to nurse assigned to the

patient when the admission process is complete. The nursing staff will have face to face communication and allow time for questions/clarification.

4.7 Provides clinical leadership, supervision, and training to personnel to ensure

positive outcomes to appropriate interpersonal skills.

5. Caregiver: Executes role of caregiver by providing and coordinating all nursing care. Performs hands-on nursing care by utilizing the nursing process to achieve quality outcomes for patients.

5.1 Assesses the physical, psychological, sociocultural, and spiritual dimensions of

patients and their families, as well as their educational and discharge needs in order to formulate nursing diagnoses as demonstrated in the admission profile, within eight (24) hours of admission. Co-signs and approves the admission assessment and nursing care plan contributed to by the LPN.

5.2 Documents all pertinent data collected during the initial assessment within 24

hours of admission as demonstrated by the admission profile, FIM data sheets immunization section, Fall Assessment Sheet, wound assessment if indicated,

obtains copy of insurance cards and Twenty-four hour Nursing Flow Record.

5.3 Initiates the interdisciplinary patient plan of care in collaboration with other

team members using assessment data obtained on admission and reflective of changes in the patient condition within 24 hours of admission. Care plan to include:

  • information relative to physical status, age, and developmental needs of patient.
  • identified physical, psychosocial and/or family rehabilitation problems/needs;
  • nursing interventions consistent with problems/needs;
  • attainable short- and long-term expected outcomes;
  • discharge planning; and
  • chronological/developmental appropriateness (Pediatric staff)

5.4 Functions independently with treatment, procedure and equipment specific to

clinical area as evidenced by adherence to established policy and procedure and within scope of nursing practice.

5.5 Safely administers and documents medications given according to established

procedure with no evidence of reoccurring patterns of error.

6. Collaborator/Advocate: Works with all members of the rehab team to facilitate

positive outcomes for all patients.

6.1 Communicates the plan of care to other members of the health care team

through written plan and/or verbal report.

6.2 Collaborates with team members to achieve quality care by utilizing

appropriate clinical measures to meet physical, psychosocial, and spiritual needs in order for the patient to function at highest level of independence.

6.3 Precepts orientee as evidenced by meeting regularly with orientee to evaluate

strengths/weaknesses, and provides written feedback to orientee and supervisor.

6.4 Demonstrates informed behavior of departmental and hospital communications by reading and initialing unit communications.

6.5 Continues to advance professional rehabilitation care skills and knowledge as

evidenced Nurse Manager observation and documentation review. includes the following areas: This

  • Conducting patient care conference or in-service as needed;
  • Sharing knowledge and materials gained from attending in-services outside hospital;
  • Participating in staff orientation;
  • Reviewing current literature and sharing information members: with staff
  • Committee/protocol participation;
  • Serving as preceptor for student nurses:
  • Serving in a leadership role (shift coordinator);
  • Doing special patient education projects;
  • PI projects; and/or
  • Infection control projects

6.6 Utilizes patient supplies to decrease economical impact of hospitalization by

consistently using supplies in an efficient manner.

6.7 Evaluates the clinical and technical performance of nursing personnel as

evidenced by completing peer evaluations.

6.8 Demonstrates dependability on the job by adhering to the nursing attendance


7. Demonstrates understanding of and adherence to hospital-wide standards of ethical conduct and corporate compliance.

7.1 Displays initiative in contributing ideas for improving the efficiency /

effectiveness of the department throughout the yeas as it relates to process improvement to the hospital-wide standards of ethics to corporate compliance.

7.2 Supports continuity of care and patient/family relationships and enhances

patient satisfaction as evidenced by patient satisfaction survey and patient comments.

7.3 Demonstrates an understanding of adherence to hospital-wide and state

standards including but not limited to JCAHO, CARF, HIPAA, PPS, CIHQ and corporate compliance.

7.4 Maintains patient confidentiality.

8. Coordinates efficient and productive operations of the unit by ensuring the following:

8.1 Records necessary information on staffing matrix: admissions, discharges,

transfers, floats/cancellations, call-in times, late arrival times, and staffing variance.

8.2 Assures accurate and thorough documentation of all unusual occurrences and

patient concerns by completing designated forms and forwarding them to the Nurse Manager.

8.3 Demonstrates leadership skills through delegation, organization, conflict

resolution and active decision making as observed by Nurse Manager.

8.4 Mentors staff development as demonstrated by sharing knowledge (clinical

skills, rehabilitation interventions), assigning attendance for in-service education and identifying learning needs.

8.5 Communicates with Nurse Manager or designee by consistently notifying

her/him of significant patient, employee or unit issues as evidenced by appropriate calls.


Siskin Hospital is a Smoke-Free Facility!

In order to further our mission of helping others achieve and maintain healthy lives, effective March 1, 2017, Siskin Hospital for Physical Rehabilitation will no longer hire individuals who use tobacco or nicotine products in any form. Siskin Hospital recognizes the major importance of employees’ health and the responsibility of maintaining a healthy and safe environment for all employees, volunteers, patients and visitors. Therefore, all individuals who are offered a position with Siskin Hospital are screened for illegal drug, alcohol, and/or tobacco/nicotine as part of the post-offer health screening. Individuals whose post-offer health screening results are verified positive for illegal drugs, alcohol and/or tobacco/nicotine use, and/or whose reference and/or background checks are verified unsatisfactory, will be disqualified from employment, their job offer will be withdrawn, and they may be disqualified from applying for employment for one (1) year from the date of the post-offer health screening.

The Cultural Competency and Diversity Plan of Siskin Hospital is designed to help create and maintain an environment that promotes inclusion. Overall, creating the best experience for our patients and our employees. Caring People, Changing Lives.


If you are interested in joining our family, please email your resume to Human Resources at