ST. CHARLES HEALTH SYSTEM
JOB DESCRIPTION
TITLE: Nurse Manager - Emergency Services - Critical Access Hospital (CAH)
REPORTS TO POSITION: Chief Nursing Officer (CNO)
DEPARTMENT: Emergency Services
DATE LAST REVIEWED: October 2025
OUR VISION: Creating America’s healthiest community, together
OUR MISSION: In the spirit of love and compassion, better health, better care, better value
OUR VALUES: Accountability, Caring and Teamwork
DEPARTMENT SUMMARY: The Emergency Department is comprised of a multidisciplinary team who provides 24/7 specialized care to patients during emergency visits from admission through discharge.
POSITION OVERVIEW: The Nurse Manager of Emergency Department is responsible for the direction of patient care activities in the Emergency Department, including the management of the Trauma Program. This position manages operational planning, budgeting, staffing, performance, and operation of the department in conjunction with the CNO as well as performance and annual review of direct reports. The Nurse Manager consults with staff, physicians and administrative members on nursing problems and interpretation of hospital policies to ensure patient needs are met. This position directly manages the assigned caregivers such as RN’s.
ESSENTIAL FUNCTIONS AND DUTIES:
Oversees the operations of assigned departments to ensure smooth and efficient department operations and that resources are available for assigned departments and teams during operational hours. Collaborates with other staff members to facilitate provision of patient care. Ensures adequate departmental staffing to provide safe patient care through review of appropriate data, partnering in the development and maintenance of master schedules.
Acts as the department liaison to other hospital departments and outside entities.
Responsible for resource management ensuring appropriate and sufficient equipment and supplies are available. Manages staffing and scheduling (control of master schedule; ETO & LOA approval; light duty scheduling) - delegates related clerical functions to admin assistant and/or other applicable staff.
Serves as a real-time resource and assists with clinical expertise for staff with problem-solving on patient care, staffing, processes, and family issues. Serves as representative for all customers.
Maintains ongoing communication with staff, department leadership, and others to ensure needs are being met for staff and patients. Engages medical staff to obtain input on the operation of the department and key decisions.
Communicates (both written and orally) effectively and maintains professional relationships with caregivers, medical staff, patients, guests and other hospital departments
Role models two-way communication of the SCHS mission, vision, values, and strategic plan for the department (staff meetings, rounds, etc.).
Coordinates quality initiatives and process improvements. Aligns and manages to St. Charles Health System metrics and quality initiatives. Oversees trending of quality and financial indicators including LOS.
Facilitates department meetings and shared governance/leadership efforts.
Responsible for budget development, regular monitoring, accountability and meeting all operational targets for all areas within span of control. Manages operations within the budget. Provides productivity oversight and review. Works with leadership to achieve productivity standards.
Controls and maintains position control including the addition and deletion of positions related to budget and human resource needs.
Hires, directs, coaches, and monitors the performance of all direct reports, to develop and maintain a high performance team that meets organizational and department goals. Responsible for performance and annual review of direct reports. Complies with Human Resource processes and controls.
Monitors and ensure all direct reports are current with compliance and safety requirements. Implements and manages all organizational safety directives and goals
Provides and oversees the team’s delivery of customer service in a manner that promotes goodwill, is timely, efficient, and accurate
Assists with quality, safety, customer service and regulatory compliance oversight: SAS – Receipt, assignment, tracking and trending, delegation.
Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient, and caregiver. Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience.
Oversees staff documentation for patient care to ensure proficiency in compliance with hospital policies and regulatory agencies
Directs, oversees, and provides for leadership development of staff.
Supports the vision, mission, and values of the organization in all respects.
Collaborates with teams to review processes and identify/implement opportunities for improvements, applying Value Improvement Practice concepts and tools.
Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients, and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
Facilitates the growth and development of a culturally competent team in the provision of appropriate care to patients and family members who belong to diverse cultural backgrounds.
May perform additional duties of similar complexity within the organization, as required or assigned.
EDUCATION
Required: Graduate of an accredited school of nursing. BSN.
Preferred: Master’s degree in Nursing
LICENSURE/CERTIFICATION/REGISTRATION
Required: Current licensure with the Oregon State Board of Nursing.
AHA Basic Life Support for Healthcare Provider certification.
Ability to travel to business functions/trainings/meetings and all St. Charles Health System worksites.
Preferred: ACLS, TNCC, PALS, Certification for Emergency Nursing (CEN)
EXPERIENCE
Required: 5 years' related experience. 1 year nursing leadership experience.
Preferred: Two years of Emergency Department leadership experience.
PERSONAL PROTECTIVE EQUIPMENT
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
ADDITIONAL POSITION INFORMATION:
Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System.
Ability to effectively interact and communicate with all levels within St. Charles Health System and external customers/clients/potential employees
Strong team working and collaborative skills
Ability to effectively reach consensus with a diverse population with differing needs.
Ability to manage facilitation and consensus building among health care professionals and agencies and achieve expected results.
Ability to multi-task and work independently
Attention to detail
Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions
Strong analytical, problem solving and decision making skills
Demonstrated ability and experience in computer applications, use of electronic medical record keeping systems and MS Office
PHYSICAL REQUIREMENTS:
Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
Frequently (50%): Sitting, keyboard operation.
Occasionally (25%): Standing, walking, bending, stooping/kneeling/crouching, climbing stairs, reaching overhead, lifting/carrying/pushing or pulling 1-10 pounds, grasping/squeezing, operation of a motor vehicle, ability to hear whispered speech level.
Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 11-50 pounds.
Exposure to Elemental Factors
Occasionally (25%): Chemical solution for Laboratory Caregivers.
Rarely (10%): Wet/slippery area.
Never (0%): Heat, cold, noise, dust, vibration, chemical solution, uneven surface.
Blood-Borne Pathogen (BBP) Exposure Category
Risk for Exposure to BBP
Schedule Weekly Hours:
40Caregiver Type:
RegularShift:
First Shift (United States of America)Is Exempt Position?
YesJob Family:
MANAGERScheduled Days of the Week:
Variable with CallShift Start & End Time:
Variable