Nurse Manager - Nexus Specialty Hospital - Shenandoah, TX



Under the direct supervision of the Chief Nursing Officer (CNO), the Nurse Manager assists in oversight and coordination of delivery of nursing services


  1. Patient Care Services

o             Collaborate with physicians, nurses and allied health staff regarding clinical care delivery.

o             Follow up and address patient complaints in a timely manner.

o             Facilitate critical thinking at the bedside.

o             Provide direct patient care (either by being included in staffing count or carrying out other activities, e.g., vital signs, giving meds, IV therapy, responding to code, etc.).

o             In collaboration with DON, develop department specific audits to address documentation and patient care issues.

o             Conducts walking rounds to assess unit environment and staff issues.

o             Address physician complaints in a timely manner.

o             Ensure patient rooms are ready for each new patient admission.

  1. Staff Management and Development

o             Review resumes and set up interviews with qualified candidates to assess candidate fit.

o             Collaborate with DON to write and deliver annual staff evaluations.

o             Collaborate with Director of Education to train and orient new hires.

o             Assesses skill levels of staff when planning and coordinating the delivery of patient care.  Coach staff as they deliver patient care.

o             Collaborate with DON and Director of Human Resources to prepare and deliver disciplinary actions.

o             Ensure all staff have up-to-date competencies, certification, and registration.

o             Conduct monthly staff meetings with nursing department.

o             Available on call 24/7. Arrange for appropriate coverage when unable to be on call.

o             Ensures nursing documentation meets state, federal, and accrediting agency standards.

  1. Business and Financial Operations

o             Review and approve payroll data.

o             Review productivity data and discuss variances with DON.

o             Collect data regarding unit financial performance against allocated budget.

o             Provide input for the development of the nursing department budget.

o             Assist in the development and implementation of strategies to ensure productivity goals are met.

o             Assist in communicating department based productivity plans to department personnel in a positive and supportive manner.

  1. Quality Improvement

o             Collect data on department performance indicators.

o             In collaboration with DON, write action plans related to department quality improvement projects.

o             Demonstrates knowledge of licensing standards and regulations as they pertain to nursing.

o             Assist DON in ensuring nursing department policies and procedures are current and are reviewed on an annual basis.

  1. Daily Department Operations

o             Participate in hospital-wide committees or task force.

o             Coordinate, prepare for, and manage routine staff meetings.

o             Oversee general patient admissions, transfers and discharge from hospital.

o             Review schedule daily to assess census, call in extra staff and deal with staffing emergencies in collaboration with Staffing Coordinator.

o             Ensure safe work environment for staff.

o             Ensure appropriate equipment is available and functional on unit.

  1. Performs other duties as assigned.



  • Must be licensed Registered Nurse in the State of Texas.
  • BSN preferred or equivalent experience.


  • Minimum two years nursing management and/or supervisory experience preferably in LTAC or Acute Care.


  • Must be certified in BLS /ACLS.
  • Must be licensed in the state of Texas.
  • CPI certified or must obtain within 90 days of hire
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