Assistant Nurse Manager - Acute Medicine (Nights)

About the role

Missouri Baptist Medical Center is an acute care hospital in St. Louis County offering a full continuum of medical and surgical services, including heart care, cancer, women and infants, breast health, gastrointestinal, orthopedic, stroke, therapy, wound and pain management. The hospital has a 24‑hour adult emergency department and a separate pediatric emergency department in collaboration with St. Louis Children’s Hospital. It is the first and only Magnet®‑designated hospital in St. Louis County (ANCC) and is ranked #2 in the St. Louis metro area by U.S. News & World Report.

The Acute Medicine Unit has 43 beds (private rooms) and cares for a diverse population: general/acute medicine, dialysis, and renal patients. This role supports the operational functions of the department — reporting, payroll, service recovery, staff communication, competency tracking, and regulatory readiness — and works collaboratively with the leadership team to drive clinical and service excellence.

Responsibilities

• Participate in development of departmental staffing, revenue, and expense budgets; adhere to budget goals and respond to business changes that affect them.
• Prepare, analyze, and develop action plans; identify trends in patient outcomes related to audits, reporting, and compliance; ensure proper documentation, communication, and follow‑up.
• Perform service recovery for physician and bed‑management issues; support investigation and resolution of operational issues.
• Ensure staff meet regulatory, unit, and BJC competency requirements; determine corrective action plans for unmet competencies and follow up to ensure compliance.
• Maintain year‑round readiness through audits; develop individual or unit corrective plans when audits reveal readiness issues and monitor compliance.
• Own the environmental plan for the unit.
• Review staff hours worked vs. scheduled hours; determine appropriate disposition for variances.
• Perform and approve daily payroll updates; reconcile time cards, bonus tracking, and coding approvals.
• Prepare, coordinate, and execute all staff communications; prepare huddle agendas and lead meetings.
• Determine staffing needs; make nursing assignments and assign overtime.
• Recommend effective annual increases.
• Interview candidates for open positions; evaluate and conduct performance reviews; draft and issue corrective actions/coaching; follow up on disciplinary actions.
• Manage direct reports: onboarding, hiring, training, workload management, performance evaluations, and professional development plans.
• Ensure the productivity and actions of the team support the department’s operational goals.
• Oversee scheduling and staffing matters; develop plans to develop staff; own selected audits and compliance pieces.

Requirements

Minimum Requirements

• Education: Nursing Diploma or Associate’s Degree in Nursing
• Experience: 2–5 years of nursing experience
• Supervisor Experience: Not required
• Licenses & Certifications: RN license

Preferred Qualifications

• Education: Bachelor’s Degree in Nursing
• Experience: 5–10 years of nursing experience
• Supervisor Experience: Preferred

Benefits

BJC Total Rewards — comprehensive benefits available first day of the month after hire date:

• Medical, dental, vision, life insurance, and legal services
• Disability insurance paid by BJC
• Annual 4% BJC automatic retirement contribution
• 401(k) plan with BJC match
• Tuition assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off (combines vacation, sick days, holidays, and personal time)
• Adoption assistance

Schedule

Nights, 4/10‑hour shifts; flexible on shifts worked.

Pay

Competitive salary; full‑time, benefits‑eligible position.