Charge Registered Nurse / Floor Lead

About the role

The Charge Nurse (RN) serves as the senior clinical and operational authority on-site during assigned shifts. This role leads day-to-day floor operations by coordinating staff, managing patient flow, supporting providers, enforcing professional standards, and resolving issues in real time to ensure the clinic runs smoothly from open to close.

Responsibilities

• Serve as the primary on-site authority for clinical operations and professional conduct during assigned shifts
• Manage floor flow including staffing coordination, room utilization, patient movement, and provider support
• Anticipate operational challenges and resolve issues before escalation
• Adjust staffing and workflows in real time based on volume, acuity, delays, and call-outs
• Act as the escalation point for clinical, operational, and patient-related concerns
• Set and enforce expectations for attendance, punctuality, professionalism, and quality of care
• Address performance concerns and unprofessional behavior immediately and directly
• Provide firm, fair, consistent corrective guidance in the moment
• Maintain a steady leadership presence during high-volume or high-stress periods
• Maintain a respectful, safe, controlled clinical environment for staff and patients
• De-escalate conflicts calmly and decisively when issues arise
• Protect staff from inappropriate behavior while maintaining professionalism
• Escalate serious or repeated issues to leadership and HR as needed
• Provide direct patient care as needed (assessments, injections, IV therapies, medication administration)
• Support providers across multiple specialties with procedures and patient coordination
• Serve as a clinical resource for complex or sensitive patient situations
• Ensure patient safety, regulatory compliance, and accurate EMR documentation
• Collaborate with Nursing Leadership and HR on staffing, scheduling, and conduct concerns
• Communicate issues clearly, professionally, and consistently
• Contribute to continuous improvement of workflows, systems, and operational standards

Qualifications

• Active New Jersey RN license in good standing
• CPR/BLS certification
• Minimum 5+ years of nursing experience (outpatient or multidisciplinary preferred)
• Prior experience as a Charge Nurse, Lead Nurse, or senior clinical leader
• Strong command of clinical workflows, standards, and professional conduct expectations
• Availability for rotating weekend shifts
• Proven ability to lead in high-accountability environments
• Strong conflict management and communication skills
• Calm, decisive leadership style under pressure
• Reputation for being firm, fair, and consistent