Manager Nursing (RN) Emergency Department

Responsibilities

• Provide 24‑hour comprehensive operational responsibility for delivery and quality of patient care in designated area(s).
• Foster interdepartmental and interprofessional collaboration.
• Represent the unit and Nursing on committees in a positive manner.
• Develop and implement performance initiatives to ensure optimal patient safety, outcomes, and customer satisfaction.
• Manage daily work activities of staff, ensuring quality, productivity, functional excellence, and efficiency while supporting strategic and operational objectives.
• Guide staff on staffing, budget compliance, hiring, termination, coaching, and counseling related to work performance.
• Assist in developing and implementing policies and procedures to maintain a safe and effective work environment.
• Implement training, monitoring, and operational initiatives that secure compliance with ethical, legal, accreditation, regulatory, and governmental requirements.

Qualifications

• Education: Bachelor’s degree or higher from an accredited school of Nursing.
• Experience: Three years of nursing experience, including at least one year in a progressive leadership role in healthcare; for internal candidates, two years of nursing experience with demonstrated leadership abilities (e.g., charge nurse responsibilities).

Licenses and Certifications

• RN – Registered Nurse – Texas State Licensure (Texas Board of Nursing, PSV Compact). Must obtain permanent Texas license within 60 days if establishing Texas residency.
• BLS – Basic Life Support or Instructor (American Heart Association).
• Magnet – ANCC Recognized Certification (within 1 year).
• Preferred: ACLS – Advanced Cardiac Life Support or Instructor (AHA).
• As required by department: NIH Stroke – National Institute of Health Stroke Scale Certification (AHA).
• As required by department: NVCRISIS – Nonviolent Crisis Intervention or Instructor (CPI).

Knowledge and Abilities

• Demonstrated competence to safely perform assigned duties, validated through ongoing assessments.
• Proficient oral and written communication in English, especially regarding patient and employee safety.
• Ability to communicate effectively with patients, physicians, families, and co‑workers using positive language and customer‑service focus.
• Strong interpersonal skills that inspire confidence in staff and the organization.
• Skilled at adapting interpersonal style to gain acceptance of ideas and plans.
• Leadership, critical thinking, self‑direction, and initiative.
• Analytical ability to identify issues, compare data, and develop appropriate solutions.
• Capacity to work effectively in a fast‑paced environment and demonstrate flexibility.
• Problem‑solving skills, including investigation, root‑cause identification, and corrective‑action development.

People Essential Functions

• Manage selection, scheduling, supervision, retention, and evaluation of department employees.
• Develop and mentor staff; meet or exceed turnover threshold goals.
• Provide consistent leadership and communication through regular meetings, rounding, performance appraisals, new‑hire feedback, coaching, and recognition.
• Offer timely guidance and feedback to strengthen knowledge and skills.
• Facilitate effective team dynamics, lead process‑improvement initiatives, and support employee engagement metrics.
• Establish two‑way communication, active listening, equitable decision‑making, and support for organizational goals.
• Coach staff in efficient communication, stress‑management practices, and inclusion of patients/families in care planning.

Service Essential Functions

• Plan and organize day‑to‑day department operations, schedules, and activities.
• Set priorities and functional standards to ensure high patient/customer satisfaction.
• Drive service standards to improve patient‑based satisfaction scores.
• Serve on entity committees as a departmental voice.
• Model service orientation, resolve concerns or conflicts with patients, families, physicians, and team members, and follow appropriate procedures.
• Maintain ongoing interactions with patients, families, physicians, and staff to improve care and service.

Quality/Safety Essential Functions

• Ensure a safe and effective work environment; monitor and revise safety plans and accreditation/regulatory guidelines, including infection control.
• Verify staff maintain required credentials and competency per accrediting agencies.
• Utilize information systems to enhance operations and support performance‑improvement and data‑analysis functions.
• Adopt a proactive approach to safe outcomes by optimizing workflow, peer accountability, near‑miss reporting, and collaborative problem solving.
• Apply lean principles to drive process improvements and model situational awareness.
• Monitor compliance with policies, procedures, and HR standards; take appropriate actions for non‑compliance.
• Set measurable goals aligned with Houston Methodist priorities and develop collaborative action plans.

Finance Essential Functions

• Assist in developing the department budget and ensure cost‑effective operations.
• Audit department expenses to stay within approved budget parameters and meet revenue/expense targets.
• Develop staffing plans and schedules that balance patient‑care needs with cost‑effectiveness.
• Implement strategies to achieve financial targets, optimize productivity, minimize overtime, and improve supply/resource efficiency.
• Plan unit coverage to maximize management and staff presence.

Growth/Innovation Essential Functions

• Identify and implement innovative workflow solutions; lead unit projects and shared‑governance activities.
• Support change initiatives and adapt effectively to new structures, processes, and cultures.
• Evaluate processes, recommend action plans, and ensure sustainable change.
• Participate in developing and revising procedures.
• Build strategic relationships across areas, teams, departments, and units to achieve business goals.
• Identify developmental needs for self and staff; maintain and discuss individual development plans (IDP).

Supplemental Requirements

• Work attire: Uniform – No; Scrubs – Yes; Business professional – Yes; Other (department approved) – No.
• On‑call: Yes (employees may be required to be on‑call during emergencies such as disasters or severe weather).
• Travel: May require travel within the Houston Metropolitan area – Yes; Travel outside Houston Metropolitan area – No.

Schedule

Full‑Time Nights 11:00 pm – 7:00 am

Company Profile

Houston Methodist Baytown Hospital brings the expertise and latest technology of Houston Methodist to Baytown and surrounding counties. The skilled and compassionate physicians, nurses, and staff provide unsurpassed medical care in a close‑to‑home, state‑of‑the‑art facility. Houston Methodist Baytown is committed to meeting the needs of its growing community through an ongoing facilities master‑plan expansion, which includes a new, expanded emergency department, a five‑story patient tower, outpatient center, renovated Cancer Center, neonatal intensive care unit, and technologically advanced operating rooms.