Nurse Supervisor (Clinical Staff Leader), Stepdown Unit, Full time nights, Clarksville

About the role

Vanderbilt Health’s Stepdown Unit is a 21-bed hardwired telemetry unit caring for acutely ill but stable patients who require closer monitoring. Diagnoses include cardiac, vascular and medical conditions such as arrhythmias, bedside cardioversions, titrated medications, oxygenation management, withdrawal, sepsis, stroke, and post-operative care. The environment is fast-paced, team-oriented, and patient- and family-centered, with daily interdisciplinary rounds (provider, registered nurse, case manager, nurse leader) and a safety huddle at the start of each shift.

Responsibilities

• Provides clinical consultation and support to Stepdown Unit staff, overseeing clinical quality efforts including audits of protocols and surgical processes.
• Collaborates with the Stepdown Manager/Director to maintain quality care standards required by departmental protocols and regulatory agencies.
• Ensures availability and readiness of supplies, equipment, and stock; addresses equipment needs, failures, or inventory issues to minimize disruptions in patient care.
• Supports professional development of staff by identifying learning needs, collaborating with the preceptor team and clinical educator, and assisting with orientation and ongoing training.
• Assists primary physicians in performing procedures: preparing equipment, reviewing patient history, and providing first-assist support; ensures complete, accurate, and timely post-procedure documentation.
• Supervises, trains, and oversees departmental staff; schedules employees to ensure effective use of resources; consults with Manager or Director on staffing issues.
• Assists with performance evaluations, goal setting, and managing departmental budget to ensure cost-effective, high-quality operations.
• Monitors expenditures and may contribute to evaluation and implementation of new technologies to enhance operational efficiency.
• May contribute to development of departmental policies, procedures, and protocols; ensures compliance with all relevant regulatory bodies and participates in audits, inspections, and accreditation processes as applicable.
• Works closely with leadership teams to coordinate and improve service delivery; stays current with industry advancements, new technologies, and regulatory changes.
• May work in a staff role when required; ensures duties and responsibilities are fulfilled while meeting established competencies.

Requirements

• Licensed Registered Nurse (LIC-Registered Nurse).
• BLS and ACLS certifications.
• Bachelor’s degree in Nursing.
• Minimum one year of relevant clinical experience.

Skills

• Critical thinking and collaboration.
• Multidisciplinary rounding and bedside shift report.
• Shared governance and continuous quality improvement.
• Familiarity with medical equipment: ECG hardwired monitors, Alaris pumps, PCA devices, epidural pumps, EtCO₂ monitoring, bladder scanners, BiPAP, high-flow oxygen therapy.
• Experience managing drips: cardiac medications, IV fluids, blood products, sedation, TPN.

Benefits

• Affordable high-quality health plan options.
• Dental and/or vision plan.
• 403(b) retirement plan.
• Paid time off (flexible PTO).
• Tuition reimbursement and adoption assistance (with maximums applied).
• Short- and long-term disability.
• Subsidized backup childcare.

Pay

Inpatient nursing supplemental pay program available.