Nurse Manager - Med/Surg - 5th, 6th & 7th Floor

The Nurse Manager is accountable for the delivery of high-quality nursing care of the assigned nursing units on a 24-hour basis. The Nurse Manager provides leadership and direct oversight across three units — Medical-Surgical, Telemetry, and Forensics — serving as the lead for day-to-day operations and as a role model and resource to charge nurses, floor nurses, and support staff. The position encompasses human resource management, financial and clinical management, and the provision and development of professional leadership.

The Nurse Manager directs efforts to accomplish departmental goals and objectives that ensure high-quality, cost-effective patient care, while working collaboratively to integrate the goals of each unit. The goal of the position is the improvement of unit operations, patient care, and patient outcomes. Reporting to the Clinical Director, the Nurse Manager focuses on unit-level and individual staff success day-to-day operations, staff performance and development, and frontline quality and compliance.

Key

• Operational Leadership
• Serves as the lead for day-to-day activities across the Medical-Surgical, Telemetry, and Forensics units, ensuring smooth and coordinated operations on a 24-hour basis.
• Provides direct oversight of charge nurses, ensuring they stay on top of their responsibilities and effectively direct and support floor nursing staff.
• Facilitates the work of floor nurses in caring for patients, including coordination and preparation for procedures, blood transfusions, and other routine medical-surgical activities that require nursing oversight.
• Monitors patient flow, acuity, and unit throughput, intervening as needed to maintain safe and efficient care delivery, informing house supervisors of throughput issues.
• Manages all other normal medical-surgical nurse manager day-to-day operations, including rounding, problem-solving, and escalation of clinical and operational issues. Daily Operations & Staffing
• Work collaboratively with the Clinical Staffing Coordinator and House Supervisor to ensure all three units are adequately covered.
• Provides break relief coverage for nursing staff to ensure continuity of patient care and appropriate unit coverage at all times.
• Recommends sufficient numbers of qualified and competent personnel and adjusts staffing to meet patient care needs across all three units to meet census.
• Manages day-to-day staffing variables, including overtime and addressing low-census scenarios in accordance with applicable rules and hospital policy.
• Participates in a rotating/shared weekend on-call schedule, serving as the responsible leader for operational and clinical issues during assigned weekend coverage. Unit-Specific Oversight
• Provides oversight of the Forensics unit, ensuring care is delivered in a manner consistent with the unit’s security, custody, and safety requirements in coordination with applicable staff and protocols.
• Ensures Telemetry monitoring standards and Medical-Surgical care standards are consistently met across the respective units. Performance Management & Development
• Leads staff development, performance evaluations, and coaching, fostering accountability, teamwork, and professional growth at the individual and unit level.
• Manages the counseling and disciplinary process for unit staff in accordance with hospital policy and applicable labor agreements.
• Enforces hospital policies and standards of conduct at the unit level, holding staff accountable while supporting their success.
• Serves as a role model and leader, providing professional development and mentorship to nursing staff. Quality & Compliance
• Supports frontline quality improvement initiatives and maintains continuous survey readiness at the unit level, including Tennessee state standards and Joint Commission requirements.
• Collaborates on policy enforcement, interdisciplinary coordination, and unit-level regulatory readiness and reporting.
• Promotes equitable, patient-centered care consistent with the hospital’s mission and goals. Resources & Escalation
• Maintains adequate supply and equipment levels to support safe and effective unit operations.
• Escalates clinical, operational, and personnel issues through appropriate hospital channels and maintains records in accordance with HR policies.
• Maintains unit standards for cleanliness and organization. About Nashville General Hospital Nashville General Hospital (NGH) is Nashville’s original community- based hospital. Joint Commission accredited, NGH readily accommodates a wide range of needs from emergency services and acute care to ancillary and ambulatory services. NGH continues to maintain its strong commitment to the healthcare needs of Nashville and Davidson County underserved, while also providing care to all segments of the community Nashville General Hospital is an Equal Opportunity Employer/Disability/Veteran Our benefits include: Medical, Dental, and Vision Insurance Metro Health Incentive Program - Access to high quality healthcare without incurring out-of-pocket expenses Short and Long-Term Disability - up to 60% of eligible weekly pay Life Insurance - Metro provides you with basic life and AD&D coverage at no cost to you Retirement Plan- eligible up to IRS max limits and includes company contribution Shift and Weekend Differential Pay Offered on Nights and Weekends Tuition Reimbursement for Employee and Dependents Clinical Ladder Program Up to 12 paid holidays each Year Flexible Spending Accounts Free Parking for all employees HRSA eligible Employer (Loan Forgiveness Program) Join our team at Nashville General Hospital. Apply today! Education Masters (preferred) Bachelors (required) Licenses and Certifications Registered Nurse (required) Crisis Intervention (required) Adv Cardiac Life Supp (required) Basic Life Support (required)