Nursing Management

1.0 FTE, 8 Hour Day Shift

At Stanford Children's Health, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.

Department Description

Our 40-bed Level IV Neonatal Intensive Care Unit (NICU) provides nationally recognized, family-centered care for critically ill newborns with complex care needs. This specialized nursery is not just for premature babies or those carried through high-risk pregnancies-even full-term babies sometimes unexpectedly need a little extra support.

Our team provides a full range of highly specialized medical and surgical services in a unit dedicated to the care of term and preterm newborns. We offer a range of therapies to care for the sickest babies, including those who:

• Need a machine to help them breathe (require conventional and high-frequency assisted ventilation).

• Undergo surgery, including cardiothoracic surgery.

• Require nitric oxide therapy to help combat lung problems.

• Are at increased risk for neurodevelopmental problems or brain injuries and require therapeutic cooling or other neuroprotective therapies.

• Have hereditary metabolic disorders and require dialysis or further diagnostic evaluation.

• Need highly specialized care for complex medical problems.

• Require advanced therapies, such as extracorporeal membrane oxygenation (ECMO).

Our youngest babies, born under 29 weeks' gestation, are cared for in our seven-bed Nest (small-baby unit) within the NICU. Here, our team uses specific protocols and equipment to protect them during this time when they are the most fragile.

Our Intermediate Care Nursery (ICN) is a 30-bed level II Neonatal Intensive Care Nursery designed to provide care to recovering newborns and those infants requiring level II care. We care for infants requiring direct admission from the Delivery Room, the Emergency Department, other hospitals, re-admissions from home, post-surgery cases, as well as more chronic conditions or premature infants from our Level IV Neonatal Intensive Care Unit (NICU).

The care in the ICN is family centered and focuses on parent and family education. This education prepares families to easily care for their infant once discharged.
The staff in both units are highly skilled, committed, and dedicated professionals who strive to work as a team, advocating for the needs of the unit, patients and families with the goal of promoting excellent customer service and ensuring the best possible outcomes. The staff enjoy watching the babies progress and grow, but also enjoy partnering with the parents as their knowledge and comfort level increases.
The Neonatal region offers a full spectrum of services and consultation with Stanford Children's Hospital. There is a multidisciplinary approach to patient care with an emphasis on a collaborative team approach including developmental specialists, physical therapists, occupational therapists, dieticians, lactation consultants, case manager's, chaplaincy, and social services. Every Tuesday, interdisciplinary rounds are held with representatives from each of these services, as well as nursing and management from the floor.

Job Summary

This paragraph summarizes the general nature, level and purpose of the job.

The Nurse Manager is a Registered Nurse who provides unit leadership and works in partnership with nursing, the healthcare team, hospital/system leaders to develop a quality practice setting that support professional nursing and quality patient care. The Nurse Manager is accountable for the effective delivery of competent, compassionate, and efficient patient care on a 24-hours a day, seven days a week basis. Responsibilities include coordination of patient care; supervision of a professional team that includes multiple nursing and other staff as appropriate; administrative and budget management; troubleshooting of problem areas; organizational change management; ensuring compliance with accreditation and regulatory standards; quality assurance/quality improvement; safety and risk management requirements as well as actualization of hospital and unit policies, goals and objectives. Further, improving unit operations, enhancing communication and feedback, customizing education and staff roles, and accepting organizational accountability for services provided to recipients are critical outcomes expected of this role. The Nurse Manager role is critical to hospital operations and minimally accomplishes the following essential duties.

Essential Functions

The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.

Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.

Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct.

• Clinical Practice: Ensures the effective delivery of competent, compassionate, and efficient patient care by planning, organizing, and directing the nursing services of unit(s), including the assessment of patients, implementation of physicians' orders, treatment plans and medical procedures, administration of medication and record keeping of same as well as by monitoring and evaluating patient care processes and outcomes for the patient care unit(s); coordinates nursing activities with those of other services or disciplines. Demonstrates clinical competency in assigned specialty area role models nursing practice consistent with the organizational and department mission, vision and values.

• Communication: Communicates in a clear and effective manner to enhance team effectiveness, manage conflicts, engage employees and interdisciplinary colleagues in unit activities and performance changes. Collaborates with others within the unit and with all hospital departments and disciplines to enhance problem solving, decision making and performance improvement.

• Fiscal Accountability: Plans and forecasts the department budget by calculating required FTES, planning annual budgets, interpreting payroll and other key fiscal reports, projecting workload as well as monitoring and enhancing productivity. Performs variance analysis by interpreting financial performance and identifying key drivers. Identifies unit/capital budget needs in collaboration with physician and nursing colleagues.Plans and implements staff scheduling, position controls and attendance control procedures.

• Human Resources: Directs the personnel management of the employees assigned to the department consistent with state and federal labor laws, collective bargaining agreements, and nursing service and hospital philosophy, goals and policy. Ensures that new staff is interviewed, hired, trained, oriented, precepted and evaluated. Prepares and conducts employee performance appraisals. Approves transfers, promotions and other decisions affecting employee pay and status. Participates in initiating and documenting disciplinary actions and responding to grievances.

• Leadership: Assumes twenty four (24) hour responsibility and accountability for the operation of the assigned patient care unit(s), service(s), staff, and facilities. Plans, organizes and directs short and long term departmental activities in accordance with hospital goals and accrediting organization standards. Provides leadership and direction for the staff in the patient care unit(s) while supporting and actualizing the goals of the department, division, service, and hospital. Functions as a resource to staff and interdisciplinary team members and interdepartmentally, consults on nursing care and professional nursing practice.

• Performance Improvement: Assumes responsibility for accessing and utilizing appropriate date in order to monitor unit operations. Accountable for achieving patient and staff satisfaction targets for the organization and unit of responsibility. Develops, implements and evaluates process improvement projects/process in order to continually monitor and improve patient care.

• Professional Development: Facilitates professional development and clinical growth of nursing staff through implementation and maintenance of unit specific competencies. Promotes and facilitates educational opportunities based on assessment of staff needs.

• Quality Management: Supports the quality framework, which includes both clinical and service quality indicators. Creates an environment of patient care that is safe, effective, patient centered, timely, efficient and equitable.

Minimum Qualifications

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
Education: Bachelor of Science in Nursing (BSN) from an accredited college or university
Experience: Three (3) years of progressively responsible and directly related work experience
License/Certification: CA Registered Nurse (RN)

Knowledge, Skills, & Abilities

These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification.

• Ability to contribute to health care policy formulation when working in partnership with a multidisciplinary team of health care providers.

• Ability to delegate responsibly to others, activities according to ability, level of preparation, the standards of practice and regulatory guidelines.

• Ability to develop programs and lead process improvement projects.

• Ability to establish the strategic direction and business plans for a functional group.

• Ability to initiate and implement change conducive to the improvement of the quality and safety of patient care delivery.

• Ability to provide leadership, influence others to meet patient needs and achieve shared goals, to effectively prioritize system resources to provide quality and valued patient care, promote cooperative behaviors, act as a role model, resource and mentor.

• Ability to supervise, coach, mentor, train, and evaluate work results.

• Ability to use information and keep abreast of developments in technology to communicate, manage knowledge, mitigate error, and support decision-making in patient care.

• Knowledge of current theories, principles, practices, standards, emerging technologies, techniques and approaches in the nursing profession, and the health care system, and the responsibility and accountability for the outcome of practice.

• Knowledge of laws, rules and regulations; standards and guidelines of certifying and accrediting bodies; hospital and department/unit standards, protocols, policies and procedures governing the provision of nursing care in the area of assignment.

• Knowledge of principles and practices of organization, administration, fiscal and personnel management essential to the practice of nursing in the larger context of health care.

• Knowledge of principles, practices and current trends in health care and hospital system organization and administration sufficient to provide clinical management, leadership, coordination, and operational direction for assigned areas of responsibility.

Physical Requirements and Working Conditions

The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.

Pay Range

Compensation is based on the level and requirements of the role.

Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data.

Typically, new team members join at the minimum to mid salary range.

Minimum to Midpoint Range (1.0 FTE): $182,561.60 to $225,066.40

Equal Opportunity Employer

Lucile Packard Children's Hospital Stanford strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, LPCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.