Assistant Nurse Manager – Emergency Dept.

Exeter Hospital, part of Beth Israel Lahey Health, is a nationally recognized, non-profit community hospital that has been caring for the Seacoast region since 1896. With more than 1,400 employees and 370 affiliated physicians, Exeter Hospital provides comprehensive services across cardiovascular care, oncology, orthopedics, breast health, maternity, and more—all supported by advanced technologies and an unwavering commitment to patient-centered care. At Exeter Hospital, you’ll find a close-knit, collaborative environment where every team member is valued, supported, and empowered to make a difference in the lives of patients and their families.

Why Join Us

• Magnet®-recognized hospital known for nursing excellence and quality care
• Competitive pay and comprehensive benefits, including health, dental, and retirement plans beginning on day 1 of employment
• Career growth and leadership development opportunities across Beth Israel Lahey Health
• Free onsite parking
• Strong sense of community and teamwork where your contributions are recognized
• State-of-the-art facilities and advanced technology to support exceptional care
• Located in scenic Exeter, New Hampshire—just minutes from the Seacoast, with easy access to Boston and Portland
  
  

The Assistant Nurse Manager (ANM) supports the Emergency Department (ED) Manager/Director by providing operational leadership, clinical oversight, and staff development for a defined patient care area. This role ensures the delivery of safe, high-quality, patient-centered care by coordinating daily operations, supporting staff performance, and maintaining compliance with organizational policies, regulatory standards, and professional nursing practice.

Requirements

• 3–5 years of directly related clinical experience.
• Associate Degree in Nursing required; BSN preferred.
• Current RN license in New Hampshire or another Compact State.
• Emergency Department requirement: ACLS, PALS, and TNCC within 6 months. CEN within 1 year.
• Demonstrated leadership ability with strong communication and interpersonal skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Commitment to patient safety, staff engagement, and continuous improvement.
  
  

Responsibilities

• Operational Leadership - Directs and coordinates daily departmental operations in alignment with the organization’s mission, vision, and values. Identifies operational challenges (e.g., staffing, throughput, resource allocation) and initiates timely corrective actions. Assumes responsibility for the management of the patient care area during assigned shifts and in the absence of the Manager/Director to ensure continuity of care and optimal patient outcomes. Mediates and resolves issues involving patients, families, staff, and other departments as needed.
• Human Resource Management - Partners with the Manager/Director in all aspects of personnel management, including recruitment, hiring, performance evaluation, coaching, corrective action, and termination. Promotes a positive work environment through high-impact communication, visibility, and accountability. Provides ongoing feedback and support to staff to foster professional growth and performance improvement.
• Clinical Practice & Standards - Assists in developing, implementing, and evaluating standards of care for the ED patient population in accordance with current evidence-based nursing practice. Ensures adherence to approved policies, procedures, protocols, and clinical practice guidelines. Collaborates with the multidisciplinary team to support effective care planning and coordination.
• Fiscal & Resource Management - Contributes to budget development, manpower planning, and cost-containment strategies. Demonstrates fiscal responsibility in the use of supplies, equipment, and staffing resources. Provides input into operational and capital planning to support departmental needs.
• Education & Staff Development - Supports staff orientation, ongoing education, and competency validation. Coordinates preceptor assignments and ensures effective onboarding of new nursing staff. Participates in identifying educational needs and facilitating professional development opportunities.
• Organizational Engagement - Participates in departmental, divisional, and organizational committees, meetings, and projects aligned with strategic goals. Supports quality improvement initiatives and contributes to performance metrics, patient safety efforts, and regulatory readiness.
• All other duties as assigned