Demo

Registered Nurse - House Supervisor

Jennie M Melham Memorial Medical Center
Broken Bow, NE Full Time | Part Time
POSTED ON 9/25/2026
AVAILABLE BEFORE 1/22/2027

The Nursing House/Shift Supervisor is responsible for promoting and maintaining quality patient care through the effective management and delivery of patient care during his/her assigned 12-hour shift. A significant portion of time is spent coordinating resources, problem solving, supporting and/or providing direct care delivery, evaluating effectiveness of care, and promoting effective communication. Contributes to implementation and enforcement of Nursing, Medical Staff and Administrative policies and procedures, performance plans, and takes appropriate action. The House/Shift supervisor assumes the lead RN role in the absence of the CNO and Nursing Management staff. This position will also rotate into the ED RN role. Opportunity for full-time (36 hrs/week) or part-time (24 hrs/week) & every 3rd weekend (Fri, Sat, Sun). Hours for this position are 6:30pm – 7:00am. A sign-on bonus of $7,000 is offered for full-time or $3,500 for part-time.

QUALIFICATIONS

  • Graduate of School of Nursing; BSN or BA preferred.
  • Minimum of 6 months of clinical experience, work related experience and/or previous House/Shift Supervisor/management role in a hospital setting. and ability to perform duties in acute, skilled, and emergency areas of facility.
  • Current NE State License or Compact license as a Registered Nurse required.
  • Professional knowledge of nursing practice, and regulation to support patient care delivery.
  • Current BLS, ACLS, PALS or ability to obtain within 2 months of hire.
  • Current TNCC or ability to obtain within 1 year of hire.
  • IS 100, 200, 700 and 800 or ability to obtain within 12 months of hire.

GENERAL REQUIREMNENTS

  • Demonstrate commitment to the organizational mission, vision, and core values.
  • Maintain clinical competency as required for Acute and Emergency Room Care including but not limited to age-specific competencies relative growth and developmental needs of all ages of patients.
  • Knowledge of federal and state regulations related to nursing applications and relative practice area.
  • Communicate effectively both verbally and in writing.
  • Supervise, instruct, and evaluate the work of all acute and ED patient care staff members.
  • Maintain confidentiality of patient information
  • Exercise professional judgment, courtesy, and professionalism in daily interactions with others
  • Demonstrates relationships management and influencing behaviors.
  • Conflict resolution skills
  • Critical conversation skills
  • Mediation skills
  • Demonstrates knowledge of Melham Medical Center Compliance Program, Code of Conduct, and Confidentiality standards. Monitors staff adherence and knowledge of standards.
  • Serves as the lead RN for emergency management plan response. Opens incident Command as appropriate. Monitors staff knowledge and response to plan activations.
  • Demonstrates knowledge of risk management, quality review reports, Sentinel Events, near misses and non-punitive work environment concepts.
  • Incident reporting SQSS
  • Compliance and safety reporting
  • Abuse/neglect reporting
  • Patient rights
  • Staff rights
  • Appropriately completes and/or supports reporting of events and forms as needed.
  • Completes yearly self and staff evaluations/reviews and development plan.
  • Attends meetings as assigned.
  • Attends 75% of monthly staff meetings and keeps updated on information.
  • Completes annual on-going competency plan.
  • Attends mandatory in-services and/or programs.
  • Maintains certifications.

SIGNIFICANT DUTIES

  • Initiates assessment/reassessment based on the patient’s needs per nursing standards and organization policy and procedures.
  • Synthesizes pertinent patient data to develop nursing care plans and identify nursing priorities for care and desired outcomes.
  • Collaborates with the interdisciplinary team to coordinate and provide patient care.
  • Demonstrates knowledge and skill in nursing theory and ability to learn and develop competence in patient care across the lifespan.
  • Demonstrates the ability to learn new practices and has the ability to practice in multiple settings within the rural hospital – medical/surgical, pediatric, neonatal, emergency and skill care.
  • Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and age-specific needs.
  • Executes, directs, supervises and/or assigns other staff members to perform therapeutic and or supportive interventions.
  • Evaluate the patient’s response to and effectiveness of interventions.
  • Evaluates the patient’s progress toward established outcome.
  • Incorporates cultural considerations into the plan/delivery of care.
  • Includes family and/or significant others in the care of the patient as appropriate.
  • Documents patient care and related information according to Melham procedures for documentation
  • Facilitates a patient’s transition to the next level of care including admission, discharge, and transfers.
  • Receives calls for patient placement, screens for appropriate admission criteria and notifies the department of patient placement.
  • Utilizes knowledge of UR criteria to assist with the appropriate admission status and placement of a patient.
  • Demonstrates knowledge of EMTALA regulation and paperwork.
  • Assumes responsibility in a shared or delegated assignment and supports team member’s practice through timely communication.
  • Services as a role model to colleagues, students, and other care providers
  • Actively participates in continued learning opportunities and continued self-development pertinent to all areas of Acute/ED care nursing.
  • Proficient in the management of provider orders in CPOE and in the order management system
  • Maintains effective communication channels with the entire healthcare team.
  • Assist administration with personnel management and other administrative duties as assigned.
  • Acts as a resource to the healthcare team
  • Performs as senior leader in event CNO/nursing management are absent.
  • Performs other related duties as assigned.
  • Oversees and/or assigns additional work duties during low volume periods when core staffing is in place.

Pay: From $35.26 per hour

Benefits:

  • 403(b)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Work Location: In person

Salary : $35

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