NURSE LEAD, LAB & CLINICAL OPS

Position Summary

Registered Nurse supporting the Nurse Manager in laboratory operations, clinical compliance, and staff development at Fairfield Emergency Room. Primary focus: CLIA and COLA compliance, lab instrumentation, and onboarding support. This full-time role includes 24 hours of administrative work and one 12-hour clinical floor shift per week.

Qualifications

· Current Texas RN license in good standing

· Minimum 3 years of emergency room nursing experience

· BLS, ACLS, and PALS required; NIHSS required within 30 days of hire

· BSN, CEN, and ENPC preferred

· Working knowledge of CLIA and COLA compliance expectations

· Strong communication, critical thinking, and familiarity with EMR and Microsoft 365

Core Responsibilities

Laboratory Operations

· Operate, calibrate, QC, and maintain lab instruments; troubleshoot and coordinate with Biomed

· Maintain CLIA and COLA documentation, American Proficiency Institute (API) proficiency testing,

and staff competency binders

· Monitor lab supply inventory and reagent expiration; flag reorder needs to the Nurse Manager

Compliance and Quality

· Track chart audits, crash cart logs, temperature logs, high-level disinfection records, and staff

certification expirations; report gaps to the Nurse Manager

· Ensure follow-up and physician notification on all send-out specimens

· Document incidents accurately; collaborate on quality and process improvement

Staff Development

· Serve as clinical resource for new-hire orientation and skills validation

· Mentor nursing staff and deliver in-service training on workflow updates

· Assist the Nurse Manager with identifying staff development needs

Operational Support

· Assist with facility supply and medication ordering; final approval rests with the Nurse Manager

· Assist with interviewing and onboarding; hiring decisions rest with the Nurse Manager

· Check company email each shift; maintain professional communication with staff, providers, and leadership

· Comply with HIPAA, CLIA, and COLA; be available for facility inspections

Clinical Floor Shift (12 hours per week)

· Work as the assigned staff RN for one scheduled 12-hour clinical shift per week

· Model clinical workflow, documentation standards, and safety practices

· Serve as an on-shift clinical resource for peers and new hires

Other

· Any additional duties delegated within scope of practice by the Nurse Manager, Facility Administrator, Operations Manager, or Director of Operations

On-Call

Periodic on-call rotation with the Nurse Manager. Compensation for on-call participation is set by ProCare Operations leadership.

Working Conditions

· Fast-paced emergency room environment

· Full-time: 36 hours per week, 24 administrative and 12 clinical (one staff RN floor shift)

· On-site at Fairfield Emergency Room (Cypress, TX); not remote

· 90-day probationary period

· Must be able to stand, walk, sit, and lift up to 50 lbs using proper body mechanics

Acknowledgment

I have read and understand the responsibilities and requirements of this position. I acknowledge that this job description is not exhaustive and that I may be assigned additional duties within my scope of practice as required by ProCare leadership.