Job Description

Job Title 
ED Nursing Manager - Full Time
Requisition ID

Begin Date 


Snoqualmie, WA 98065

Other Location 

OBJECTIVE SUMMARY: Assist the Hospital Services, Administrator in twenty-four hour responsibility and accountability for the efficient operation of all aspects of Emergency Services nursing care. This includes achievements of staff competency, departmental standards, patient satisfaction and financial targets.


Manage department personnel including RNs, ER Technicians and LPNs


  • Assesses the needs of the Emergency department and builds a team of skilled nurses for patient care.
  • Assesses the needs of the nursing staff in regards to education, compensation, recruitment, and retention.
  • Assesses patient flow, triage, and wait time to be seen by MD or ARNP/PA, and other indicators to identify compliance to standards or Q.I. opportunities.
  • Provide ongoing education/training opportunities to staff members to insure professional development and their ability to provide quality patient care. [List essential functions]


  • Uses organization and prioritizing skills in performance of duties.
  • Assists in preparation of goals and objectives and submits to the Director annually.
  • Plans reflect hospital and department goals.
  • Upholds the Standards of Patient Care in a safe, efficient and cost effective manner.
  • Assists the Director with preparation of the budget.
  • Reviews plans for QIO's with Director, where appropriate


  • Compliance with Department of Health and other regulatory agencies.
  • Interprets and follows lines of communication and authority of the organization.
  • Role models the philosophy of the Service Excellence program, and identifies and implements corrective action where indicated to effect positive outcome.
  • Maintains close control of staffing by acuity with +/- 5% overall HPPD budget.
  • Keeps agency personnel at a minimum.
  • Assumes patient care assignments as scheduled by the Hospital Administrator.
  • Participates and/or leads in Quality Assurance Program.
  • Assists with regular review/revision of policies, procedures and performance evaluations.
  • Conducts interviews, counseling sessions and coaching.
  • Meets with Medical Director and Hospital Administrator as needed to review progress toward goals, operational issues, etc.

Evaluation and Documentation:

  • Evaluates progress toward accomplishment of annual goals/objectives.

Patient Rights:

  • Evidence that patient rights are supported in decision-making and performance of duties.
  • Is aware of medical/legal implications for patients, hospital and staff.

Responsibilities to the Unit:

  • Demonstrates knowledge of all medical procedures and related equipment.
  • Resource person for any clinical information pertaining to patient procedures and physician's preferences.
  • Responsible for adequate ordering and stocking of supplies.
  • Attends product evaluation meetings monthly or assigns replacement.
  • Attends Infection Control meeting bi-monthly or assigns replacement.
  • Keeps abreast of current clinical practices. Demonstrates fairness and impartiality to staff.
  • Works closely with Admitting Clerks to assure standards are achieved.
  • Surveillance of department needs being met by EVS, Maintenance and Security departments in regards to Infection Control and departmental safety.
  • Responsible for accurate ER charges and statistics.
  • Assures that customer satisfaction surveys indicate achievement or hospital and unit goals.

Responsibilities to Medical Staff:

  • Creates and maintains an atmosphere of warmth, personal interest and positive emphasis, as well as, a calm environment throughout the department.
  • Lines of communication remain open.
  • Open door policy to all levels of nursing personnel and departments.
  • Monitors legal compliance of nursing staff.
  • Utilizes the appropriate acuity measurement, analyzes changes in patient care needs and provides staff as necessary. Quantity and qualifications of staff are sufficient to maintain a therapeutic environment. Assesses on an ongoing basis that the assignments are fulfilled.
  • Recommends employees for reassignment, special merit increases, commendations, promotions or terminations.
  • Acts as resource for clinical and unit management.
  • Understands perceived need of staff, patients and physicians.
  • Necessary counseling and discipline with objective documentation and follow up are done, where indicated.
  • Acuity outline is completed accurately. Information compiled to justify staffing.
  • Encourages staff to display cooperative and helping behaviors to Medical Staff.
  • Hold unit nursing in-service meetings at least 10 times per year.
  • Unit morale and performance reflect effective communication.
  • Nursing performance meets hospital and community standards.

Responsibilities to Other Departments:

  • Team work is demonstrated through actions.
  • Works closely to coordinate activities provided by all departments

REQUIRED EDUCATION: Graduate of accredited School of Nursing

PREFERRED EXPERIENCE: Minimum of five (5) years of clinical experience. ICU experience and Certified Emergency Nurse (CEN) certification is preferred. Clinical experience in Emergency Nursing and knowledge of Emergency Medical Services, including pre-hospital care and Trauma, is also preferred.

ADDITIONAL ELIGIBILITY QUALIFICATIONS: Current State license as a Registered Nurse. Current BCLS and ACLS. Basic Arrhythmia Certification

PHYSICAL DEMANDS: Standing, walking, sitting, carrying, pushing, pulling, climbing, balancing, bending, stooping, squatting, crouching, twisting, reaching, handling, kneeling, and wrist and digital dexterity. Patient lifting, ambulating, and transfer of patients in wheelchairs, on gurneys and beds, and for use of mechanical lifts. Speaking, hearing, and visual acuity to perform tests on patients and receive and interpret instructions. Verbal and written English communication skills for safe and effective patient care and to meet documentation standards.

OTHER DUTIES – Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Required Skills

* Outstanding ability to communicate verbally and in writing
* Must be able to develop written policies and procedures, memoranda, and performance evaluations with measurable behaviors
* Must be effective in communicating with patients, families, professional staff and the community
* An exceptional knowledge of nursing and hospital systems, individual and group behaviors, health care, and nursing trends/research, applied nursing process, quality assurance, quality improvement, and budget/financial/data base skills
* An ability to see the "whole" of the organization and how the department fits into the broader perspective
* Must have an attitude of collaboration with peers, patients, staff, and physicians
* An ability to build and carry out change toward the achievement of a "shared vision", and challenge current paradigms
* A willingness to deal with diverse management and clinical responsibilities

Application Instructions

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