Charge Nurse - Skilled Nursing Facility

Bethany Lutheran Health Services; Council Bluffs (IA); On-site; USD 65,000 - 90,000; Full time

Job summary

Bethany Lutheran Health Services is seeking a dependable Charge Nurse to oversee nursing care and support the health, safety, and well-being of residents in a skilled nursing facility. The RN or LPN will supervise CNAs, coordinate resident care, and ensure compliance with policies and regulations.

The ideal candidate has strong clinical judgment, leadership, and a commitment to resident-centered care, with responsibilities including rounds, documentation, and interdepartmental communication.

Qualifications

• Graduate of an accredited nursing program.
• Current, active, unrestricted nursing license in the state where the facility is located.
• Current CPR certification.
• Strong clinical assessment, communication, and organizational skills.
• Ability to supervise nursing staff and work collaboratively with physicians, residents, families, and other healthcare professionals.
• Dependability, professionalism, and a commitment to resident safety and quality care.

Responsibilities

• Provide and supervise quality nursing care in accordance with standards and orders.
• Conduct resident rounds and assessments, identify changes in condition, and initiate interventions.
• Administer and document medications, tube feedings, and treatments as ordered.
• Monitor resident progress and respond to changes in condition.
• Report significant changes to physicians and nursing leadership.
• Develop and update individualized care plans and participate in care conferences.

Skills

Clinical assessment

Communication

Organizational skills

Nursing supervision

Education

Accredited nursing program

Tools

CPR certification

Job description

We are seeking a dependable and compassionate Charge Nurse to help oversee nursing care and support the health, safety, and well-being of residents in our skilled nursing facility. This role is responsible for supervising Certified Nursing Assistants (CNAs), coordinating resident care, administering medications and treatments, monitoring changes in resident conditions, and ensuring compliance with facility policies, state and federal regulations and nursing standards.

The ideal candidate is an RN or LPN who demonstrates strong clinical judgment, leadership skills, and a commitment to providing quality, resident-centered care.

Key Responsibilities

Clinical Care & Resident Safety

• Provide and supervise quality nursing care in accordance with established standards of practice, physician orders, and facility policies.
• Conduct resident rounds and assessments, identify changes in condition, and initiate appropriate interventions.
• Administer and document medications, tube feedings, and treatments as ordered.
• Monitor resident progress, including weight changes, skin conditions, abnormal laboratory or imaging results, medication concerns, and responses to treatment.
• Report significant changes in resident conditions to physicians, responsible parties, the Director of Nursing, and other appropriate personnel.
• Develop and update individualized resident care plans and participate in care conferences as assigned.
• Promote resident rights, dignity, infection prevention, and a safe, supportive care environment.

Nursing Leadership & Staff Supervision

• Supervise and evaluate CNA performance and provide guidance on resident care responsibilities.
• Assign nursing duties based on staff qualifications, resident needs, and facility staffing guidelines.
• Communicate effectively with incoming and outgoing nursing staff to ensure continuity of care.
• Identify safety concerns, respond to emergencies, and initiate corrective action when necessary.
• Provide feedback on staff performance and recommend additional training or disciplinary action to the Director of Nursing when appropriate.
• Support staff education, training, and compliance with facility policies and procedures.

Documentation & Care Coordination

• Maintain accurate and timely documentation of assessments, treatments, medications, progress notes, and resident responses.
• Coordinate resident admissions, transfers, and discharges with physicians, families, and appropriate facility departments.
• Order medications and monitor controlled substances in accordance with facility policies, immediately reporting discrepancies.
• Communicate resident and family concerns to the appropriate personnel and help resolve issues promptly.
• Participate in staff meetings, in-service training, committee meetings, and other assigned activities.
• Follow applicable state and federal regulations, OSHA requirements, emergency procedures, and infection-control practices.

Qualifications

• Graduate of an accredited nursing program.
• Current, active, unrestricted nursing license in the state where the facility is located.
• Current CPR certification.
• Strong clinical assessment, communication, and organizational skills.
• Ability to supervise nursing staff and work collaboratively with physicians, residents, families, and other healthcare professionals.
• Dependability, professionalism, and a commitment to resident safety and quality care.

Physical Requirements & Work Environment

• Ability to lift up to 50 pounds, and occasionally more with assistance, using appropriate resident-handling and lifting equipment.
• Ability to stand, walk, bend, kneel, crouch, reach, push, pull, and perform other physical activities required for resident care.
• Ability to use resident-handling equipment and assist with repositioning, turning, and other mobility needs.
• Ability to perform essential communication and documentation tasks, including seeing, hearing, speaking, reading, and writing.
• May be exposed to bloodborne pathogens and other physical, chemical, or respiratory hazards.
• Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the position.

Additional Expectations

• Maintain a professional appearance and comply with facility dress and uniform requirements.
• Arrive as scheduled, demonstrate dependability, and complete assigned duties in a timely manner.
• Follow facility safety, fire prevention, disaster response, and infection-control procedures.
• Work cooperatively with nursing staff, administration, ancillary personnel, and other departments.
• Perform other duties as assigned by the Director of Nursing or Administrator.
• Approved work-related use of a personal vehicle will be reimbursed at the facility's predetermined mileage rate.