NOC Shift Nurse Manager

Walworth County, WI; Elkhorn (WI); On-site; USD 95,000 - 120,000; Full time

Job summary

Walworth County, Wisconsin is seeking a Night Shift Nurse Supervisor (RN) to oversee nursing staff, ensure 24-hour care, and coordinate with physicians and families. This role leads clinical, operational, and administrative tasks to maintain high-quality resident outcomes.

Responsibilities include rounds, emergency management, staffing, documentation, mentorship, safety, and interdepartmental collaboration, with a focus on care planning and compliance with regulations.

Qualifications

• Current RN license in the state of practice.
• Bachelor's or Associate degree; 1–3 years of relevant experience.
• Knowledge of medical terminology and clinical protocols.

Responsibilities

• Supervise nursing staff and coordinate night shift operations.
• Conduct rounds and monitor resident conditions.
• Lead emergency response and root-cause investigations as needed.
• Manage staffing, call-offs, and 24-hour coverage across units.
• Document events and report to the Director of Nursing.
• Mentor staff and support professional development.
• Oversee admissions, transfers, and discharges; audit charts.
• Ensure safety, security, and regulatory compliance.

Skills

RN supervision

Emergency management

Staff scheduling

Family communication

Education

RN license (state)

Bachelor's or Associate degree

Knowledge of medical terminology

Tools

PCC EHR

Job description

This position is responsible for supervising and coordinating the activities of Nursing personnel during the night (NOC) shifts to maintain continuity for twenty-four hour nursing care.

SUPERVISION

This role is responsible for the overall clinical, operational, and administrative management of the facility, acting as the primary liaison between nursing staff, physicians, and families. The Supervisor ensures that high-quality, compassionate care is delivered in compliance with federal and state regulations, manages staff, handles emergency situations, and ensures the safety and security of the building. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

SCHEDULE

Days: Sunday - Thursday

Shifts Per Pay Period: 10

Note: This position is pending final approval for early 2027 budget implementation from the County Board and is anticipated to go into effect on Monday, October 26, 2026.

Essential Duties and Responsibilities

To include the following. Other duties may be assigned. This job description reflects management's assignment of essential functions, it does not prescribe or restrict the tasks that may be assigned.

• Resident Care & Rounding - Conduct proactive and routine rounds to assess resident conditions, with particular focus on those who are acutely or seriously ill. Ensure individualized care plans are followed and intervene as needed to support optimal resident outcomes.
• Emergency & Incident Management - Serve as the primary responder to medical emergencies, incidents, and accidents. Lead root-cause investigations, ensure proper documentation, and initiate corrective actions.
• Staffing & Workforce Coordination - Manage staffing levels for the current shift and the upcoming 24-hour period. Address call-offs, arrange replacements, and ensure adequate clinical coverage across all units.
• Communication & Reporting - Prepare comprehensive written reports for the Director of Nursing detailing overnight events, resident status changes, incidents, and any follow-up actions required.
• Administrative & Clinical Support Duties - Oversee admissions, transfers, and discharges; manage clinical documentation; and audit charts for completeness and accuracy.
• Mentorship & Staff Development - Provide coaching, guidance, and constructive feedback to nursing staff. Promote ongoing clinical growth, best practices, and professional development.
• Facility Environment, Safety & Security - Ensure the facility remains safe, clean, and secure throughout the night. Monitor medication rooms, kitchens, exits, and other key areas.
• Interdisciplinary Collaboration - Communicate relevant resident needs, concerns, and clinical issues to Nurse Managers and interdisciplinary team members.
• Care Planning Participation - Contribute to the development and revision of resident care plans as needed.
• Committee & Quality Involvement - Participate in ad hoc committees related to resident care, quality improvement, and employee management.
• Clinical Assessment & Family Communication - Use nursing assessment skills to identify and document significant changes in resident conditions and ensure timely communication with families when appropriate.
• Employee Injury Response - Take appropriate action following staff work-related injuries, including documentation and communication with leadership.
• Resident Grievance Management - Receive, assess, and initiate the investigation of resident grievances, reporting findings and concerns to the Director of Nursing.
• Emergency Preparedness & Drills - Participate in fire drills and lead disaster or evacuation procedures as required.
• Professional Development - Maintain professional competence through ongoing education in nursing practice and management principles.
• In-Service Participation - Attend, participate in and train all required in-services and training sessions.

Qualifications

Current, Registered Nurse (RN) license in the state of practice. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

Bachelors or Associate’s degree or formal preparation equivalent to a four-year degree program and one to three years of relevant prior experience; or an equivalent combination of education and experience. Proven experience in ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry as well as ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Proven experience with medical terminology.

Interactions & Communication

Required to actively persuade and/or direct others toward the achievement of expected outcomes.

Decision Making

This position has authority to make decisions that are consistent with policies and precedents; supervision and managerial directions is available as requested. These decisions directly impact performance at the department-wide level and information is provided with additional research and observations which contributes to the decision making process.

Thinking & Problem Solving

In relation to established procedures, protocols and policies of the County, challenges in this position tend to be diverse, but are typically covered by precedent or established practice. Strong clinical assessment skills (IV insertion, wound care), knowledge of Point Click Care (PCC) electronic health record systems. Excellent decision-making abilities under pressure, strong communication skills, and a, proactive, compassionate, and \"team-first\" attitude.

Certificates, Licenses, Registrations

Wisconsin Registered Nurse License

Active CPR certification

Tools and Equipment Used

Telephone Personal Computer/Printer

Copy Machine Various Medical-Related Devices

FAX Machine Calculator

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly exposed to moving mechanical parts and fumes or airborne particles. The employee is frequently exposed to toxic or caustic chemicals. The employee is occasionally exposed to wet and/or humid conditions, risk of electrical shock, and risk of radiation. The noise level in the work environment is usually moderate.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to constantly use bilateral upper extremities, above/below waist and above/below shoulder height.
• Ability to constantly walk and stand
• Ability to constantly use hands and fingers to manipulate objects or to tend to resident needs.
• Ability to constantly lift and move up to 25 pounds.
• Ability to frequently lift and move up to 75 pounds with aid of provided equipment, or a second person assist.
• Ability to frequently lift, push or pull 50 pounds unassisted with bending and twisting of trunk.
• Ability to communicate to residents using talking and hearing.
• Ability to identify resident care needs through hearing and seeing.
• Must be free from communicable disease.
• \"Constant\" means at least 2/3's of the shift.
• \"Frequent\" means at least 1/3 of the shift.

NEPOTISM OR CONFLICT OF INTEREST COMPLIANCE

A person may not be offered or hold this position if the employment would result in that person being a supervisor or subordinate to an immediate family member. \"Immediate family\" includes the employee's spouse, brother, sister, parents, children, stepchildren, father-in-law, mother-in-law, sister-in-law, brother-in-law, daughter-in-law, son-in-law, and any other member of the employee's household.

A person may not be offered this position if employment would create either an actual conflict of interest or the appearance of a conflict of interest.

HEALTH INSURANCE PORTABILITY ACCOUNTABILITY ACT (HIPAA)

Employees of Lakeland Health Care Center are expected to respect resident’s privacy and provide confidentiality of all Protected Health Information (PHI). HIPAA, the first comprehensive Federal protection for the privacy of personal health information was passed by Congress in 1996 and implemented in April 2003.

Employees will have access to all information that is needed to perform their job, but they shall not have, or seek to gain, access to PHI that is not necessary to perform their job.

Every employee, even one who does not use protected health information in their work duties, is obligated under the provisions of HIPAA. All employees must protect resident privacy and respond to situations that may put a resident’s privacy in jeopardy.

Selection Process

Formal application; rating of education and experience; oral interview and reference check; personal computer skills test; post-offer medical examination. Other job related tests may be required.