Registered Nurse (RN) Nurse Manager - Acute Care

150 Shriners Hospitals for Children; San Francisco (CA); On-site; USD 124,000 - 175,000; Full time

Job summary

Shriners Children’s is seeking a clinical leader to oversee a nursing unit, ensuring safe, high-quality patient care across shifts. The role combines clinical leadership with administrative responsibilities and collaboration with medical and administrative leadership.

The position requires an active RN license, a BSN, and PALS/BLS certifications, with 2 years of supervisory experience in pediatric settings. It offers a comprehensive benefits package and opportunities across SHC facilities.

Qualifications

• BSN Required
• MSN Preferred
• RN license in state of practice – Required
• Pediatric Advanced Life Support (PALS) – Required
• BLS – Required
• 2 Years Supervisory or Health Related Management Experience – Preferred
• Pediatric Experience Preferred

Responsibilities

• Performs professional nursing services as defined by the American Nurses Association and the California Nurse Practice Act.
• Supervises licensed and unlicensed nursing staff and assumes 24 hour responsibility for unit functioning.
• Collaborates with medical, administrative and interdisciplinary leadership to ensure optimal patient care outcomes.
• Monitors department expenditures and participates in budget planning and control measures.
• Leads department training, staff development and performance improvement aligned with Joint Commission standards.

Education

BSN Required

MSN Preferred

Job description

Company Overview

Company Overview Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Please click here to learn more about our locations.

Job Description

Performs professional nursing services as defined by the American Nurses Association and the California Nurse Practice Act. Possesses skills to act both as a clinical leader and resource nurse, as well as an administrative leader assuming 24 hour responsibility for the functioning of the unit. Supervises both licensed and unlicensed nursing staff. Oversees daily nursing practice on an assigned unit to ensure that safe and appropriate care is provided and is responsible for overall management of the unit during all shifts. Collaborates actively with medical, administrative and interdisciplinary leadership staff to ensure optimal patient care outcomes. Participates in the preparation and ongoing monitoring and control of fiscal resources.

Key Responsibilities

• Performs a variety of functions related to the management of department personnel in compliance with organizational and human resources policies and procedures
• Interviews, hires, and recommends termination of employees in accordance with Human Resources policies and procedures and in consultation with the Director
• Communicates job duties to staff in a clear, understandable, and concise manner; plans, directs, and supervises work of assigned staff utilizing positive communications and effective problem solving skills
• Provides consistent input on performance in consultation with Director; to include initial planning/review session, annual performance appraisal, and counseling, if necessary, based on defined criteria and in compliance with Human Resources policies and procedures
• Consults in a timely manner with Director regarding staff performance, problems or concerns which may affect efficient and effective department operations, and hospital-wide issues which may have a direct or indirect effect on department morale
• Delegates appropriate responsibility and authority to staff according to relevant job descriptions and individual capabilities
• Evaluates department staffing/scheduling requirements, taking into account requests for holiday/vacation time; recommends appropriate use of per diem staff
• Coordinates new employee orientation to department within established timeframes
• Acts as a resource to staff; assesses the need for, plans, and coordinates priority educational offerings and skills training for staff
• Performs a variety of administrative functions to coordinate, supervise, and monitor department operations under the direction of the Director
• Communicates in an appropriate and timely manner with Director; seeks input, provides accurate information and makes recommendations for policy and/or practice change
• Monitors, controls, evaluates and reports departmental expenditures for salary, equipment and supplies; reports over/under budget variances and recommends control measures within established timeframes
• Develops annual department operating and capital budget requests with justification and within established timelines
• Works effectively as a member of the Management Team to accomplish hospital organizational goals, develop a strategic plan, develop a positive working relationships with the medical staff, and to develop positive interdepartmental communications regarding department programs and services
• Develops and implements a department Performance Improvement Program in compliance with The Joint Commission standards for hospital accreditation
• Maintains inventory of supplies required to provide services; assures completion of appropriate requisition forms; reviews all purchase requisitions for accuracy and appropriateness prior to approval; consults with Director as specified
• Conducts regularly scheduled staff meetings to explain administrative and department policies, improve communications, to identify and propose resolution of problems and to plan future activities
• Coordinates the implementation of the department volunteer programs in support of Volunteer Services and in compliance with the department volunteer policy and procedure
• Develops, reviews, and revises department policies and procedures, and job descriptions in compliance with regulatory and hospital standards
• Ensures medication-related Patient Care Services Policies are consistent, if applicable
• Leadership Plans safe and efficient nursing care while ensuring optimal patient care by all member of the team
• Coordinates all aspects of patient care provided by a multidisciplinary team
• Accountable for assuring all emergency equipment is available for immediate use and is in working order
• Responsible for assessing patient acuity
• Structures staffing and nurses to patient assignments based on patient acuity and classification and assures that staffing is in compliance with any and all Federal/State regulations
• Demonstrates leadership and management skills to provide direction and a sense of purpose to departmental staff
• Utilizes problem solving skills to independently recognize and define a problem, identifies the resources available to help solve the problem, creates and implements viable solutions, and follows through to ensure the problem is resolved to the satisfaction of all parties
• Demonstrates decision-making skills to independently exercise delegated authority to take action and to recognize when it is appropriate to seek assistance from others when limits of delegated authority have been reached
• Possesses ability to maintain composure, efficiency and a positive customer-service oriented manner during periods of peak workload, with frequent interruptions, or under tight deadlines, or when dealing with challenging customers
• Recommends changes to policies, procedures, and department environment to enhance the department’s ability to provide optimum service to all clients
• Evaluates and takes action to assure clinical competency of nursing staff
• Structures staffing and nurse to patient assignments based on patient acuity and classification

Education

• BSN Required
• MSN Preferred

Experience

• 2 Years Supervisory or Health Related Management Experience – Preferred
• Additional Experience Information Pediatric Experience Preferred

Certifications and Licensures

• RN license in state of practice – Required
• Pediatric Advanced Life Support (PALS) – Required
• BLS – Required

Additional Knowledge and Skills

• Have knowledge and comply with Title 22, OSHA, The Joint Commission requirements, and the SHCNC Mission
• Provide leadership and supervision
• Assess patient care data and formulate appropriate nursing diagnoses
• Supervise or carry out clinical skills related to pediatric, burn, orthopedic and rehabilitation nursing
• Function effectively in a multicultural patient / family / staff environment
• Practice standard precautions
• Communicate effectively in oral and written form
• Adapt to changing patient care environment, including unscheduled admissions and emergency situations
• Utilize performance improvement and research processes
• Apply principles of personnel management
• Appropriately use available resources (personnel, equipment and supplies) to ensure that the patients receive safe and appropriate care

The pay range for this position is $90.08 - $127.17/hour. Compensation is determined based on years of relevant experience and departmental equity.

Every day, we provide innovative, compassionate care and conduct leading research that enhances the quality of life for children and their families. We invite you to explore the many rewarding career paths at Shriners Children's, from clinical and non-clinical positions to education and research opportunities. We’re always looking for driven, compassionate professionals to join our team as nurses, physical therapists, medical assistants, administrative staff and much more. No matter where you're located, you'll find openings at our Shriners Children’s facilities across the U.S., in Canada and Mexico and at our corporate headquarters in Tampa, Florida. Eligible Shriners Children’s employees receive comprehensive benefits packages, including medical, dental and vision insurance, tuition assistance, retirement matching and so much more!