RN House Operations Administrator CRT - Per Diem

nshs; Elmhurst (IL); On-site; USD 91,000 - 141,000; Full time

Job summary

NSHS in Elmhurst Hospital is seeking an RN House Operations Administrator for nights (7pm–7am) to serve as the top clinical and operational leader on duty when senior leadership is not on site. The HOA oversees hospital-wide clinical operations, patient flow, staffing, safety, and emergency response.

The HOA exercises independent judgment, directs teams, allocates resources, and makes real-time decisions to ensure safe, high-quality patient care across units.

Qualifications

• Bachelors Degree in Nursing is required.
• Masters Degree in Nursing is preferred, or an MBA/Health Administration degree.
• Minimum 3 years of progressive nursing experience with at least 2 years in leadership roles.

Responsibilities

• Exercising independent judgment as the house-wide supervisory clinical and operational authority during assigned shifts.
• Provide direction, supervision, coaching, and mentoring to Charge Nurses and Resource Team staff to support safe hospital operations.
• Direct real-time shift-based clinical and operational activity including patient flow, staffing deployment, resource allocation, and issue resolution.
• Mentor staff and provide performance feedback to support continuity of expectations.
• Coordinate with supervisors, HR, and leadership for performance management when needed.
• Keep leadership informed of significant clinical, operational, safety, or staffing situations requiring escalation.
• Support real-time patient placement, transfers, and discharges to optimize capacity and reduce delays.
• Collaborate with central command, ED, and Admitting to ensure efficient patient throughput.
• Serve as final arbiter for complex patient placement decisions based on acuity and resources.
• Conduct rounds to monitor patient acuity and adherence to standards of care.
• Act as primary clinical/administrative authority when senior leadership is absent.

Education

Bachelors Degree Nursing

Masters Degree Nursing

Masters Degree Health Administration

Job description

Hourly Pay Range

$43.69 - $67.72 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

Position Highlights

• RN House Operations Administrator - Central Resource Team
• Elmhurst Hospital
• Per Diem as Needed
• Hours: Nights 7pm-7am

A Brief Overview

The RN House Operations Administrator (HOA) serves as the highest‑level clinical and operational leader on duty during their assigned shift when senior leadership is not on site. The HOA provides hospital‑wide oversight of clinical operations, patient flow, staffing, safety, and emergency response.

Acting in the interest of the organization, the HOA exercises independent judgment and has the authority to interpret and enforce policies, provides direction to team members, direct clinical and operational activity, resolve complex issues, allocate resources, and make real‑time decisions necessary to ensure continuity of safe, high‑quality patient care across all units. The role functions as the central decision‑maker for real‑time operations, support frontline staff, coordinating interdepartmental activity, and maintaining situational awareness of capacity, acuity, and resource needs.

When circumstances require additional review, investigation, formal follow‑up, or action related to a team member's performance, conduct, or employment status, the HOA partners with the appropriate supervisor, department leader, Human Resources, and/or chain of command to ensure matters are addressed through the proper process. The HOA escalates clinical, operational, safety, staffing, or employee‑related concerns to the appropriate leadership chain as needed based on urgency, risk, scope, or organizational policy.

What you will do

• Exercises independent judgment and serves as the house‑wide supervisory clinical and operational authority during assigned shifts when senior leadership is not on site.
• Provides direction, supervision, coaching, and mentoring to Charge Nurses, Resource Team staff, and other clinical and operational team members as needed to support safe and effective hospital operations.
• Directs real‑time shift‑based clinical and operational activity, including patient flow, staffing deployment, resource allocation, issue resolution, and response to emergent or high‑risk situations.
• Manages shift‑based performance in real time, provides coaching and feedback as appropriate, and provides performance feedback upon request or when appropriate to support leader awareness, team member development, and continuity of expectations.
• Partners with the appropriate supervisor, department leader, Human Resources, and/or chain of command when situations require additional review, investigation, formal follow‑up, or performance management action.
• Keeps hospital leadership and the appropriate chain of command informed of significant clinical, operational, staffing, safety, patient experience, or employee‑related situations requiring escalation, follow‑up, or leadership awareness.
• Supports real‑time patient placement, transfers, and discharges to optimize hospital capacity and reduce delays.
• Collaborates with the central command center (Hub)/CMC, Emergency Department, and Admitting to ensure efficient patient throughput.
• Serves as the final arbiter for complex patient placement decisions based on clinical acuity and resource availability.
• Conducts regular rounds across all clinical areas to monitor patient acuity, assess operational needs, and ensure adherence to standards of care.
• Serves as the primary clinical and administrative authority in the absence of senior leadership, making critical decisions to maintain safe operations in partnership with acute care leadership.
• Functions as an expert clinical resource for all staff, providing guidance on complex patient care issues and intervening in high‑risk situations.
• Assesses and adjusts staffing levels across all units in real time based on census, acuity, and skill mix.
• Directs the allocation of resource team, float pool, and agency personnel to address immediate staffing needs.
• Monitors staff assignments to ensure they are appropriate for patient needs and staff competencies.
• Leads the hospital's response to clinical emergencies, including RRTs, Code Blue, and other critical events.
• Conducts safety rounds to identify and mitigate risks, ensuring a safe environment for patients and staff.
• Ensures compliance with all regulatory standards (e.g., The Joint Commission, IDPH) and hospital policies.

What you will need

• Bachelors Degree Nursing Required
• Masters Degree Nursing Preferred Or
• Masters Degree Health Administration Preferred
• 3 Years Minimum of three years of progressive nursing experience, with at least two years in a formal or informal leadership role (e.g., Charge Nurse, Team Lead)