Senior Nurse Manager, Intensive Care Unit (ICU)

Boston Medical Center (BMC); Boston (MA); On-site; USD 119,000 - 172,000; Full time

Job summary

The ICU Senior Nurse Manager at Boston Medical Center (BMC) provides strategic and operational leadership for a 38-bed, two-unit multidisciplinary ICU, ensuring safe, high-quality, patient-centered care and achievement of departmental goals.

Reporting to the Associate Chief Nursing Officer, this role has 24-hour accountability for the units, guides staffing, budgeting, and regulatory readiness, and partners with interdisciplinary teams to drive improvements and positive patient outcomes.

Qualifications

• Bachelor’s degree in nursing with 6+ years RN experience and 3+ years nurse management in an inpatient setting.
• Current license to practice Nursing in Massachusetts and BLS certification.

Responsibilities

• Oversees daily unit operations to ensure safe, efficient, high-quality patient care.
• Leads workforce management, recruitment, onboarding, and staff development.
• Leads quality, safety, and regulatory readiness initiatives.
• Implements strategic staffing and budget planning.
• Fosters interdisciplinary collaboration and coordinates with physicians and care teams.

Skills

Leadership

Patient flow coordination

Interdisciplinary collaboration

Budget management

Presentation skills

Education

Bachelor’s degree in nursing

6+ years RN experience + 3+ years nurse management

Job description

The ICU Senior Nurse Manager provides strategic and operational leadership for a 38-bed, two-unit multidisciplinary ICU, ensuring safe, high-quality, patient-centered care and achievement of departmental goals. The role has broad accountability for clinical operations, workforce leadership, quality and regulatory performance, staffing, and resource management, while fostering interdisciplinary collaboration and continuous improvement

Reporting to the Associate Chief Nursing Officer (ACNO), the Senior Nurse Manager independently oversees day-to-day operations and nursing personnel, with 24-hour accountability for the units. The role significantly influences patient outcomes, employee engagement, operational effectiveness, and alignment with organizational priorities.

Essential Responsibilities / Duties

• Operational Leadership and Clinical Oversight: Oversees daily unit operations ensuring safe, efficient, and high-quality patient care. Coordinates clinical activities and patient flow in collaboration with the charge nurse to meet patient care needs safely and effectively. Identifies operational, staffing, and patient care concerns proactively and collaborates with leadership and interdisciplinary teams to implement timely solutions. Maintains standards of clinical practice consistent with Nursing Division expectations, regulatory requirements, and evidence-based practice. Oversees care delivery processes to optimize patient outcomes, patient flow, and departmental effectiveness. Serves as a senior clinical resource for complex patient care situations, triage concerns, discharges, etc.
• Workforce Management and Development: Maintains knowledge of labor agreements, personnel policies, and regulatory requirements; partners with Human Resources and Labor Relations teams to address employee issues appropriately. Leads, coaches, and develops staff to foster engagement, accountability, and professional growth. Manages recruitment, onboarding, performance management, and retention initiatives. Partners with nursing education resources to support orientation, competency validation, and ongoing staff development.
• Quality, Safety, and Performance Improvement: Leads quality, patient safety, and regulatory readiness initiatives within the department (e.g., Joint Commission, OSHA, DPH). Monitors quality, risk, patient experience, and operational metrics to identify improvement opportunities and implement corrective actions. Participates in unit-based CQI activities and committees and assists staff in identifying and monitoring the quality indicators that are most pertinent to patient care goals.
• Strategic Staffing and Resource Management: Develops staffing plans aligned with patient acuity, volume trends, and operational needs. Monitors productivity and resource utilization to support efficient operations and fiscal responsibility. Partners with ACNO on budget planning and identifies current and future equipment and capital needs.
• Interdisciplinary and Organizational Collaboration: Partners with physicians, nurse leaders, care management, and interdisciplinary teams to improve care coordination and patient throughput. Represents the Department on committees, task forces, and organizational initiatives. Supports the Medical Center's mission, values, and Nursing Division goals through active leadership participation.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

Job Requirements

REQUIRED EDUCATION AND EXPERIENCE

• Bachelor’s degree in nursing, 6+ years of relevant clinical RN experience and 3+ years of nurse management experience in an inpatient setting or equivalent combination of education and experience.

Preferred Education And Experience

• Masters Degree in Nursing preferred
• Previous nurse management experience in ICU preferred

Certificates, Licenses, Registrations Required

• Current license to practice Nursing in the Commonwealth of Massachusetts
• BLS certification

Certificates, Licenses, Registrations Preferred

• N/A

KNOWLEDGE, SKILLS & ABILITIES (KSAs)

• Strong written and verbal communication skills.
• Strong skills in patient flow coordination, interdisciplinary collaboration and clinical operations
• Ability to effectively manage expense budget as allocated.
• Ability to make formal presentations relative to clinical, operational, educational research and financial issues
• Ability to problem-solve and work collaboratively towards defined patient care outcomes

Compensation Range

$118,500.00- $172,000.00

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.

NOTE

This range is based on Boston-area data, and is subject to modification based on geographic location.

Equal Opportunity Employer/Disabled/Veterans