RN Assistant Nurse Manager, Emergency Services

Overview The Assistant Nurse Manager (ANII) for the UCSDH Hillcrest Emergency Department (ED) supports operational, clinical, and administrative oversight of a high-acuity, Academic Medical Center, Comprehensive Level of Care, geriatric care-accredited ED serving as a base station and integral component of the Level I Trauma Program, Burn Care Program, and multiple specialty programs. The ANII provides leadership to ensure the delivery of safe, evidence-based, patient- and family-centered care to a diverse acute and complex population.

The ANII fosters a culture of clinical excellence, collaboration, accountability, and continuous professional development. Responsibilities

Leadership and Operations

• Assists in managing day-to-day operations of the emergency and emergency inpatient populations, including staffing, throughput, patient flow, and resource utilization.
• Collaborates with the Nurse Manager to maintain compliance with regulatory, accreditation, and institutional standards (e.g., Joint Commission, Title 22, EMTALA, CMS, and Comprehensive Emergency Department requirements).
• Participates in departmental strategic planning, policy development, and process improvement initiatives.
• Serves as a clinical resource and administrative designee.
• Promotes teamwork, effective communication, and interdisciplinary collaboration within the ED, ED Inpatient, Base Hospital Operations partners, and across inpatient units.

Clinical Practice and Quality

• Ensures consistent delivery of high-quality comprehensive patient care aligned with evidence-based practice and organizational standards.
• Responsible for operational metrics such as LWBS (left without being seen), APOT (ambulance patient offload times), door-to-provider times, and disposition to exit.
• Actively involved in quality assurance and quality improvement for patient care metrics such as patient experience, Stroke, SEPSIS, STEMI, Resuscitation, and disaster preparedness.
• Continuously improving employee experience, professional development, and advancement.
• Utilizes LEAN management techniques in improvement projects, root cause analyses, and performance evaluations related to patient safety events.

Education and Professional Development

• Mentors and coaches nursing staff to promote clinical competence, critical thinking, and clinical advancement.
• Collaborates with the Clinical Nurse Educator and academic partners to support student placements, orientation, and continuing education.
• Encourages and models lifelong learning and participation in shared governance.

Human Resources and Fiscal Management

• Assists with staff scheduling, timekeeping, recruitment, retention, and performance evaluations.
• Participates in budget planning and monitors expenditures to ensure cost-effective operations.
• Promotes staff engagement, recognition, and a positive work environment.
• Emergency Preparedness and Base Station Operations:
  Supports base station communication activities and ensures staff competency in EMS coordination, prehospital communication, and disaster response.
• Collaborates with EMS agencies, trauma services, and other departments to maintain readiness for mass casualty and surge events.

Notes

While not required, a cover letter is highly recommended when applying to this position.

Minimum Qualifications

• Registered Nurse (RN) license issued by the state of California.
• BSN required. Will consider candidates who are currently enrolled in a BSN or higher nursing degree program with a commitment to complete within the first two years of appointment.
• Three (3+) or more years of acute care RN experience; two (2) years in either the ED or ED inpatient unit.
• BLS/CPR and ACLS certification at time of hire with commitment to get ART within six (6) months of hire date.
• PALS Certification.
• MICN licensure or commitment to obtain within six (6) months of appointment.
• Critical Clinical Care or Nurse Leader Certification or commitment to complete within six (6) months of hire. (e.g., CEN, CPEN, CCRN, NE-BC, NLC)
• Demonstrated hospital management skills, with progressive expertise in patient care services.
• Demonstrated ability to provide supervision to others.
• Knowledge to manage disaster incidents, sentinel events, and the ability to problem solve with critical thinking skills.
• Excellent written and verbal communication skills.
• Must have decision-making, problem-solving, and prioritizing skills.
• Must be able to work nights, weekends, and holidays as operationally needed.

Preferred Qualifications

• LEAN Certification
• Charge Nurse, leadership and/or supervisory experience.
• Master’s degree in Nursing, Healthcare Administration, or related field (or in progress).
• Experience in a Level I trauma center or academic medical center.

SPECIAL CONDITIONS

• Must be able to work various hours and locations based on business needs.
• Employment is subject to a criminal background check and a pre-employment physical.

Pay Transparency and Other Statements

Pay Transparency Act:
Annual Full Pay Range: $132,600 - $259,800 (will be prorated if the appointment…