Charge Nurse - Full-time


The Nursing Operations Administrator (NOA) position is responsible for providing operational oversight and leadership throughout the organization. This position is responsible for leadership in unforeseen situations, making timely decisions that directly impact patient care, fostering inter-departmental/inter-professional collaboration, reflecting the mission and values of Nexus Specialty Hospital. The NOA position ensures timely and effective communication and provides clinical guidance in managing patient care, staffing, and interpreting and implementing established policies and procedures. This position creates an environment for the management and delivery of safe patient care. The NOA position demonstrates critical thinking through self-direction, initiative, effective interpersonal skills, and oral/written communications skills.

  • Assigns available personnel, assesses assignments and makes appropriate modifications during the shift as necessary. Plans and coordinates staffing needs for the next shift.
  • Role models interprofessional communication, including active listening and teaching, communicating organizational information, and all aspects of administrative and clinical practice respectfully and positively when interacting with staff.
  • Exhibits fair and consistent leadership skills for effective team dynamics and team-building strategies through problem resolution and coaching. Supports policy adherence and provides disciplinary measures when appropriate. Assists with staff stress management as needed.
  • Assists nursing leadership to improve turnover/retention/employee engagement.
  • Coordinates and expedites the admission/discharge, transfer, and bed control process to optimize patient flow.
  • Oversees the activity in hospital operations during their shift. Manages administrative issues effectively, informs and documents pertinent information to Administrator On Call (AOC), directors, and managers.
  • Troubleshoots problems and/or issues regarding patient/family care, visitors, and facility issues during their shift. Drives service standards and activities to improve patient satisfaction through role modeling and fostering accountability.
  • Monitors and analyzes work methods and staff scheduling and make appropriate adjustments to assure a high level of service quality and cost-effectiveness.
  • Maintains awareness/responsiveness of all emergency codes and disaster preparedness, coordinating when critical situations occur. Role models situational awareness, using teachable moments to improve safety.
  • Participates and/or leads and facilitates department process improvements.
  • Attends daily Flash meeting to facilitate patient progression. Manages bed closures and staffing allocation/cancellations to optimize efficiencies and reduce overtime.
  • Implements strategies to achieve the financial target and staffing needs. Mentors others to do the same through timely documentation of care, optimizing efficiency, minimizing incidental overtime, and other appropriate areas.
  • Serves as a mentor/role model and actively participates in hospital quality, service, and shared governance councils, making recommendations for improvements within and across departments/units, committees, and quality improvement initiatives. Supports change initiatives and adapt to unexpected changes.
  • Seeks opportunities to identify developmental needs of self and staff and takes appropriate action.
  • Performs other duties as assigned.
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Job Requirements


  • Minimum two years leadership experience preferred.
  • Minimum two years’ experience of direct care in ICU setting preferred.
  • Prefer experience in management regarding supervising, managing, and working with a variety of people on an individual and group basis.


  • Demonstrates skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations.
  • Sufficient proficiency in speaking, reading and writing the English language necessary to perform this job’s essential functions, especially with regard to activities impacting patient or employee safety or security.
  • The ability to effectively communicate with patients, physicians, family members, and coworkers is consistent with a customer service focus and application of positive language principles.
  • Demonstrates successful conflict resolution in a timely manner with patients, families, physicians, and other healthcare team members.
  • Demonstrates professionalism and consistently models excellent customer service skills.
  • Ability to work effectively in a fast-paced environment.
  • Demonstrates flexibility and adaptability in the workplace.
  • Demonstrates problem-solving skills to include investigation, identification of cause(s), and corrective action development.

Education Required

  • Bachelor’s degree or higher from an accredited school of nursing preferred.

Additional Information


  • Current licensure to practice as a Registered Nurse in the State of Texas
  • Current Basic Life Support (BLS) & Advanced Cardiac Life Support (ACLS)