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Directs administration of hospital facility within authority of governing board. Administers fiscal operations, such as budget planning, accounting, and establishing rates for health care services. Directs and coordinates activities of medical, nursing, and administrative staffs and services. To carry out responsibilities at this level typically requires a graduate degree in hospital administration of business administration.: Directs hiring and training of personnel. Negotiates for improvement of and additions to buildings and equipment. Develops policies and procedures for various establishment activities. May represent establishment at community meetings and promote programs through various news media. May develop or expand programs or services for scientific research, preventive medicine, medical and vocational rehabilitation, and community health and welfare promotion.

Nursing Skilled Nursing Facility Director

Directs administrative and clinical functions provided by a skilled nursing facility or a division of a skilled nursing facility.: This position requires license as a Registered Nurse with five years of clinical nursing experience in a skilled nursing facility. Must be skilled to work with a wide range of staff as part of an interdisciplinary team including physicians, nurses, and ancillary staff. Performs in a leadership capacity for clinical practice, supervision, teaching, and research. Coordinates activities of the nursing specialty units under management with other patient care units. Provides oversight and direction in establishing and maintaining a system for developing, reviewing, approving and disseminating standards of clinical practice. Assists in reviewing and making recommendations on policy issues regarding clinical practice within specific nursing disciplines within the organization. Identifies problem areas in areas of responsibility and takes corrective action. Manages daily operations and budget. Develops and coordinates plans and policies, resources, and goals for the department. Ensures compliance with nursing care standards and applicable laws, regulations, and/or institution rules, standards and guidelines. Hires, trains and motivates a competent nursing staff.

Skilled Nursing Certified Nursing Assistant

Assists nurses by performing various basic care activities related to services essential to caring for the personal needs and comfort of patients in a skilled nursing facility. Provides simple or uncomplicated patient care in a skilled nursing facility by performing the following functions for patients: dressing, grooming, bathing, feeding, toileting, taking vital signs, providing oral care, providing nail care, providing catheter care, answering call lights, assisting patients in wheel chairs, transporting patients, turning bedridden patients, reporting patient changes, filling linens, and taking out trash. This position typically requires completion of an approved Nursing Assistant Certification program.: Assists nurses by performing various basic care activities related to services essential to caring for the personal needs and comfort of patients in a skilled nursing facility. Provides simple or uncomplicated patient care in a skilled nursing facility by performing the following functions for patients: dressing, grooming, bathing, feeding, toileting, taking vital signs, providing oral care, providing nail care, providing catheter care, answering call lights, assisting patients in wheel chairs, transporting patients, turning bedridden patients, reporting patient changes, and filling linens. This position typically requires completion of an approved Nursing Assistant Certification program. Promptly answers patient call bells. Bathes and dresses bed patients, combs hair, and otherwise attends to their comfort and personal appearance. Cleans room and changes bed linen. Takes and records temperature, pulse, and respiration rate. Gives medication as directed by Physician or Nurse and makes notation of amount and time given. Gives enemas, douches, massages, and alcohol rubs. Applies hot and cold compresses and hot water bottles. Sterilizes equipment and supplies, using germicides, sterilizer, or autoclave and assists in maintaining a safe and clean environment. Observes patients for changes in condition or behavior and promptly reports these changes to appropriate licensed nursing personnel. Prepares food trays, feeds patients, and records food and liquid intake and output. May give injections.

Nursing Education Director

Plans, organizes, develops, teaches, and evaluates all in-service and education programs for the nursing staff.: Develops curriculum content and implements improved teaching and nursing techniques. Conducts an annual education needs assessment and completes an annual education calendar. Coordinates hospital-wide educational resources. Coordinates annual mandatory education requirements and facilitates annual competency process for nursing departments. Manages, coordinates and evaluates nursing educational programs. Evaluates nursing education program effectiveness to promote competence. Develops and coordinates the department budget and monitors, analyzes, and responds to budget variances. Allocates fiscal resources and fiscal performance within budgetary parameters. Hires, develops and motivates a qualified nursing education staff. An advanced degree in nursing and at least two years of teaching experience are typically required for this position.

Top Nursing Executive

Directs, through managers, supervisors or head nurses, activities of nursing staff. Administers nursing program in hospital or other medical institution to maintaining standards of patient care. This is the highest level position in patient care.: Plans and organizes activities in nursing services, such as obstetrics, pediatrics, or surgery, or for two or more patient-care units to ensure patient needs are met in accordance with instructions of physician and hospital administrative procedures. Coordinates activities with other patient care units. Advises medical staff, department heads, and hospital administrator in matters related to nursing services. Recommends establishment or revision of policies, and develops organizational structure and standards of performance. Interprets policies and objectives of hospital nursing services to staff and community groups. Performs personnel management functions. Plans and organizes orientation and in-service training for unit staff members, and participates in guidance and educational programs. Assists in formulating budget. Engages in studies and investigations related to improving nursing care. May direct activities of school of nursing.

Nursing Director

Directs or assists in directing activities of nursing staff and activities in nursing services, such as obstetrics, pediatrics, or surgery, or for two or more patient-care units, to ensure patient needs are met in accordance with instructions of physician and hospital administrative procedures. Coordinates activities with other patient care units. Second highest level position in nursing services. May have nursing supervisor or head nurses reporting to this position. Requires RN license along with clinical and supervisory experience. May report to Top Nursing Executive or a similar high-level position.: Consults with Top Nursing Executive on nursing problems and interpretation of hospital policies to ensure patient needs are met. Plans and organizes orientation and in-service training for unit staff members, and participates in guidance and educational programs. Assists in formulating budget. Engages in studies and investigations related to improving nursing care.

Nursing School Director

Provides executive leadership, develops, coordinates and evaluates education programs and operational activities for a School of Nursing. Directs and administers educational program in school of nursing: assists in preparation of budget, and administers program within budgetary limitations. Defines and interprets aims and policies of school. Interviews and appoints faculty and administrative staff. Participates in planning curriculums and schedule of instruction. Participates in establishing qualifications for faculty, staff, and students and in recruiting eligible candidates. Arranges with hospital and other institutions and agencies for students to use their facilities, under faculty supervision, for clinical experience. Maintains student records of educational experience and achievement. May arrange student living accommodations, and social and recreational opportunities. May advise institutions on educational problems.: Provides executive leadership, develops, coordinates and evaluates education programs and operational activities for a School of Nursing. Develops, coordinates and evaluates nursing programs and operations. Determines the effectiveness of operations and ensures compliance with laws, regulations, policies, and procedures. Negotiates and coordinates contractual arrangements and resolution of operational problems. Assists in defining the structure and infrastructure for the school and evaluates effectiveness of support systems. Serves on hospital, nursing education, and nursing organization committees and acts as a liaison to other departments, agencies and schools of nursing to facilitate information sharing, collaborative problem-solving, and adequate provision of support services. Resolves problems encountered by faculty members, students and other personnel. Develops objectives and goals, staffing patterns, annual budgets, operational processes, physical facility requirements, and equipment and supply needs for the School of Nursing. Evaluates the overall effectiveness of educational operations and submits reports to management. Responsible for the professional nursing education program planning process and coordinates professional school program development through appropriate planning, analysis, and development. Evaluates nursing education program effectiveness to promote competence. Reviews student applications for the professional nursing program and participates in the interviewing and selection of students. Participates in planning curriculum content and sequences and oversees the preparation of teaching schedules. Oversees the maintenance of student records. Interacts with community and public interest groups concerning nursing education and promotes positive public relations and understanding of the professional school program. Works with the Board of Nursing to ensure that the School of Nursing remains in compliance with standards for professional excellence. Coordinates the school of nursing budget planning process and monitors, analyzes, and responds to budget variances. May supervise the recruitment of students and recommend tuition and fees.

Nursing Education Manager

Plans, develops, organizes, teaches, conducts, and evaluates a variety of in-service orientation programs and educational programs for clinical personnel to meet competency assessment requirements in conformance with departmental objectives and accreditation standards. Typically requires a bachelor's degree in nursing, with significant clinical nursing experience in a specialty area. Nursing education experience is usually also required.: Coordinates and implements a variety of nursing educational services within the organization. Facilitates needs assessments, creative strategies, and techniques in support of nursing educational service delivery. Plans and evaluates educational programs designed to meet learning needs of nursing staff. Prepares and manages the departmental budget. Hires, develops, and motivates a qualified Nursing Education Department staff. Remains abreast of new developments in education services, methods, and programs and implements application of such developments in the in-service training program. Monitors and assesses the overall effectiveness and outcomes of educational programs and activities. Evaluates academic performance and clinical competency of staff.

Administrative Supervisor Nursing

Manages, administers, and coordinates nursing activities within designated geographic areas during evening and/or night shifts to ensure that activities and programs are consistent with Nursing Department objectives, administrative policies, and clinical practices. Typically requires licensure as a Registered Nurse and five years of management experience in a clinical setting.: Serves as the Administrator on Duty to make administrative decisions and to provide direction and supervision on operational issues for all hospital departments. Establishes and maintains liaison between evening and/or night shift nursing personnel, medical staff, and administrative staff to ensure effective coordination of patient care. Facilitates patient flow and delivery of services. Assists staff members in problem solving, goal setting, and development of strategies for implementation and evaluation of programs and projects. Prepares reports and analyses. Offers recommendations and conclusions on subjects relating to nursing management.

Nursing Supervisor

Supervises, directs, and coordinates, nursing activities and personnel in one or more patient care units. Evaluates nursing activities to ensure patient care, staff relations, and efficiency of service. Observes nursing care and visits patients to ensure that nursing care is carried out as directed and that treatment administered in accordance with physician's instructions. Requires RN license and nursing experience.: Inspects rooms and wards for cleanliness and comfort. Keeps informed of special orders concerning patients. Participates in orientation and training of personnel. Orders, or directs ordering of drugs, solutions, and equipment, and maintains records on narcotics. Investigates and resolves complaints, or refers unusual problems to superior. Participates in training of unit staff.

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