Acts as the on-site call in (per diem) administrative representative to oversee hospital and nursing daily operations and administrative activities, on behalf of hospital administration, outside of customary business hours. Collaborates with the administrator on-call.  Initiates and coordinates emergency response to critical events and natural disasters. Ensures accessible, appropriate, patient-focused, and cost-effective services. Directs nursing and ancillary services teams to ensure timely, quality care, and safe hospital operations. Collaborates with medical staff to coordinate patient care requirements including the need to transfer patients into or out of the hospital. Develops, implements, and monitors policies and procedures to support organizational goals and business objectives. Evaluates process to improve systems across continuum. Identifies and implements strategies to reduce costs and improve quality of care/services. Serves as role model.

• As a call in (per diem) Supervisor, provides management oversite for nursing and as needed for ancillary departments during off-hours and weekends.


• Communicates goals, objectives, accountabilities, priorities, and authority parameters to assigned staff.


• Provides nursing consultation to unit staff, peers, medical staff and other hospital personnel.


• Acts as on-site administrative representative for Hospital Administration outside of customary business hours.


• Communicates with and reports to Administrator-On-Call issues affecting hospital operations.


• Provides direction and support to ancillary services after hours to ensure quality service and a safe environment for patients and staff.


• Provides direction for Hospital Operations.


• Educates/trains, supervises, counsels, disciplines, and terminates assigned staff as appropriate.


• Responds to all patient and facility emergencies.


• Serves as Incident Commander initially and Operations Manager (or other role as assigned) in the Emergency Operations Center during facility and community emergency situations.


• Observes and/or facilitates direct response to assure resolution and documentation of processes.


• Identifies risk management issues and potential and actual significant events. Initiates proper procedures.


• Communicates with Administrator on Call.


• Communicates with other department or unit managers for follow up or additional action.


• Manages hospital capacity and capability for services at all times. In consultation with Administrator on Call, Institutes and discontinues diversionary status of hospital services, based on immediately available capacity and capability of hospital services as defined.


• Communicates pertinent information at shift reports, to Unit Managers, to the Administrator-on-call, and to other departmental leaders as appropriate.


• Triages and prioritizes patients for admission.


• Assigns admissions in accordance with patient needs.


• Ensures quality patient care according to professional practice guidelines and intervenes as needed including implementing disciplinary/corrective action procedures which may include termination.


• Accepts transferred patients on behalf of hospital considering immediate and anticipated hospital capacity, staffing and service capability.


• Coordinates with transfer service the incoming transfer of patients from other islands. 


• Facilitates and coordinates emergent care and/or provision for safety needs.


• Authorizes mobilization and/or activation of personnel across continuum, as necessary, to facilitate hospital operations, patient care and/or ensure a safe environment.


• Coordinates patient care through sustained interaction with physicians and health care team.


• Advocates for patients and families.


• Serves as Administrative Representative for resolution and documentation of customer service issues. 


• Communicates to appropriate staff for further action.


• Communicates with unit charge nurse and monitors patient care.


• Assesses complex patient care situations collaborating with medical staff in regard to level of care requirements.


• Maintains and applies knowledge of current regulatory standards (e.g., EMTALA, CMS, TJC) and unit specific criteria for appropriate admission, placement, and transfer of patients.


• Reviews, follows and interprets standards, policies and procedures and assists in development.


• Demonstrates fiscal responsibility for operational budget by timely triage, prioritization, and repatriation of patients to provide quality patient care with efficient utilization of material and human resources.


• Orients staff (e.g., charge nurses, coordinators, care managers) to facility operations.


• Monitors and adjusts nursing shift staffing to meet patient needs in conjunction with unit manager or unit charge nurse.


• Adjusts as necessary for change in census and/or patient acuity to maintain qualify and professional care standards and operational budget guidelines. 


• Communicates exceptions to management responsible for department.


• Interprets and enforces department specific policies and procedures.


• Collaborates with physician/hospital leadership and others.


• Assumes 24-hour responsibility for float pool staff.


• Supervises and schedules float pool and call-in staff.


• Promotes flexible scheduling of float and call-in staff in support of all patient care areas to meet patient care needs and staff needs in a fiscally responsible manner.


• Maintains knowledge and skills for safe patient care.


• Completes all mandatory in-services and certification.


• Maintains current awareness of new legislation, regulations, and technical changes as may be applicable to practice.


• Attends and participates in department and unit meetings.


• Actively supports and participates in team projects.


• May perform patient care to the extent necessary to maintain clinical expertise, competency, and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.


• Provides direct patient care on an as needed basis.


• Provides services that are within scope of license and in compliance with all legal, regulatory, and policy requirements relevant to clinical role performed.


• Incorporates the MHS Nursing Vision, Model and Values throughout their Nursing Practice.