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Clinical Nurse Manager Medical Surgical Unit 

Job Title:  Clinical Nurse Manager Medical Surgical Unit

FTE:  Full Time

Department:  Med-Surg

Reports To:  Assistant Chief Nursing Officer

Status:  Non-Bargaining, Exempt


Primary Purpose:  The Clinical Nurse Manager has 24-hour operational accountability for a specific unit/service. As a key member of the multi-disciplinary team ensures that standards for nursing care are adhered to at the unit level. The Clinical Nurse Manager is fully responsible for the unit budget, patient experience and outcomes and staff performance and development. S/He works collaboratively to ensure that commissioning, recruitment, onboarding, orientation, and service activation responsibilities are carried out in accordance with Kahuku Medical Center’s plans and timelines. The Clinical Nurse Manager is professionally accountable to the Chief Nursing Officer.


Essential Duties and Responsibilities:

  1. Ensures all nursing staff work within their scope of practice for licensure in Hawaii.

  2. Implements patient experience and quality plans in their unit.

  3. Ensures that patient care is provided in accordance with established standards of nursing care, accreditation, policies, guidelines, and protocols of KMC and the State of HI.

  4. Plans for resource allocation that meets patient population needs. Ensures staffing ratios and patient assignments are reflective of patient census, acuity, level of education, and capabilities of staff.

  5. Assumes financial responsibility through budget management for the unit to ensure that patient services are provided in a timely, efficient, and effective manner. Balances financial responsibility against safe patient care.

  6. Manages ongoing individual performance appraisals, development plans and professional goals for unit staff members.

  7. Leads, plans, implements, and evaluates the operational care delivery at a unit level. 

  8. Achieves goals and objectives by embracing evidence and research to support transformational changes.

  9. Sets and monitors performance standards against patient outcomes.

  10. Monitors and implements the comprehensive quality and safety program and takes corrective action as required.

  11. Establishes and analyzes areas of improvement through data to prepare necessary reports.

  12. Develops, reviews and revises unit procedures as required.

  13. Leads and participates in organization-wide performance improvement activities and committees as assigned.

  14. Provides support and collaboration with collective bargaining at unit level.

  15. Partners with clinical educators in planning, implementation and evaluation of patient and staff education requirements.

  16. Drives the implementation of patient experience principles, provides service recovery, and identifies and implements continuous improvement opportunities as required.

  17. Monitors and analyzes performance data to ensure that unit KPIs are achieved and identifies opportunities for improvement and implements solutions.

  18. Leads and manages the selection, development, and retention of all staff within the unit.

  19. Serves as a professional and clinical role model for staff and acts as an advocate for patients and their families.

  20. Promotes positive staff morale by building and maintaining relationships.

  21. Ensures clinical practitioner competence and professional nursing credibility.

  22. Deputizes for the Assistant Chief Nursing Officer as required.

  23. Adheres to KMC’s standards as they appear in the Code of Conduct and Conflict of Interest policies.

  24. Adheres to and promotes KMC’s Core Values.

  25. Other duties as assigned.



  • Minimum 5 years of clinical experience including 3+ progressive management experience within the relevant specialty area in an acute care hospital setting

  • Bachelor’s Degree in Nursing or Diploma in Nursing

  • Registered Nurse

  • Current BLS and ACLS certification required


  • Proactive approach to planning

  • Demonstrated ability to cope with rapid and sustained change, competing demands and deadlines

  • Demonstrated ability to develop and maintain effective relationships with a range of stakeholders internally and externally

  • Effective communication and presentation skills and demonstrated ability to present to audiences

  • Empowering and enabling leadership style

  • Effective coordination of resources

  • Familiarity with relevant state, federal, and accrediting agency requirements

  • Knowledge and experience in areas of patient care practices, statistics, communication, and program administration

  • Self-motivated, organized, and detail-oriented

  • Ability to collect, analyze and report data

  • Computer literacy, including Microsoft Office (Word, Excel, and PowerPoint) and ability to obtain, enter and manage data using a computer

  • Ability to facilitate performance improvement initiatives

  • Able to organize and manage time and multiple tasks

  • Adheres to the principles and to the mission of the organization.

Physical, Communication, Mental and Environmental Demands:

  • Prolonged standing and walking

  • Occasional bending, stooping, reaching, pushing, pulling, lifting, and sitting

  • Ability to communicate orally and in writing

  • May be exposed to bodily fluids

  • Must have eyesight and manual agility necessary to perform nursing oversight, staff development and education activities, and computer data entry

The above information has been designed to indicate the general nature and level of work performed by an employee in this classification. It is not to be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required doing this job. Reasonable accommodations are made to enable qualified individuals with disabilities to perform the essential functions of this position.

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