Off-Shift Nurse Manager - Rochester General Hospital
About this role
Job Title: Off-Shift Nurse Manager
Department: Nursing Supervisors
Location: Rochester General Hospital
Hours Per Week: 40+
Schedule: Off-Shift
SUMMARY:
The Off-Shift Nurse Manager serves as an extension of unit leadership, providing visible nursing leadership during evenings, nights, weekends, and holidays. This role is focused on staff engagement, quality outcomes, patient experience, and operational excellence—not solely crisis management.
Initially, this position will report directly to the Chief Nursing Officer (CNO), with the reporting structure to be evaluated after 6–9 months to ensure alignment with organizational needs and objectives.
The Off-Shift Nurse Manager serves as the visible nursing leader during evenings, nights, weekends, and holidays, ensuring excellence in patient care through clinical leadership, staff engagement, quality oversight, and operational partnership.
This role promotes a culture of accountability, professional practice, safety, and compassionate care while supporting frontline teams and collaborating closely with House Supervisors to ensure seamless hospital operations.
By strengthening staff retention, engagement, and quality outcomes, the Off-Shift Nurse Manager transforms after-hours leadership from a primarily reactive function into a proactive, strategic leadership presence—providing night and weekend staff with the same level of support, coaching, and engagement available during daytime operations.
RESPONSIBILITIES:
Clinical & Nursing Leadership
Provides nursing leadership across assigned departments
Oversees the Nursing Support Services (NSS) team
Promotes accountability for nursing standards and professional practice
Supports complex clinical situations and escalations
Coaches and develops nursing staff and emerging leaders
Staff Engagement & Development
Conducts purposeful leadership rounding with staff
Provides real-time coaching, recognition, and performance feedback
Mentors charge nurses and future leaders
Addresses concerns proactively before they escalate
Assists with conflict resolution and team development
Reinforces organizational values and expected behaviors
Quality & Patient Safety
Reviews safety events, trends, and Safe Connect reports
Conducts patient safety rounds
Monitors falls, pressure injuries, medication safety, and infection prevention practices
Ensures compliance with regulatory and nursing standards
Follows up on near misses and identifies opportunities for improvement
Reinforces bedside shift report and other evidence-based practices
Patient Experience
Conducts patient and family rounding
Addresses service recovery concerns in real time
Reinforces compassionate care practices
Supports difficult patient and family conversations
Escalates concerns requiring additional leadership intervention
Operational Excellence
Partners with House Supervisors regarding staffing, capacity, and throughput
Supports admissions, transfers, and discharges when barriers arise
Monitors productivity and operational performance
Removes obstacles impacting patient care and team effectiveness
Collaborates with Unit Managers and the Director of Nursing Operations on department initiatives
Leadership & Organizational Support
Serves as the after-hours representative for nursing leadership
Communicates significant events and emerging concerns to nursing leaders and executives
Ensures appropriate handoff and follow-up to day-shift leadership
Participates in leadership huddles and organizational communication efforts
Reinforces organizational culture, engagement, and accountability
Continuous Improvement
Identifies opportunities to improve workflow, efficiency, and patient care delivery
Supports Lean and Performance Improvement initiatives
Audits compliance with nursing standards and operational expectations
Assists with implementation of new programs and initiatives
Collects frontline feedback to inform leadership decision-making
REQUIRED QUALIFICATIONS:
BSN Required
NYS RN License
EDUCATION:
BS: Nursing (Required)LICENSES / CERTIFICATIONS:
BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - NYS Office of ProfessionsNew York State Education Department (NYSED)New York State Education Department (NYSED)PHYSICAL REQUIREMENTS:
Sedentary - Sedentary roles are primarily office-based and require prolonged sitting (67–100% of the workday) with minimal physical effort and lifting limited to under 10 lbs. Fine motor skills are necessary for computer work, writing, and telephone use, supported by clear visual and auditory ability. Cognitive and emotional demands are high due to extended concentration, frequent interruptions, independent decision-making, and information processing. Although physical exposure is low, administrative areas within healthcare environments may occasionally involve contact with infectious agents. Some roles may require flexible hours, TB screening, or a valid driver’s license.For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.
PAY RANGE:
$95,000.00 - $140,000.00CITY:
POSTAL CODE:
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.
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