Director of Nursing - Administrative Services

Position Summary:

The Director of Nursing – Nursing Administration provides centralized operational leadership for hospital-wide nursing administrative functions. This role oversees House Supervision, staffing infrastructure, centralized nursing resources, specialty programs, and education services to ensure safe, efficient, and compliant operations across all shifts.

This position functions as the system-level operational extension of the CNO, ensuring continuity of leadership, real-time decision-making authority, patient flow optimization, regulatory compliance, and nursing workforce strategy.

CORE ACCOUNTABILITIES

1. House Supervision & Hospital Command Structure

• Direct oversight of Administrative Nursing Supervisors (House Supervisors).
• Establishes operational authority and escalation pathways for:
• Bed control and patient placement
• Capacity management
• Emergency response coordination
• Rapid operational decision-making
• Ensures consistent application of:
• Title 22 staffing ratios
• EMTALA compliance
• Regulatory standards
• Oversees after-hours administrative decision-making structure.
• Develops standardized shift command protocols.

2. Staffing Operations & Workforce Optimization

• Oversees centralized staffing office.
• Directs float pool resource allocation and productivity monitoring.
• Ensures staffing aligns with:
• Census
• Acuity
• Budget targets
• Regulatory ratios
• Monitors labor cost drivers including:
• Overtime
• Registry/agency utilization
• Premium pay
• Implements predictive staffing strategies.

3. Throughput & Capacity Management

• Oversees Discharge Lounge operations to improve bed turnover.
• Collaborates with:
• ED leadership
• Case Management
• Hospitalists
• Leads initiatives to improve:
• Length of stay
• Admission delays
• Transfer efficiency
• Bed turnaround time

4. Specialty Nursing Programs Oversight

Provides executive-level oversight for:

• Wound Care Program
• Dialysis services (in collaboration with Medical Director/vendor)
• Line Team
• ARU nursing (if applicable)

Ensures:

• Documentation compliance
• Performance metrics tracking
• Regulatory readiness
• 
  

5. Nursing Education & Professional Practice

• Oversees Nursing Education department.
• Ensures compliance with:
• Annual competencies
• Skills validation
• Mandatory certifications
• Develops workforce pipeline strategies.
• Supports leadership development pathways.
• Aligns education initiatives with strategic growth plans.

6. Regulatory & Survey Readiness

• Maintains system-level survey readiness.
• Ensures policies and procedures reflect current regulations.
• Oversees hospital-wide compliance related to nursing operations.
• Partners with Quality and Risk on corrective action plans.

7. Financial Stewardship

• Develops and manages budgets for administrative nursing services.
• Analyzes productivity benchmarks.
• Leads cost containment strategies.
• Participates in capital planning for centralized nursing resources.

8. Executive Collaboration

• Serves as operational partner to:
• CNO/ACNO
• COO
• ED Medical Director/ Hospitalist Lead
• Case Management
• Therapy leadership
• Participates in hospital command during emergencies.
• Represents Nursing Administration in executive forums.

JOB QUALIFICATIONS

Minimum Education 

• MSN, MHA, or MBA required
• BSN degree required if graduate degree is MHA or MBA  
• Graduate of an accredited RN Nursing Program.

Preferred Education

• Advanced degree (DNP, FNP, DHA) strongly preferred

Minimum Work Experience and Qualifications 

• Minimum 7 years acute care RN experience
• Minimum 5 years progressive nursing leadership experience
• Prior House Supervisor leadership strongly preferred
• Experience managing centralized staffing operations required

Preferred Work Experience and Qualifications

NE-BC, NEA-BC, CNL, FACHE or equivalent Professional Nursing Leadership Certification from a nationally recognized organization upon hire preferred 

Required Licensure, Certification, Registration or Designation (List any licensure or certification required and specify name of agency.)

• Current CA Registered Nurse license
• American Heart Association BLS Card
• American Heart Association ACLS Card
• NIH Stroke Certification within 30 days of hire
• Current Los Angeles County Fire Card (or must be obtained within 30 days of employment)

• Assault Response Competency (ARC) required (within 30 days of hire)
• NE-BC, NEA-BC, CNL, or FACHE required within 6 months of hire