Registered Nurse Manager-Crisis Services

Registered Nurse Manager – Crisis Services Position Summary

The Registered Nurse Manager provides clinical supervision and guidance to the nursing team to ensure the delivery of safe, evidence-based, trauma-informed psychiatric care across the Psychiatric Emergency Services (PES) and the Crisis Stabilization Unit (CSU). This position plays a key role in maintaining clinical standards of practice, supporting quality improvement initiatives, and ensuring nursing interventions align with regulatory and ethical standards.

The DeKalb Regional Crisis Center provides crisis intervention and stabilization services for adults across three levels of care:

• Psychiatric Emergency Services (PES):
  Rapid intake, triage, and evaluation of walk-ins, law enforcement drop-offs, ER transfers, and involuntary referrals.
• Temporary Observation (Temp Observations): 12–24 hours of monitoring and evaluation for clients needing extended stabilization.
• Crisis Stabilization Unit (CSU): 5–7‑day admissions for psychiatric stabilization and/or withdrawal management, with crisis counseling, medication, and discharge planning.

• Provide direct administrative, operational, and professional oversight of all nursing services within the Psychiatric Emergency Services Unit and the Crisis Stabilization Unit.
• Ensure adherence to nursing standards of practice, scope of practice, organizational policy, and regulatory requirements.
• Ensure safe, effective, and compliant nursing care delivery in a high‑acuity psychiatric crisis environment.
• Oversee nursing workflows including shift coverage, medication administration, monitoring protocols, and nursing documentation standards.
• Ensure nursing services support timely admissions, safe observation, crisis intervention, and continuity of care.

• Maintain appropriate and safe staffing levels for a 24/7 crisis stabilization facility, including nights, weekends, holidays, and periods of increased acuity.
• Ensure continuity of nursing services during inclement weather, disasters, public emergencies, or other critical events, including activation of contingency staffing plans.
• Respond in real time to staffing shortages, call‑outs, or operational disruptions that impact safety or service delivery.
• Always ensure operational readiness to meet community crisis response needs.

• Provide clinical oversight for nursing operations across the Psychiatric Emergency Services (PES) and the Crisis Stabilization Unit (CSU).
• Provide feedback, coaching, and performance evaluation of PES and CSU nurses.
• Support nursing staff development and ensure adherence to nursing standards in a high‑acuity psychiatric emergency setting.
• Review nursing documentation including assessments, medication administration records (MARs), and treatment plans.
• Support nursing staff in the identification and implementation of appropriate nursing interventions for individuals in psychiatric crises.
• Ensure accurate documentation and completion of shift tasks in the electronic health record (EHR).

• Ensure that all clients receive timely assessments, interventions, medications, lab draws, and monitoring physician orders and nursing protocols.
• Manage unit census, bed boards, client room assignments, admissions and discharges for the unit.
• Actively participate in crisis management and behavioral emergency response as Leader of the Behavioral Emergency Response Team (BERT) for the unit.
• Respond to unit needs by adjusting roles or task assignments as needed during the shift.

• Coordinate safety initiatives, quality improvement projects, and compliance activities across behavioral health services.
• Partner with the compliance department in conducting internal audits to assess compliance with policies, procedures, and standards.
• Maintain accurate documentation for audits, regulatory inspections, and continuous quality improvement initiatives.

• Partner with the compliance department in the coordination of nursing in‑service training, nursing documentation standards, nursing emergency protocols, and…