Lead Administrative Nursing Supervisor

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Full Time Management

Salary Range: $92.00 To $107.00 Hourly

Department: Nursing Administration
Reports To: Chief Nursing Officer or Designee
FLSA Status: Non-Exempt
Employment Status: Full-Time, 40 Hours per Week
Schedule: Three 12-hour Administrative Nursing Supervisor Day shifts per week, plus four additional hours to complete administrative duties. Administrative hours include preparation for department meetings, education, coaching, quality follow-up, policy review, schedule development, and support for House Supervisor leadership.

The Lead Administrative Nursing Supervisor is responsible for providing both direct hospital-wide administrative nursing supervision and management oversight of the House Supervisor team. This position serves as the senior nursing leader and administrative representative for hospital operations during assigned shifts, including nights, weekends, holidays, and other periods when department leaders or executive leadership are not physically present.

This role provides leadership for patient flow, staffing coordination, emergency response, regulatory compliance, patient‑care escalation, interdepartmental coordination, and interpretation of hospital policy. In addition, this position provides administrative oversight of the House Supervisor role, including scheduling support, coaching, performance feedback, competency development, policy alignment, documentation review, and standardization of House Supervisor practices. It requires timely on‑site leadership support when urgent operational issues arise.

This position requires advanced clinical judgment, strong operational leadership, knowledge of California nurse staffing requirements, California Title 22, CDPH expectations, CMS Conditions of Participation, Joint Commission standards, hospital policies, and applicable collective bargaining agreement provisions. This position functions as a liaison between executive leadership, nursing staff, physicians, department leaders, patients, families, and external agencies as appropriate.

Additional duties include:
Identifies operational gaps, recurring barriers, and system‑level issues requiring leadership follow‑up. Participates in nursing leadership meetings, staffing meetings, quality reviews, and other administrative forums.

• Current unrestricted California Registered Nurse license in good standing.
• Bachelor of Science in Nursing required.
• Minimum of five years of progressive nursing leadership experience, such as House Supervisor, Nurse Manager, Director, or equivalent hospital‑wide administrative nursing leadership role.
• Current Basic Life Support certification.
• Current Advanced Cardiac Life Support certification.
• Demonstrated experience with hospital‑wide staffing coordination, patient flow, emergency response, and administrative escalation.
• Demonstrated knowledge of California nurse staffing requirements, Title 22, CDPH expectations, CMS, Joint Commission, HIPAA, and hospital nursing standards.
• Ability to work three 12‑hour Administrative House Supervisor shifts plus four additional administrative hours weekly. Must be able to fill in to cover shifts due to sick calls or other unscheduled absences.
• Ability to respond effectively to high‑pressure clinical, staffing, regulatory, and operational situations.

• Advanced clinical judgment and ability to prioritize competing patient care and operational needs.
• Strong knowledge of acute care hospital operations across multiple departments.
• Ability to interpret and apply hospital policies, regulatory standards, staffing requirements, and chain‑of‑command expectations.
• Ability to lead during emergencies, high‑census periods, staffing shortages, patient complaints, physician concerns, and unexpected operational disruptions.
• Strong interpersonal, communication, coaching, conflict‑resolution, and leadership skills.
• Ability to maintain professionalism and confidentiality in sensitive personnel, patient, and organizational matters.
• Ability to analyze staffing patterns, operational barriers, patient flow issues, and quality trends.
• Ability to develop workflows, schedules, education materials, leadership tools, and process‑improvement plans.
• Ability to work collaboratively with nursing leadership, executive leadership, physicians, Human Resources, Quality, Risk Management, Infection Prevention, and ancillary departments.
• Ability to mentor House Supervisors and promote consistent leadership practices across all shifts.
• Ability to use electronic health records, staffing systems, incident reporting systems, scheduling tools, email, and standard office software.