Off-Shift Nurse Manager

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…