RN Assistant Nurse Manager, Emergency Services

Overview

Assistant Nurse Manager (ANII) for the UCSD Hillcrest Emergency Department (ED) provides operational, clinical, and administrative oversight of a high-acuity, Academic Medical Center ED. It serves as a Base station and integral component of the Level I Trauma Program, Burn Care Program, and multiple specialty programs.

The ANII delivers leadership to ensure safe, evidence-based, patient- and family-centered care to a diverse acute and complex population. The role fosters a culture of clinical excellence, collaboration, accountability, and continuous professional development.

• Leadership and Operations
  • Assist in managing day-to-day operations of the emergency and emergency inpatient populations, including staffing, throughput, patient flow, and resource utilization.
  • Collaborate with the Nurse Manager to maintain compliance with regulatory, accreditation, and institutional standards (e.g., Joint Commission, Title 22, EMTALA, CMS, and Comprehensive Emergency Department requirements).
  • Participate in departmental strategic planning, policy development, and process improvement initiatives.
  • Serve as a clinical resource and administrative designee.
  • Promote teamwork, effective communication, and interdisciplinary collaboration within the ED, ED Inpatient, Base Hospital Operations partners, and across inpatient units.
• Clinical Practice and Quality
  • Ensure consistent delivery of high-quality comprehensive patient care aligned with evidence-based practice and organizational standards.
  • Be responsible for operational metrics such as LWBS, APOT, door-to-provider times, and disposition to exit.
  • Actively involved in quality assurance and quality improvement for patient care metrics such as patient experience, Stroke, SEPSIS, STEMI, Resuscitation, and disaster preparedness.
  • Continuously improve employee experience, professional development, and advancement.
  • Utilize LEAN management techniques in improvement projects, root cause analyses, and performance evaluations related to patient safety events.
• Education and Professional Development
  • Mentor and coach nursing staff to promote clinical competence, critical thinking, and clinical advancement.
  • Collaborate with the Clinical Nurse Educator and academic partners to support student placements, orientation, and continuing education.
  • Encourage and model lifelong learning and participation in shared governance.
• Human Resources and Fiscal Management
  • Assist with staff scheduling, timekeeping, recruitment, retention, and performance evaluations.
  • Participate in budget planning and monitor expenditures to ensure cost-effective operations.
  • Promote staff engagement, recognition, and a positive work environment.
• Emergency Preparedness and Base Station Operations
  • Support base station communication activities and ensure staff competency in EMS coordination, prehospital communication, and disaster response.
  • Collaborate with EMS agencies, trauma services, and other departments to maintain readiness for mass casualty and surge events.

• Registered Nurse (RN) license issued by the state of California.
• BSN required. Will consider candidates currently enrolled in a BSN or higher nursing degree program with a commitment to complete within the first two years of appointment.
• Three (3+) or more years of acute care RN experience; two (2) years in either the ED or ED inpatient unit.
• BLS/CPR and ACLS certification at time of hire with commitment to get ART within six (6) months of hire date.
• PALS Certification.
• MICN licensure or commitment to obtain within six (6) months of appointment.
• Critical Clinical Care or Nurse Leader Certification or commitment to complete within six (6) months of hire (e.g., CEN, CPEN, CCRN, NE-BC, NLC).
• Demonstrated hospital management skills, with progressive expertise in patient care services.
• Demonstrated ability to provide supervision to others.
• Knowledge to manage disaster incidents, sentinel events, and the ability to problem solve with critical thinking skills.
• Excellent written and verbal communication skills.
• Decision-making, problem-solving, and prioritizing skills.
• Must be able to work nights, weekends, and…