Off-Shift Nurse Manager - Rochester General Hospital

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 operational expectations

Assists with implementation of new programs and initiatives

Collects frontline feedback to inform leadership decision-making

REQUIRED QUALIFICATIONS:

BSN Required

NYS RN License

EDUCATION:

BS: Nursing (Required)

LICENSES / CERTIFICATIONS:

BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - NYS Office of ProfessionsNew York State Education Department (NYSED)New York State Education Department (NYSED)

PHYSICAL REQUIREMENTS:

Sedentary - Sedentary roles are primarily office-based and require prolonged sitting (67–100% of the workday) with minimal physical effort and lifting limited to under 10 lbs. Fine motor skills are necessary for computer work, writing, and telephone use, supported by clear visual and auditory ability. Cognitive and emotional demands are high due to extended concentration, frequent interruptions, independent decision-making, and information processing. Although physical exposure is low, administrative areas within healthcare environments may occasionally involve contact with infectious agents. Some roles may require flexible hours, TB screening, or a valid driver’s license.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

PAY RANGE:

$95,000.00 - $140,000.00

CITY:

Rochester

POSTAL CODE:

14621

The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.