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RN Unit Manager (Sub Acute)

​Watertown Health Center in Watertown, MA is hiring a full-time RN Unit Manager for the Sub-acute unit. Our full-service team of professionals takes quality care to a superb standard, keeping our residents happy, healthy, and invigorated.


This position has 24 hour accountability and is responsible for the delivery of high quality and cost effective health care while achieving positive clinical outcomes, and patient family and employee satisfaction.  He/She is responsible for the overall operations, integration, coordination and direction of nursing and patient care for the assigned unit.  Additionally he/she is responsible for ensuring that care delivery is consistent with the mission, vision, values and policies and in accordance with accepted standards of practice, state and federal regulations and licensing requirements.  This includes mentoring and educating nurses working with physicians and other medical professionals and serving as a resource to all staff within the unit regarding the quality of services provided.  This professional may also provide direct patient care along with the other unit nurses to maintain current skills.



1. Administrative:

  • Collaborates with the Director of Nursing in maintaining adequate nursing coverage to provide safe nursing care for 24 hours a day, 7 days a week
  • Effectively utilizes existing manpower limiting use of overtime and agency personnel
  • Participates in staff recruitment (assist in the interviewing and selection of nursing personnel)
  • Assesses the work performance of nursing staff as it relates to their job description, unit standards of care and goals of the individual
  • Implements the individual performance improvement plan for staff whose performances does not meet center expectations and when necessary, recommends or initiates disciplinary action
  • Conducts regular staff meetings on each shift and provides updates to DNS
  • Collaborates with other departments to provide timely effective carte consistent with individual’s needs, choices and preferences
  • Promotes a culture of safety to ensure a healthy practice and living environment
  • Participates in center’s nursing committees as requested
  • Participates in meetings to address patient care, survey and or standards of care issues
  • Participates in center meetings such as utilization management, customer at risk care planning, quality improvement
  • Submits requests for the budget
  • Assumes nursing administrative responsibilities of the center for weekend and holiday coverage as requested
  • Stays and works beyond scheduled shift if needed to meet state staffing requirements and or needs of patients

2. Clinical Leadership:

  • Plans, organizes, directs, supervises and evaluates nursing care provided on the unit to achieve clinical and financial outcomes
  • Provides professional guidance and supervision to non-professional unit staff
  • Ensures patient care assignments are consistent with staff competencies, scope of practice and the needs of the patients
  • Ensures timely and accurate compliance of the MDS process and that it reflects the patients plan of care
  • Participates with the interdisciplinary team in developing, implementing and evaluating ways to achieve patient goals and minimize rehospitalizations
  • Contacts attending physician to obtain orders as indicated (admission, change in condition, etc)
  • Ensures that physician orders are followed as prescribed
  • Oversees medication management to ensure adequate supplies and that all medications are handled in accordance
  • Ensures that patients attending physician and family or responsible party are promptly notified of any significant change in the patients’ health condition
  • Creates an environment that is respectful, team oriented and responsive to the concerns of staff, patients and families
  • Ensures communication between licensed nursing staff and C.N.A.’s during and between shifts
  • Participates in shift to shift communication between incoming and outgoing nursing staff
  • Serves as a role model in the delivery of direct patient care using the nursing process
  • Provides patient care when required
  • Ensures discharge planning process is in place and provides consultation as needed
  • Ensures complete and prompt reporting of incidents, accidents and adverse events to Executive Director and Director of Nursing
  • Investigates patient/family complaints and takes appropriate actions to bring to resolution

3. Education:

  • Identifies education needs of the staff and plans with the SDC/ADNS a program to meet needs
  • Evaluates and provides feedback to the SDC/ADNS and to the individual staff member regarding effectiveness of the program
  • Participates in the evaluation of staff competency
  • Demonstrates, teaches and evaluates nursing skills utilized in direct patient care of the units specific patient population
  • Promotes professional development and career opportunities for nursing staff

4. Quality Improvement:

  • Participates in the development, implementation and evaluation of quality improvement activities for the center and or unit as requested
  • Prepares written reports, reviews records and participates in needed data collection as indicated
  • Reviews clinical records of patients with unplanned rehospitalizaitons to identify areas in need of  improvement
  • Ensures that patients accident/incident, adverse event and grievances/concerns are fully documented, investigated, reported and addressed in accordance with the center’s policies and procedures and the federal/state rules and regulations
  • Maintains confidentiality and protects sensitive protected health information at all times
  • Performs other related duties as required



  • Graduate of an accredited school of nursing
  • Associate Degree in Nursing, 3 years of nursing experience
  • Diploma, 3 years of nursing experience
  • BSN, 2 years nursing experience
  • Successful completion of experience in leadership (head nurse, supervisor, etc.)
  • Current licensure by the state board of examiners of nurses in the center’s state
  • This position requires that the employee is able to read, write, speak and understand the spoken English language to ensure the safety and well being of our patients and visitors at the work site when responding to their medical and physical needs



  • Demonstrates leadership, organizational and critical thinking skills
  • Strong interpersonal skills
  • Excellent management skills
  • Ability to work independently, problem solve and make decisions as necessary
  • Basic knowledge of computer use
  • Ability to create a patient centered environment
  • Knowledge of policies and procedures, MDS process, state nurse practice acts, and state and federal regulations
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