A Nurse Manager manages nurses working in a clinical unit at a hospital or health care facility. Provides clinical experience as a registered nurse and supervises nurses that provide direct patient care. Creates and manages staff schedules and ensures that hospital policies and procedures are followed. Manages budget and recordkeeping for the unit.
Position Summary Silver Linings Senior Living is seeking an experienced, organized, and highly dependable RN or LPN to serve as our Clinical Nurse Manager for two small residential senior living homes serving approximately 16 residents. This is not a traditional desk-based Nurse Manager position. We are looking for a nurse who wants to know their residents, be visible in the homes, support caregivers, and take ownership of clinical follow-through. The Clinical Nurse Manager will average approximately 25-30 working hours per week , primarily Monday through Friday, with flexibility based on resident and facility needs. This position also includes designated on-call responsibilities. We are less concerned with rigid daily hours and more concerned with having a nurse who is efficient, thorough, responsive, clinically strong, and able to independently manage their responsibilities. The right nurse will understand that identifying a problem is only the first step—the expectation is to follow the issue through resolution. Schedule & Availability This is a salaried position with a flexible schedule. The Clinical Nurse Manager should expect: Approximately 25-30 working/on-site hours per week Regular presence in both Silver Linings homes Monday through Friday Daily schedule may vary based on resident needs, admissions, training, provider visits, incidents, and other clinical responsibilities Reasonable responsiveness to clinical calls and texts during normal weekday hours when not physically in the homes Participation in designated on-call rotation On-Call Expectations Regular on-call responsibilities include: EVERY Thursday at 7:00 AM through Friday at 5:00 PM Every other weekend: Thursday at 7:00 AM through Monday at 7:00 AM On-call availability is included as part of the salaried position and is separate from the expected 25-30 working hours per week. Actual time spent physically responding to an on-call situation or completing substantial clinical work may count toward weekly working hours. Resident Clinical Oversight The Clinical Nurse Manager is expected to know the residents—not simply know their charts.
Responsibilities include:
Round routinely on residents in both homes Develop relationships with residents and understand their normal baseline Identify and follow up on changes in condition Complete and/or oversee required nursing assessments Complete weekly skin assessments and ensure appropriate follow-up Follow falls, injuries, bruising, skin concerns, wounds, behaviors, infections, medication changes, hospitalizations, and other clinical concerns Ensure new or changing conditions are communicated appropriately to providers and families Follow clinical concerns through resolution rather than simply documenting the initial issue Participate in new resident admissions and clinical assessments Monitor residents returning from the hospital, ER, rehabilitation, or other care settings Coordinate care with hospice and home health when applicable Documentation Strong documentation skills are required for this position.
The Clinical Nurse Manager must:
Complete timely, accurate, and clinically appropriate nursing documentation Clearly document assessments, interventions, provider notifications, new orders, family communication, and follow-up Ensure significant changes in condition are appropriately documented Review staff documentation when necessary and provide education or correction Maintain organized clinical records Ensure clinical issues have appropriate follow-up documentation Maintain confidentiality and follow HIPAA requirements Documentation should be thorough without being unnecessarily time-consuming. The successful candidate must be able to document efficiently while maintaining clinical quality. Medication & Provider Oversight Responsibilities include: Review and follow up on new medication orders Ensure provider orders are accurately implemented Monitor medication changes and resident response Audit MARs and medication-related documentation Identify medication discrepancies and ensure correction Follow up on pharmacy concerns and medication availability Communicate with pharmacy, medical providers, hospice, and home health Monitor PRN medication use when clinically appropriate Assist with narcotic and medication oversight Participate in provider visits and pharmacy reviews as needed New Hire Training & Clinical Competency The Clinical Nurse Manager will oversee the clinical portion of new employee training and competency.
Responsibilities include:
Track new clinical employees through the training process Ensure required clinical orientation is completed Complete or oversee TB testing/questionnaires as required Train staff on resident-specific care needs Train staff on clinical documentation expectations Educate new staff on recognizing and reporting changes in condition Observe and evaluate medication passes for medication aides Complete medication aide competency/sign-off as appropriate Identify employees who require additional training Follow up after orientation to ensure new employees are functioning safely and independently Maintain organized records of clinical training and competencies The Clinical Nurse Manager should be able to clearly answer: Who is currently training, what have they completed, and what do they still need? Staff Education & Clinical Leadership The Clinical Nurse Manager serves as a clinical resource for CNA/CMA staff.
Responsibilities include:
Be approachable and available for clinical questions Provide hands-on education and coaching Observe resident care while rounding through the homes Correct unsafe or inappropriate clinical practices promptly Provide ongoing clinical education Assist with monthly staff education Identify patterns or areas where additional staff education is needed Support caregivers while maintaining appropriate clinical expectations and accountability Wound & Skin Care Wound care experience is strongly preferred and considered a major plus.
Preferred skills include:
Strong skin assessment skills Wound assessment and measurement Identification of pressure injuries and other skin concerns Monitoring wound progression Treatment follow-up Wound documentation Coordinating wound care orders with providers, home health, hospice, or wound specialists Recognizing when additional intervention or escalation is necessary Time Management & Efficiency This position requires excellent time-management skills. Because the Clinical Nurse Manager is given significant flexibility in scheduling, they must be able to: Work independently without constant supervision Prioritize responsibilities appropriately Complete work efficiently Organize multiple clinical follow-ups simultaneously Avoid unnecessary office time Maintain an effective system for tracking outstanding clinical issues Recognize urgent versus routine matters Complete responsibilities without requiring a rigid daily schedule Adjust their schedule when resident needs require additional attention Flexibility and autonomy are important benefits of this position; strong accountability and time efficiency are expected in return. Presence in the Homes This is a hands-on and highly visible leadership position. The Clinical Nurse Manager is expected to spend meaningful time interacting with residents and staff. The expectation is not to arrive, go directly into an office, complete paperwork, and leave.
Routine presence should include:
Walking through both homes Seeing and speaking with residents Checking in with caregivers Observing resident condition Following up personally when staff report concerns Observing the overall clinical environment of each home Administrative work is necessary, but it should not replace hands-on clinical leadership. Communication The Clinical Nurse Manager must communicate professionally and effectively with: Residents Families and DPOAs CNA/CMA staff Management Medical providers Pharmacy Hospice Home health Hospitals and other healthcare partners Significant resident concerns, incidents, medication issues, changes in condition, or other important clinical matters should be communicated to ownership/leadership appropriately.
Qualifications Required:
Current Kansas RN or LPN license in good standing Strong nursing assessment skills Excellent nursing documentation skills Strong organizational and time-management skills Ability to work independently Reliable and responsive communication Strong clinical judgment Ability to prioritize multiple responsibilities Comfortable supervising and educating CNA/CMA staff Comfortable communicating with providers and families Reliable transportation between locations Ability to participate in the required on-call rotation
Preferred:
Assisted living, Home Plus, long-term care, memory care, home health, or similar experience Previous nursing leadership experience Wound care experience Medication management experience Experience training CNA/CMA staff Experience working with hospice and home health Experience caring for residents with dementia What This Position Is NOT The Clinical Nurse Manager is not primarily responsible for: Routine staff scheduling Payroll Grocery ordering Activities General housekeeping management Routine staffing administration Office management duties The primary focus of this role is: Residents. Clinical oversight. Medications. Documentation. Staff clinical training. Follow-through. Our Ideal Nurse Our ideal Clinical Nurse Manager is the nurse who walks into the home and notices when something is different. They know the residents well enough to recognize changes. They listen when caregivers raise concerns. They assess the resident themselves. They communicate with the appropriate provider. They make sure new orders are implemented. They document what happened. They update the appropriate people. And then they follow up to make sure the problem was actually resolved. We are looking for someone who is thorough without being inefficient, independent without being disconnected, and flexible without losing accountability. Most importantly, we want a nurse who genuinely enjoys knowing and caring for the residents they oversee.
