Position Summary The RN Emergency Department Manager provides clinical, operational, regulatory, and leadership oversight for the Emergency Department within a Critical Access Hospital (CAH). This role is responsible for ensuring safe, high-quality, patient-centered emergency care while maintaining compliance with federal, state, trauma, stroke, and pediatric readiness standards applicable to Minnesota-designated facilities. The ED Manager serves as the hospital's Stroke Coordinator, Trauma Coordinator, and Pediatric Emergency Care Champion (PECC), leading performance improvement initiatives, staff education, regulatory readiness, and interdisciplinary collaboration related to emergency services.

This role includes:

Three (3) 8-hour management/office shifts per week Participation in every 3rd weekend rotation as scheduled The ED Manager functions as a clinical leader, mentor, and resource for nursing staff, EMS partners, providers, and ancillary departments while supporting the mission and strategic goals of the organization. Leadership & Operations

• Provides day-to-day operational oversight of Emergency Department services.
• Ensures the department maintains readiness for all emergency presentations across the lifespan.
• Coordinates staffing, scheduling, workflow, and patient throughput in collaboration with nursing leadership.
• Assists with recruitment, onboarding, orientation, competency validation, coaching, and performance evaluations of ED staff.
• Serves as a clinical resource and role model during direct patient care shifts.
• Promotes evidence-based practice and high-reliability principles within the department.
• Collaborates with EMS, inpatient nursing, laboratory, radiology, respiratory therapy, pharmacy, and medical staff to optimize emergency care delivery.
• Participates in hospital leadership meetings, committees, and emergency preparedness activities.
• Assists in maintaining department policies, procedures, and clinical guidelines consistent with CMS, state, and accrediting standards.

Stroke Program Responsibilities Serves as the hospital Stroke Coordinator and ensures ongoing compliance with Minnesota stroke designation requirements and applicable regulatory standards.

Responsibilities include:

• Coordinates the hospital stroke program and maintains stroke readiness processes.
• Oversees compliance with state stroke designation criteria and evidence-based stroke care standards.
• Monitors stroke metrics including: Door-to-provider times Door-to-CTA times Thrombolytic treatment timelines Transfer timelines Stroke documentation compliance
• Leads stroke case reviews, quality improvement activities, and multidisciplinary performance improvement meetings.
• Coordinates stroke education for staff, patients, and community outreach initiatives.
• Maintains required stroke program documentation and regulatory preparedness.
• Collaborates with tertiary stroke centers and EMS agencies regarding stroke protocols and transfer processes.

Trauma Program Responsibilities Serves as Trauma Coordinator for the hospital's trauma designation program.

Responsibilities include:

• Maintains trauma program compliance with Minnesota state trauma designation requirements.
• Coordinates trauma readiness activities and performance improvement processes.
• Oversees trauma registry data collection, case reviews, and audit processes as applicable.
• Monitors trauma care metrics and opportunities for improvement.
• Facilitates trauma education and competency validation for nursing staff.
• Participates in trauma surveys, designation activities, and regulatory readiness preparation.
• Collaborates with EMS agencies and regional trauma systems to support continuity of trauma care.
• Ensures trauma equipment, supplies, and protocols remain current and compliant.

Pediatric Emergecny Care Champion (PECC) Responsiblities Serves as the Pediatric Emergency Care Champion to support pediatric readiness initiatives within the Emergency Department.

Responsibilities include:

• Promotes pediatric emergency preparedness and evidence-based pediatric care practices.
• Assists with development and review of pediatric emergency policies, procedures, and competencies.
• Coordinates pediatric equipment readiness and medication safety practices.
• Supports pediatric education, mock codes, simulations, and staff competency validation.
• Participates in pediatric readiness assessments and improvement initiatives.
• Collaborates with providers and regional pediatric referral centers regarding pediatric care processes. Quality & Compliance
• Leads departmental quality improvement and patient safety initiatives.
• Assists with data collection, analysis, and reporting for: o CMS quality measures o State reporting requirements o Trauma and stroke metrics o Patient satisfaction indicators o Departmental performance indicators
• Participates in accreditation, survey readiness, and regulatory compliance activities.
• Ensures compliance with: CMS Conditions of Participation Minnesota Department of Health requirements Critical Access Hospital standards EMTALA regulations OSHA and infection prevention standards
• Assists in development and implementation of corrective action plans when needed.

Clinical Responsibilities During scheduled clinical shifts, the

ED Manager:

• Provides direct emergency nursing care to patients across the lifespan.
• Performs patient assessments, triage, stabilization, treatment, and discharge planning.
• Responds to trauma, stroke, cardiac, pediatric, behavioral health, and medical emergencies.
• Functions effectively in high-acuity and rapidly changing clinical situations.
• Participates in code response, stabilization, and interfacility transfer processes.
• Demonstrates competency in emergency equipment and procedures.
• Maintains accurate and timely clinical documentation. Qualifications
• Current Registered Nurse (RN) license in the State of Minnesota.
• Bachelor of Science in Nursing (BSN) required or obtained within agreed-upon timeframe.
• Minimum of three (3) years emergency nursing experience required.
• Current certifications required:

BLS ACLS PALS

TNCC or CALS

• NIH Stroke Scale certification required.
• Demonstrated knowledge of: Emergency nursing standards Trauma and stroke care Critical Access Hospital operations EMTALA regulations Regulatory and accreditation standards
• Strong organizational, communication, leadership, and critical thinking skills. Preferred Qualifications
• Certified Emergency Nurse (CEN) preferred.
• Trauma Coordinator Course completion preferred.
• Experience with rural healthcare and Critical Access Hospital environments preferred.
• Experience with quality improvement and regulatory readiness activities preferred.
• Previous leadership, charge nurse, or supervisory experience preferred. Core Competencies Clinical Excellence Delivers safe, high-quality care Leadership Leads teams and holds accountability Regulatory Compliance Maintains CMS and state compliance Quality Improvement Drives QAPI initiatives Communication Effective interdisciplinary communication Working Conditions and Physical Demands
• Must be able to perform duties independently and use manuals or department guidelines, policies, or procedures for reference. At times may need to troubleshoot to perform duties and must stay within scope of practice.
• Subject to varying and unpredictable situations. Subject to many interruptions.
• Requires intermittent walking, sitting, kneeling, squatting, working with arms above shoulders, lifting 5 to 60 pounds, keyboarding, and performing repetitive movement.
• Occasional standing, bending, stooping, and inability to leave workstation.
• Work is performed indoors.
• Continuously deal with moderate-high detail and deadlines.
• Working conditions include exposure to communicable diseases and exposure to potential allergens and the risk of blood borne diseases; exposed to infection and disease-bearing specimens; infections and contagious diseases; housekeeping/cleaning agents/chemicals.
• Must have acuity of sight, depth perception, field of vision and color vision for reading medical records, computer screens, equipment, and visual assessments.
• Must be able to hear ordinary conversations and be able to differentiate distinctive sounds are required. Equipment Operation
• Ability to handle patient care equipment and help in times of emergencies or staffing crisis.
• Other equipment includes phones, 2-way radio, computer, FAX machine, copier, scanner, and printer. Supervisory Responsibilities
• Assists the DON in PI processes and performance evaluations as indicated.
• Recommends, coordinates, and carries out educational needs for nursing staff.
• Supervises the nursing staff in assigned programs and functions.
• May offer feedback as indicated to nursing staff in reference to assigned programs and functions.
• Provides leadership and supervision to Emergency Department nursing staff and support personnel.

Pay:

$36.77 - $52.00 per hour Expected hours: 36.0 per week

Benefits:

Dental insurance Employee assistance program Employee discount Family leave Flexible schedule Flexible spending account Health insurance Health savings account Life insurance Paid time off Professional development assistance Referral program Retirement plan Vision insurance Wellness program

Work Location:

In person