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In May 2022, we proudly announced our new brand: ECU Health.

Rebranding changes continue to unfold on our Careers website as we update the Talent Acquisition portals housed within. Throughout this process and into the future we remain committed to the communities we proudly serve. We’re excited for what it means for the future of health care in eastern North Carolina and for the incredible team members who are helping to make it happen.

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Nurse Manager (RN) - Medical Step Down, Patient Care

Job ID: 963266
Facility: ECU Health North
Dept: Medical Step Down Unit
Location: Roanoke Rapids, NC
FT/PT: Full-Time
Shift: Not Applicable
Reg/Temp: Regular
Date Posted: Oct 11, 2023

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Job Description

ECU Health

About ECU Health North Hospital

ECU Health North Hospital is a Joint Commission-accredited, 204-bed acute bed facility serving Halifax, Northampton and Warren counties in the north-central region of North Carolina. Its service area also reaches into southern Virginia. With more than 600 team members, the hospital offers a broad range of medical and surgical services. It features a 24-hour emergency department and offers advanced diagnostics as well as specialty and primary care.

ECU Health

About ECU Health

ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.

The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children’s Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.

Position Summary

Up to $30K Commitment Incentive 

The nurse manager practices in the framework of the mission, vision and values of ECU Health and maintains 24-hour accountability for unit operations. The manager is a clinical leader with focus on producing excellent patient outcomes, patient and family engagement, workforce management/ development and clinical efficiency. The nurse manager is the front line leader who partners with physicians and manages staff and resources to promote safe, timely, efficient, effective and patient focused unit operations.


Key responsibilities 1 -4 constitutes presence where the leader connects to the activities of the front line for their area of responsibility.  This requires a minimum of 50% of the Nurse Manager's time.

1.  Produce excellent patient outcomes.

Participates in daily unit safety huddle and assures that a safety huddle is conducted at each change of shift.

Develops and implements an effective ongoing program to measure, assess and improve quality of care and patient safety. Trends quality and patient safety outcomes and process measures.  Leads improvement efforts based on data.

Reviews and follows up on safety intelligence data.

Coaches and develops unit based teams to achieve top quartile performance amongst peer comparisons.

Builds staff accountability for nursing practice expectations including bundle compliance, return to care practices (Bedside Shift Report, Hourly rounding and use of the communication Boards) and adoption of best practice and evidence based protocols.  Assures that we deliver care according to the VMC standard.

Identifies variances in expected performance and implements plans to address variances.

Ensures formulation and implementation of unit based interdisciplinary and multidisciplinary teams.

Supports innovation and research to improve patient care.

2.  Develop a strong and engaged workforce.

Is approachable and provides staff with an environment that supports their respective professional practice, health and well-being. 
Accountable for the selection of unit personnel using the peer interview process.

Assures appropriate orientation for new staff, and provides individual feedback on staff development and progress.

Implements an effective peer review process for assessment of all unit personnel.

Is fair and consistent in management decision making.

Creates non-punitive culture that supports patient safety.

Encourages, mentors and coaches staff in advancing innovation using research and evidence.

Advances professional practice of direct staff through specialty certification and participation in programs and advanced education.

Addresses staff concerns in timely manner. Resolves staff conflict and holds staff accountable for practicing in a safe environment. 

Console and coach staff using just culture processes.

Rounds on patients and families daily.

3.  Produce excellent patient and family engagement.

Collaborates with Office of Patient Family Experience to engage Patient Family Advisors in improvement work and on unit based councils.

Reviews HCAHPS performance and leads improvement efforts to maintain top decile performance in HealthStream database.

Routinely evaluates the quality and appropriateness of unit care delivery by rounding with staff on patients and families and observing teams in action.

4.  Achieve Clinical Efficiency.

Removes barriers that cause inefficient patient flow and throughput in partnership with medical director and case management.

Identifies opportunities for improved efficiency and waste reduction and leads efforts to reduce variation and eliminate waste.

Initiates, monitors and/or participates in clinical care delivery evaluation and performance improvement initiatives.

Uses performance improvement tools to lead process improvement activities within unit.


5.  Leadership - Responsibilities account for 20% of the Nurse Manager's time.

Partnering with unit medical director to develop annual unit goals.

Partnering with unit medical director to lead implementation of action plans to achieve unit goals.

Conducting staff performance evaluations.

Using legal and organizational requirements in decisions related to personnel management.

Maintaining accurate and current personnel records.


6.  Unit Staffing - Responsibilities account for 10% of the Nurse Manager's time.

Responsible for creating and maintaining the unit staff schedule.

Being accountable for using workload data to justify and adjust staffing needs.


7.  Finance - Responsibilities account for 10% of the Nurse Manager's time.

Leading unit activities that support the institutional financial plan, including performance improvement and Lean initiatives. 

Partnering with Administrator in development of budget to ensure appropriate resources to meet patient demand.

Contributing to financial variance analysis and collaborating with Administrator and staff to identify and remove waste.

Stretch assignments including special projects


8.  Professional Development - Responsibilities account for 10% of the Nurse Manager's time.

Developing a personal professional development plan and assuming responsibility for personal clinical competence and continuing education including maintenance of professional credentials.

Minimum Requirements

Bachelor's Degree or higher
Licensure/Registration/Certification: License as a Registered Nurse, must maintain licensure with the North Carolina Board of Nursing.
Three to four years related experience

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

Contact Information

For additional information, please contact:

Alexander Williams, Talent Acquisition Consultant

ECU Health Talent Acquisition




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