House Supervisor RN

(Full-Time NOC)

About Us:
Sonoma Specialty Hospital, as the county’s only Long-Term Acute Care Hospital, is dedicated to caring for patients that require an extended acute care stay due to severe illness or catastrophic injury. We accept patients from the ICU, Step-Down and Telemetry units of partner hospitals and continue their care for as long as 45 days. This care focuses on the challenges of getting patients off of ventilator support, healing severe wounds, aiding their recovery following surgical procedures, and providing rehabilitation to speed their return to daily life. Our Hospital provides ICU, Surgical, and Step-Down care with dialysis, multi-specialty therapies and ongoing planning for the patient’s transition back home or into a lower level of care. Please contact us with any questions, and welcome to Sonoma Specialty Hospital.

Job Summary:

The RN, House Supervisor is responsible for managing and supervising the delivery of safe, effective patient care, ensuring the quality of nursing practice, and maintaining clinical nursing practice skills and unit specific expertise. Assigns duties and functions to staff based on their relative skills, training, and abilities. Directly supervises Charge Nurses, staff RNs, LVNs, CNAs, and PCT’s and is responsible for ensuring that all team members perform their respective duties per Hospital policy and standards of care. In addition, responsible for all departments and operations of the facility in the absence of hospital administration. Specific duties include evaluating, coaching, counseling, and disciplining of employees; directing patient care activities; implementing staffing plans for shift based on patient acuity, patient census, and available staff; implementing workplace changes; and participating in performance improvement projects. Serves as a role model and clinical resource to colleagues, staff, patients, and others.

Essential Functions:

• Supervises all clinical operations by making rounds regularly. 


• Assesses routine and non-routine conditions of patients through the identification of symptoms and behavioral changes, reviewing histories of physiological/psychological, cultural information, reviewing medical data such as medical history, physical exams, plan of care, etc. 


• Works with staff in unusual cases to develop a prioritized interdisciplinary plan of care. Assists staff to revise the plan of care to meet the changing needs of patients, making appropriate referrals, i.e. dietary, etc. 


• Responds to all acute unit codes. 


• Attends to medical emergencies. 


• Works with other area supervisors when needed to provide advice or assistance.


• Facilitates hospital throughput including providing resources, managing bed placement, and patient transfers/discharges. Coordinates huddles as needed. 


• Participates in discharge planning with patients, physicians, social workers, patient education, utilization review, and other personnel as appropriate.


• Assists with orientation and training of registry/traveler staff, new and existing employees, and works with Clinical Educator to conduct classes to educate and lead people to a higher level of performance. Assisting them in learning department routines, policies, and procedures, etc. 


• May take patient assignment if needed


• Provide lunch relief to staff.


• Assist with introductory and annual performance evaluations for nursing staff.  


• Supervises the quality and effectiveness of patient care delivered throughout Sonoma Specialty Hospital using such methods as; direct observation, rounds, reviewing reports, checking documentation in the medical record, exerting influence, and giving direction to employees as needed. 


• Ensures compliance of the team with applicable federal, state, local laws, rules, and regulations. Established departmental policies and procedures changes as needed. 

Essential Functions Continued:

• Responsible for the maintenance of all policy and procedure, safety logs, regulatory logs.


• Maintains and adjusts team-nursing model to meet patient needs, while observing regulatory mandates, budget guidelines, and needs throughout the hospital.


• Evaluates employee, patient, family, and physician complaints. Responds courteously and promptly and resolves problems within the scope of delegated authority, consulting with nursing administration as required. 


• In the review of patient conditions, works with patients, family, physicians, and healthcare team members to maintain standards of acceptable quality care.


• Interacts effectively and cooperatively with Directors, Chiefs, physicians, and staff making recommendations and system changes appropriately.


• Manages daily staff schedules and employee call-outs.


• Required attendance at meetings.


• Performs other job-related duties as assigned.

Education, Training and Licenses:

• California Registered Nurse License, required.


• BLS and ACLS Certifications, required.


• BSN/MSN preferred


• CCRN preferred

Experience Required:

• Prior experience in supervisory role and/or management


• Positive interpersonal communication skills


• Current on scope of practice


• Competent in basic computer skills

Knowledge/Skills/Abilities:

Competent/knowledgeable ACLS procedures, cardiac & hemodynamic monitoring.

Equipment Knowledge Required:

Hemodynamic monitors, cardiac monitors, pacemakers, defibrillators, IV Skills, Doppler, NIBP, oximetry. Competency with the electronic documentation system must be obtained within 30 days of hire with full proficiency by 90 days of hire.

Working Conditions (Noise, Environmental, Demands, Shift, Setting, Human Interface, etc.):

Able to work in a fast paced moderately noisy environment. Ability to keep positive working relations with physician, patient, family, ancillary staff during crisis conditions. Priority settings and rapid assessment.

Safety Requirements:

Employees are responsible for all aspects of the hospital safety and health program including compliance with safety rules and regulations, remedying unsafe working conditions, and for continuously practicing safety while performing duties. Sonoma Specialty Hospital policy prohibits employees with patient contact or those who prepare products for patient use from wearing artificial nails. 

Physical Requirements: While performing the duties of this job, the position is frequently required to do the following:

• Stoop, kneel, crouch, reach, and stand for sustained period of time.


• Walk, push, pull, lift, carry objects from a lower to higher position or horizontally from position to position or otherwise move objects.


• Feel sizes, shapes, temperatures, and textures by touching with skin, particularly that of the fingertips.


• Express or exchange ideas orally and potentially loudly, accurately, or quickly.


• Exert up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently.


• Minimum standard of visual acuity with or without correction.


• While worker may possibly be subjected to temperature changes, the worker is generally not substantially exposed to adverse environmental conditions as the work is predominantly inside.

Supervisory Requirements (if applicable):

This position may supervise nursing and administrative support staff in the absence of Director of Clinical Services.

Equipment Knowledge Required:

Ability to understand functions of machines utilized in assigned departments for product evaluation and purchase. Ability to use office equipment with dexterity and A.V. equipment. Competency with the electronic documentation system must be obtained within 30 days of hire with full proficiency by 90 days of hire.

It is the policy of Sonoma Specialty Hospital not to discriminate against any applicant for employment, or any employee because of age, color, sex, disability, national origin, race, religion, or veteran status.