PURPOSE

The House Manager serves as the on-site clinical and operational leader, ensuring safe, efficient, and coordinated patient care across all inpatient units. This role functions as the hospital?s central command for nursing operations, providing real-time decision-making, staffing oversight, and system-wide coordination, particularly during off-shifts when senior and unit leadership are not on-site.

CLINICAL & OPERATIONAL OVERSIGHT

• Leads and coordinates hospital-wide patient care delivery across all inpatient units

• Maintains situational awareness of census, acuity, and high-risk patients through ongoing, proactive rounding

• Ensures continuity and safety of care at all times (24/7 operations)

• Identifies real-time operational and patient care risks during rounding and initiates immediate intervention

STAFFING & RESOURCE MANAGEMENT

• Adjusts staffing based on census, acuity, and skill mix across units

• Deploys float pool and reallocates staff based on direct unit assessment and rounding insights

• Partners with patient placement teams to support admission, transfer, and discharge throughput

• Validates staffing effectiveness and emerging needs through physical presence on inpatient units

ADMINISTRATIVE AUTHORITY

• Functions as the senior decision-maker during off-shift hours including weekends, and holidays

• Interprets and enforces policies, regulatory standards, and escalation pathways

• Communicates with Administrator-on-Call and escalates critical issues

• Maintains visible leadership presence through rounding to ensure adherence and operational consistency

CLINICAL LEADERSHIP & STAFF SUPPORT

• Serves as the highest-level clinical resource and mentor for nursing staff

• Provides guidance in complex or deteriorating patient situations identified through rounding

• Supports frontline teams through coaching, de-escalation, and decision support

FREQUENT UNIT ROUNDING & VISIBILITY

• Conducts frequent, proactive rounding on inpatient units to maintain real-time situational awareness

• Engages directly with frontline staff, charge nurses, and providers to assess unit conditions

• Identifies emerging issues early and intervenes promptly to mitigate risk

• Maintains a consistent, visible leadership presence to ensure accessibility and responsiveness

EMERGENCY & CRISIS MANAGEMENT

• Partners with incident command during emergencies (codes, disasters, mass casualty events and other situations as needed)

• Coordinates hospital response and resource mobilization

• Ensures patient and staff safety during crises

• Maintains leadership presence across affected units to assess conditions and guide response

COMMUNICATION & PROBLEM RESOLUTION

• Serves as the central point of contact for inpatient units, departments, and patients/families

• Resolves conflicts, complaints, and operational barriers in real time

• Proactively identifies concerns through rounding and direct engagement

• Required Educational Requirement (Applicant must meet one of the following):
  • Bachelor's degree in Nursing OR Associates degree or Diploma in Nursing and a Master's degree in Nursing
• Current licensure as a Registered Nurse in the state of Michigan is necessary 
• Three (3) years of nursing management or nursing supervisor/charge nurse experience within the last five (5) years 
• Demonstrated leadership skills and ability to perform as a role model to nursing staff 
• Nurse