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Nurse Director – Hospital

United States, San Jose · Job Posted January 31, 2026
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Job Description

The Nurse Director is responsible for providing strategic, clinical, and operational leadership across multiple hospital units within a 24/7 care environment. This role oversees patient care delivery, staffing, quality, safety, regulatory compliance, and financial performance while partnering with physicians and cross-functional leaders to ensure high-quality, patient-centred care. The Nurse Director establishes best practices, leads performance improvement initiatives, and ensures optimal resource utilization to meet organizational goals.

Job Responsibility

  • Develops and prepares staff for growth, advancement, and leadership opportunities
  • Builds collaborative internal networks and fosters a culture of continuous learning
  • Oversees recruitment, selection, performance management, coaching, and development of staff
  • Motivates and empowers teams to maintain a highly skilled and engaged workforce
  • Provides guidance for complex decision-making and escalated issues
  • Oversees operations of multiple hospital units, ensuring effective staffing and workflow management
  • Translates organizational strategy into actionable operational plans
  • Sets performance standards, monitors progress, and ensures achievement of business objectives
  • Analyzes costs, forecasts, and resource needs to support operational and financial goals
  • Develops contingency plans and removes barriers to performance
  • Provides clinical oversight and ensures safe, high-quality, standardized patient care
  • Maintains clinical expertise and ensures appropriate delegation aligned with scope of practice
  • Leads investigation and resolution of patient and family concerns
  • Partners with physicians and care teams to optimize care across the continuum
  • Oversees nursing services and patient care delivery in a 24/7 operational environment
  • Ensures compliance with regulatory and legal requirements (Nursing Practice Act, TJC, federal/state regulations)
  • Leads continuous survey readiness, mock audits, and regulatory documentation review
  • Establishes and monitors quality and safety outcomes
  • Drives evidence-based practice and continuous quality improvement initiatives
  • Oversees budget development and financial performance for assigned areas
  • Ensures appropriate utilization of staff, equipment, supplies, and medications
  • Evaluates operational efficiency and implements cost-effective solutions
  • Directs emergency preparedness planning, training, and recovery initiatives
  • Leads strategic improvement projects focused on quality, service, affordability, and efficiency
  • Uses data analysis and performance metrics to monitor and improve outcomes
  • Collaborates with executive leadership on enterprise-wide initiatives

Requirements

  • Minimum 7 years of experience in patient care delivery
  • Bachelor’s degree in Nursing (BSN) and Masters
  • Minimum 7 years of experience in healthcare operations, clinical leadership, or related field
  • Minimum 2 years of experience managing operational or project budgets
  • Minimum 2 years of leadership experience with direct reports
  • Active California Registered Nurse (RN) license (required at hire)
  • Basic Life Support (BLS) certification (required at hire)
  • Knowledge of Patient Safety & Quality Standards
  • Knowledge of Nursing Principles & Evidence-Based Practice
  • Knowledge of Emergency Preparedness & Change Management
  • Knowledge of Business Process Improvement & Financial Acumen
  • Knowledge of Regulatory & Healthcare Compliance
  • Knowledge of Workforce Planning & Employee Development
  • Knowledge of Conflict Resolution & Stakeholder Management
  • Knowledge of Health Information Systems & Microsoft Office

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