Nurse Supervisor (Clinical Staff Leader), Stepdown Unit, Full time nights, Clarksville
Vumc · Tennessee
📍 Clarksville, TNvia workdayFirst listed here 2026-09-20
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Discover Vanderbilt Health : With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated. We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region.
Organization:
VCH Step Down
Job Summary:
The Clinical Staff Leader is responsible for overseeing the delivery of safe and effective patient care within the Stepdown Unit. This role provides leadership, staff supervision, and development, ensuring the implementation of policies, resource allocation, and adherence to quality standards. The CSL collaborates with clinical teams to maintain a positive work environment and supports patient care excellence. .
Hours of Position:
Full-time, nights
Stepdown is a 21 bed hardwired telemetry unit that focuses on acutely ill but stable patients requiring closer monitoring. We care for patients with a variety of cardiac, vascular and medical diagnoses with specialized needs such as cardiac arrhythmias, bedside cardioversions, titrated medications, oxygenation management, withdrawal, sepsis, stroke, and post-operative care.
Our staff is dedicated to provide excellent care to our patients. Our environment is challenging, fast-paced, team oriented, and patient and family centered. Our staff is very engaged with problem-solving and identifying ways to improve patient care. They have a desire to continue learning, have strong communication skills, and collaborate with the team to provide excellent patient care.
Daily interdisciplinary rounds include the provider, registered nurse, case manager, and a nurse leader. Each shift begins with a safety huddle to look back and forward 24 hours to review safety and quality concerns.
Ratio 4:1
Certifications: BLS, ACLS, NIH
Orientation: We offer 8-12 week orientation based on nursing experience.
Professionalism: critical thinking, collaboration, multidisciplinary rounding, bedside shift report, shared governance, certifications.
Medical equipment: ECG hardwired, alaris, pca, epidural, Etc02, bladder scanner, bipap, high flow oxygen therapy.
Drips: cardiac, IV fluids, blood products, sedation, TPN
Key Responsibilities:
Provides clinical consultation and support to Stepdown Unit staff, overseeing clinical quality efforts, including audits of protocols and surgical processes.
Collaborates with the Stepdown Manager/Director to maintain quality care standards as required by departmental protocols and regulatory agencies.
Ensures availability and readiness of supplies, equipment, and stock; addresses equipment needs, failures, or inventory issues to minimize disruptions in patient care.
Supports the professional development of staff by identifying learning needs, collaborating with the preceptor team and clinical educator, and assisting with orientation and ongoing training.
Assists primary physicians in performing procedures, preparing equipment, reviewing patient history, and providing first-assist support during procedures.
Ensures complete, accurate, and timely post-procedure data documentation in alignment with Stepdown Unit and hospital protocols.
Supervises, trains and oversees departmental staff.
Schedules employees to ensure effective use of resources. Consults with Manager or Director on staffing issues.
Assists with and contributes to performance evaluations and goal setting.
Assists in managing departmental budget ensuring cost-effective operations while maintain high quality service.
Monitors expenditures, ensuring cost-effective delivery of services.
May contribute to evaluation and implementation of new technologies to enhance operational efficiency.
May contribute to development of departmental policies, procedures and protocols.
Ensures compliance with all relevant regulatory bodies.
May participate in audits, inspections and accreditation processes as applicable.
Follows established quality control practices to ensure accuracy, consistency and safety.
Works closely with leadership teams to coordinate and improve service delivery.
Stays up-to-date with industry advancements, new technologies, and regulatory changes.
May work in a staff role, when required. Ensures that duties and responsibilities are fulfilled while meeting all competencies established for that job.
The responsibilities listed are a general overview of the position and additional duties may be assigned.
Technical Capabilities:
Our Nursing Philosophy:
We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center’s mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being.
As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered:
Affordable High Quality Health Plan Options
Dental and /or vision plan
403 (b) retirement plan
Paid Time off (flex PTO)
Tuition Reimbursement and adoption assistance (maximums applied)
Short-Long term disability
Subsidized backup childcare
And many more... Ask us about our current inpatient nursing supplemental Pay Program!
Achieve the Remarkable:
Learn more about VUMC Nursing here .
Core Accountabilities:
* Organizational Impact: Plans and sets day-to-day objectives for the team
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