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 Leadership certification or completion within one (1) year of accepting this position or when eligible to certify, whichever comes first. Certification is expected to be maintained while in this leadership role. Examples include Certified Nurse Manager and Leader (CNML) or, Nurse Executive (NE-BC). Certifications must be recognized by the Magnet Recognition Program and the American Nurses Credentialing Center (ANCC) 

NOTE: In order to be considered for this position the applicant must have met or will have met all the required qualifications prior to the start date of employment.

RESUME REQUIRED (for both internal & external applicants): 

You must attach a complete and accurate resume to be fully considered for this position.

• Demonstrated experience with in-house supervision 
• Demonstrated experience with patient placement and bed management 
• Ability to work independently and as a member of a team 
• Ability to work under pressure and meet deadlines 
• Ability to motivate others in an individual and group setting 
• Ability to plan, organize and direct the activities of others 
• Ability to multi-task 
• Ability to apply good judgment and to handle confidential materials and situations with sensitivity and discretion 
• Strong analytical, problem solving, conflict resolution and oral and verbal communications skills 
• Excellent interpersonal skills 
• Ability to deal with a diverse group of people in a diplomatic and effective manner 

Hours/Week: 1.0 (40hrs/week)
Shifts/Hours: Nights (8 & 12hr shifts)
NOTE: This position includes weekends and holidays
Location: Central Staffing Resource Department in the University Hospital

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings.  Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally.  Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Job openings are posted for a minimum of seven calendar days.  The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

The University of Michigan is an equal employment opportunity employer.

About University of Michigan - Ann Arbor

A great university is made so by its faculty and staff, and Michigan is recognized as one of the best universities to work for in the country. The Michigan culture is known for engaging faculty and staff in all facets of the university to create a workplace that is vibrant and stimulating.For two consecutive years, the Chronicle of Higher Education has placed U-M in its "Great Colleges to Work For" survey. In particular, the university earns high marks for strong relations between faculty and administrators, a collaborative system of governance, strong pay and benefits, and a healthy work/life balance.

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