Assistant Nurse Manager - Neuro Stepdown - Evenings

Company: BJC HealthCare
Location: Saint Louis
Posted on: March 19, 2026

Job Description:

Additional Information About the Role - The Neuro Step-Down Unit at Barnes Jewish Hospital is a specialized care area designed to provide intermediate-level care to patients with neurological conditions who require close monitoring but are stable enough to transition from the Intensive Care Unit (ICU). This unit caters to patients recovering from strokes, brain injuries, neurosurgical procedures, seizures, and other complex neurological conditions. Nurses in the Neuro Step-Down Unit are trained in advanced neurological assessments, monitoring of neuro-specific symptoms, and the use of specialized equipment, such as intracranial pressure monitors and continuous EEG. With a focus on early rehabilitation and recovery, the nursing staff works closely with a multidisciplinary team, including neurologists, neurosurgeons, physical therapists, and speech therapists, to provide comprehensive care that supports patients in regaining function and transitioning to less intensive care settings. - Evenings - BSN Required - No holidays Additional Preferred Requirements - Overview Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center. The Neuroscience Progressive Care Unit (PCU) is a 21 bed unit dedicated to the care of patients in need of specialized nursing care at a critical point in their healthcare journey, where they are at high risk for clinical deterioration. Progressive care, with lower nurse patient ratios, allows for frequent assessment, intervention, treatment and specialized monitoring. The unit cares for pre and postoperative neurosurgical, neuro-medicine and stroke patients with complex needs using a team approach with nurses, charge nurse and patient care techs. Bedside, central monitoring, and remote telemetry are standard for all PCU patients. Many resources are available to nurses on this unit, including: Nurse Practitioners, Nurse Mananger, Assistant Nurse Managers and a Nurse Educator. Additionally this nursing team collaborates with and are supported by a wide array of the multidisciplinary providers, physicians and pharmacists. A specialized orientation is provided to prepare nurses to care for the neuroscience patient as well as training specific to Progressive Care. Ongoing education and professional development is supported and encouraged. Attention to nursing patients with the provision of excellent outcomes is what drives the work on this unit. Preferred Qualifications Role Purpose The Assistant Nurse Manager provides administrative support to Nurse Managers and direct reports. This includes coordinating patient care, performance management of direct reports, equipment purchasing/management, and statistical accumulation. Responsibilities - Manages individual(s) including but not limited to: hires, trains, assigns work, manages & evaluates performance, conducts professional development plans. Ensures that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership. - May participate in the development of departmental staffing, revenue and/or expense budgets and having direct responsibility for adhering to those goals. This includes responding to changes in the business which may affect the ability to achieve the budget goals. - Provides and oversees patient care according to planned interventions with regard to their age and developmental needs to attain the patient's optimal level of wellness and documents according to policy. - Creates and ensures implementation of a collaborative plan of care based on assessment, diagnosis and medical treatment. - May support the review of staff hours worked vs scheduled hours and determine appropriate disposition if variation exists. Perform and approve daily payroll updates. Reconcile time cards, bonus tracking and coding approval. Prepare, coordinate and execute all staff communications; prepare huddle agendas and lead meeting. Determine staffing needs; make nursing assignments as well as assign overtime. Recommend effective annual increases. Interview staff for open positions; evaluate and conduct performance reviews as assigned; draft and issue corrective actions/coaching; follow up regarding any disciplinary action to determine compliance. - Responsible for staff productivity and the overall operational goals of the department as established by department leadership. Conducts performance evaluations and makes recommendations on areas of improvement if needed. - BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. Minimum Requirements Education - Bachelor's Degree - Nursing Experience - 2-5 years Supervisor Experience - No Experience Licenses & Certifications - RN Preferred Requirements Experience - 5-10 years Supervisor Experience - Benefits and Legal Statement BJC Total Rewards At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. - Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date - Disability insurance* paid for by BJC - Annual 4% BJC Automatic Retirement Contribution - 401(k) plan with BJC match - Tuition Assistance available on first day - BJC Institute for Learning and Development - Health Care and Dependent Care Flexible Spending Accounts - Paid Time Off benefit combines vacation, sick days, holidays and personal time - Adoption assistance To learn more, go to our Benefits Summary. *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

Keywords: BJC HealthCare, Florissant , Assistant Nurse Manager - Neuro Stepdown - Evenings, Healthcare , Saint Louis, Missouri