Job Summary: Acts as the on-site administrative designee for the entire facility for off-shifts and weekends. Manages all the patient care departments, ensuring appropriate quality of care and compliance with regulations. Essential Responsibilities: Manages the off-hours and weekend patient care activities. Ensures staff provides the highest quality of care and are in compliance with the Nurse Practice Act, The Joint Commission, federal, state, and local requirements. Coordinates and monitors staffing for all shifts and maintains appropriate staffing levels and skill mix. Participates in developing, reviewing, and updating departmental policies and procedures. Identifies and implements best practices to provide improved quality care and services. Assess and monitors clinical nursing practice for optimal patient care. Designs and evaluates processes to improve systems and patient care results across the continuum. Follows-up on all clinical issues. Monitors quality of care delivered, ensuring it meets age-related and developmental needs of patients. Supervises staff, assesses their needs and identifies educational opportunities. Collaborates with all departments throughout the medical center. Acts as patient advocate. Assists in developing, monitoring and maintaining the budget. Identifies and recommends opportunities to reduce costs. Manages and resolves human resource, employee and department safety, and risk management issues. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.