CNM 2 Nurse Manager on Duty / Clinical Site Lead
Job Description
Charter Medical Private Hospital (CMPH) is a 77-bed surgical hospital located on the outskirts of Mullingar with four operating theatres and an endoscopy unit. We provide a wide range of surgical care across multiple specialties and offer 24/7 Stepdown, Minor Injuries, and Rapid Access services in collaboration with the HSE.
We are currently recruiting for a CNM 2 Nurse Manager on Duty / Clinical Site Lead to join our team.
Role Summary
The CNM 2 - Nurse Manager on Duty provides visible clinical and operational leadership across the hospital, The post holder has a key co-ordination role in supporting safe, effective and responsive hospital operations, ensuring appropriate oversight of patient flow, staffing issues, service continuity and the management of emerging clinical or operational concerns.
The role acts as a senior point of contact for nursing and frontline teams, supports decision-making and escalation, and helps ensure that patient care, professional standards, risk management and operational continuity are maintained at all times. The focus of the role is to support safe patient care, timely escalation, effective communication and a consistent standard of operational oversight across the hospital while demonstrating dignity, compassion and respect.
Maintain effective communication with the Patient Services Manager regarding operational pressures, patient flow issues, admissions backlogs, or administrative concerns arising during the shift that fall within the PSM's area of accountability. Ensure that operational matters with an administrative or patient services dimension are escalated to or communicated with the Patient Services Manager (or their nominated cover) as appropriate and in a timely manner.
Key Responsibilities
1. Clinical & Operational Leadership
Provide senior nursing and operational oversight across the hospital during assigned shifts and act as the designated senior nurse in the absence of the Director of Nursing, Assistant Director of Nursing or other senior manager on duty.
Maintain a visible presence across clinical areas, providing support, advice and direction to nursing and other frontline staff in relation to patient care, clinical priorities and day-to-day operational matters.
Co-ordinate hospital activity to support safe and effective patient flow, patient experience, bed usage, discharges, admissions and service continuity.
Support decision-making in relation to staffing deployment, skill mix and short-notice service pressures, escalating issues promptly where required.
Promote adherence to hospital policies, clinical protocols, professional standards and statutory requirements at all times.
Respond to urgent issues arising during the shift and ensure a calm, structured and professional approach to operational or clinical pressures.
Where relevant, provide the Patient Services Manager with shift-level observations on patient flow, access, and administrative performance — either directly or through the established handover and reporting structure — to support ongoing service monitoring and improvement.
Update rosters on Kelio, out of hours , ie sick calls
2. Escalation, Communication & Co-ordination
Act as a key escalation point for clinical and operational concerns arising outside normal management hours or where senior on-site support is limited.
Assess issues as they arise, determine the level of risk, take immediate action within scope, and escalate promptly to the Assistant Director of Nursing, Director of Nursing, medical staff, senior management, maintenance, estates or other relevant personnel as appropriate.
Ensure timely and appropriate escalation of patient deterioration, safeguarding concerns, staffing deficits, incidents, family concerns, infrastructure failures, security issues , patient complaints and any matter with potential impact on patient safety or hospital operations.
Maintain effective communication with nursing teams, consultants, allied health professionals, administration and support services to ensure co-ordinated responses to hospital needs.
Provide clear handover of relevant clinical and operational matters to the next shift and to senior management, Patient Services Manager ensuring continuity and accountability.
Where operational issues relating to patient registration, chart availability, documentation accuracy, or system failures (including Meddbase) arise during the shift, escalate these promptly to the Patient Services Manager.
Support the Patient Services Manager in maintaining admin pathway integrity by flagging any patterns or recurring issues with patient access, documentation, or registration that impact clinical operations.
Ensure that patient identification is carried out in line with hospital policy across all clinical areas during the shift and escalate any concerns regarding non-compliance — including concerns arising in the admissions or administrative process — to the Patient Services Manager and/or DON.
Contribute to service improvement by identifying and communicating recurring operational, patient flow, or administrative issues to the Patient Services Manager, Director of Nursing, and senior management as appropriate
3. Quality, Safety & Risk Management
Support the delivery of safe, high-quality care by ensuring appropriate oversight of patient safety, infection prevention and control, medication management, documentation standards and environmental safety during assigned shifts.
Monitor for risks, incidents, near misses or service concerns and ensure that these are managed in line with hospital policy, including documentation, notification and escalation requirements.
Take appropriate immediate action in response to incidents, emergencies or service disruptions and support follow-through to the relevant manager or team.
Support compliance with HIQA, NMBI, health and safety, fire safety and hospital governance requirements relevant to the role.
Contribute to a culture of vigilance, accountability, learning and professionalism across the nursing service.
Where gaps in administrative or patient services staffing are identified during a shift — including reception, admissions, OPD, medical records, MIU, ward clerk and lab — escalate to the Patient Services Manager or the nominated contact to enable timely resolution.
4. Team Support, Professional Practice & Service Effectiveness
Provide guidance, coaching and practical support to nurses and other staff, particularly in relation to complex situations, prioritisation, professional judgement and standards of care.
Support positive working relationships and effective multidisciplinary teamwork across the hospital.
Contribute to service improvement by identifying recurring operational issues, risks or opportunities and feeding these back to the Director of Nursing and senior management.
Participate in audits, reviews, training, policy implementation and other quality improvement initiatives relevant to the role.
Maintain professional competence, mandatory training and knowledge relevant to the CNM 2 House function and broader hospital operations.
Essential Criteria - Knowledge/Experience
Be registered as a General Nurse on the Register of Nurses maintained by the Nursing and Midwifery Board of Ireland (NMBI) or be entitled to be so registered.
Have a minimum of 5 years’ post registration nursing experience, with significant experience in an acute hospital setting.
Have a minimum of 2 years’ recent nursing management or supervisory experience, ideally at CNM 1 level or equivalent.
Demonstrate strong clinical judgement and the ability to take oversight of hospital operations and nursing services during periods of reduced senior management presence.
Have experience of managing clinical risk, incidents, patient flow, staffing issues and operational escalation in an acute setting.
Demonstrate knowledge of HIQA standards, NMBI requirements, infection prevention and control, health and safety and quality governance processes relevant to hospital practice.
Demonstrate the ability to prioritise, remain composed under pressure and make sound decisions in a fast-paced environment.
Possess strong interpersonal, communication and co-ordination skills, with the ability to work effectively across multidisciplinary teams.
Show commitment to professional standards, patient centred care, service improvement and continuous learning.
A relevant management or leadership qualification is desirable, or a willingness to undertake same.
Skills/ Competencies
Technical and Professional Expertise
Has a command over the technical/ professional skills and knowledge required within their discipline; with particular reference to the way in which these fit into the overall developments within the sector. Demonstrates eagerness to continuously learn in response to a changing environment and new developments.
Leadership & Management
Manages performance to deliver team goals; demonstrates accountability for leading, directing, monitoring and evaluating services. Creates a climate in which people want to do their best. Promotes confidence and positive attitude; influences others to follow a common goal.
Flagging and handover to Patient Services Manager in relation to admin facing issues
Communication & Interpersonal Skills
Speaks and writes clearly, fluently and effectively to both individuals and groups; communicates in a manner that will persuade, convince and influence others, in order to motivate, inspire or encourage them to follow a particular course of action.
Building & Maintaining Relationships
Builds and maintains relationships with a network of people. Recognises the two-way nature of relationships and works to develop mutually beneficial partnerships. Interacts with others in a manner that builds respect and fosters trust.
Patient Centred
Demonstrates eagerness to understand patient needs. Views the patient as central to the delivery of everyday service through consistent understanding, tolerance, care, support and empathy while promoting empowerment, independence and choice.
Commitment to Quality & Risk Management
The ability to focus on understanding stakeholder’s needs and expectations and to respond effectively and efficiently to them. Has a good knowledge of and is committed to offer a quality service through the achievement of goals, accreditation standards, other organisation/department standards and risk management frameworks and guidelines.
Results Driven & Accountable
Focuses on delivering results; always concerned with achieving or surpassing goals and/or recognised standards of performance.
What We Offer
Competitive salary
Sign on Bonus
Full-time, permanent employment contract
Continuous professional development and training opportunities
Supportive, collaborative working environment
Employee Assistance Programme
Opportunities for career progression
Free on-site parking
At Charter Medical Private Hospital, diversity and inclusion are at the heart of our values. We welcome applications from individuals of all backgrounds and ensure equal opportunity in hiring and advancement. Apply for the above role by sending your CV to recruitment@cmph.ie including the job title in the subject.