Charge Nurse (RN) - Clinical Operations & Accountability Lead

Job Description

Charge Nurse (RN) – Clinical Operations & Accountability Lead

Company: Madison Medical

Location: Madison, NJ

Salary: $102,000–$110,000 per year

Job Type: Full-Time (Rotating Weekends Required)

Work Schedule (Required)

This role follows the clinical schedule used across our care team. As the senior operational leader on-site during assigned shifts, reliability, punctuality, and consistency are non-negotiable.

Schedule includes:

• Monday: 8:15 AM – 5:00 PM
• Tuesday: 7:00 AM – 3:00 PM
• Wednesday: 8:15 AM – 5:00 PM
• Thursday: Rotating shifts — 7:00 AM–3:00 PM or 10:00 AM–6:00 PM
• Friday: 7:00 AM – 1:00 PM
• Saturday/Sunday: 8:30 AM – 1:00 PM (rotating weekends)

Candidates must be available for rotating weekend shifts.

About Madison Medical

Madison Medical is a physician-led, multidisciplinary practice built on exceptionally high clinical and operational standards. Our model requires strong, visible leadership on the floor to ensure professionalism, consistency, and accountability across all members of the care team.

The Charge Nurse plays a critical role in upholding standards, maintaining control of the clinical environment, and protecting staff and patient care in real time.

Position Summary

The Charge Nurse (RN) serves as the senior clinical and operational authority on-site during assigned shifts. This role is responsible for unit oversight, staff accountability, behavioral standards, and immediate issue resolution, while also providing direct patient care as needed.

This position is designed for a highly experienced, confident nurse with a commanding and composed presence—someone who is comfortable setting boundaries, addressing inappropriate behavior immediately, and maintaining order in a fast-paced clinical environment.

The Charge Nurse works closely with the Nursing Manager, Medical Providers and Human Resources, addressing issues early and decisively to prevent escalation and protect team performance.

Essential Duties

Leadership & Unit Authority

• Serve as the primary on-site authority for clinical operations and professional conduct during assigned shifts
• Establish and maintain a calm, controlled, and efficient clinical environment
• Assign and adjust staffing and responsibilities based on patient volume, acuity, and operational needs
• Ensure strict adherence to clinical protocols, workflows, and organizational standards
• Act as the escalation point for operational or behavioral issues involving staff or providers

Staff Accountability & Performance Management

• Set clear expectations and hold nursing staff accountable for attendance, punctuality, professionalism, and quality of care
• Address performance concerns, boundary issues, and unprofessional behavior immediately and directly
• Provide firm, fair, and consistent corrective guidance
• Accurately document concerns and escalate patterns appropriately
• Serve as a stabilizing presence during high-stress or high-volume situations

Professional Environment & Staff Protection

• Maintain a respectful, safe, and psychologically professional clinical environment by addressing disruptive or inappropriate behavior involving any member of the care team, including providers
• Intervene calmly and decisively during escalated interactions to protect staff, workflow, and patient experience
• Redirect inappropriate behavior and escalate concerns to leadership as necessary

Clinical Responsibilities

• Provide direct patient care as needed, including assessments, injections, IV therapies, and medication administration
• Assist providers across multiple specialties during procedures and patient coordination
• Serve as a clinical resource for complex or sensitive patient situations
• Ensure patient safety, regulatory compliance, and accurate EMR documentation

Collaboration with Leadership & HR

• Collaborate with Nursing Leadership and Human Resources to coordinate staffing and scheduling, address attendance and employee conduct issues, and initiate appropriate corrective actions in accordance with policy
• Address issues early to reduce formal disciplinary escalation
• Communicate concerns clearly, professionally, and consistently

Qualifications

Required

• Active New Jersey Registered Nurse (RN) license in good standing
• Current CPR/BLS certification
• Minimum 5+ years of clinical nursing experience (outpatient or multidisciplinary setting preferred)
• Demonstrated experience in a Charge Nurse, Lead Nurse, or senior clinical leadership role
• Strong command of clinical standards, operational workflows, and professional conduct expectations

Preferred

• Track record of successfully managing difficult conversations and high-accountability environments
• Reputation for being firm, fair, and unflappable
• Strong emotional regulation and decisiveness under pressure
• Clear, authoritative communicator respected by peers and providers

Ideal Candidate Profile

• Brings a seasoned, mature leadership presence to the clinical environment
• Comfortable setting boundaries and enforcing standards without hesitation
• Commands respect through consistency, competence, and calm authority
• Protects staff and workflow without creating unnecessary conflict
• Values structure, accountability, and professionalism over popularity

Benefits

• 401(k)
• Health insurance
• Dental insurance
• Paid time off
• Modern, state-of-the-art clinical setting
• Senior leadership role with meaningful authority and influence
• Work Location

In person — Madison, NJ