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Unit Director, Cardiovascular/Thoracic/Transplant

University of California - San Francisco
260K
United States, California, San Francisco
505 Parnassus Avenue (Show on map)
May 11, 2026

Job Summary:

Designs and oversees nursing and administrative operations in large and / or multiple patient care areas. Accountable for the overall administrative planning and coordination of the staffing, fiscal and material resources. Assists with the development and implementation of new programs and policies. Direct reports are typically supervisors and managers.

Department Overview:

The Cardiovascular / Thoracic / Transplant Unit, is a 45 -bed inpatient unit. It is primarily a telemetry / step-down unit that also provides continuous pulse oximetry. The unit serves the cardiology, cardiothoracic and vascular patient population. Patients admitted to this unit are usually admitted under the Cardiology, Vascular Surgery, Cardiothoracic Surgery (including the Heart & Lung Transplant) and Thoracic Surgery Services.

A wide range of medical disorders are represented including congestive heart failure, pulmonary hypertension (raised blood pressure in blood vessels supplying the lungs), myocardial infarction (type of heart attack) and arrhythmias (abnormal heart rhythm).

The staff on this unit provide an individualized approach to patient care, emphasizing patient and family education regarding lifestyle changes, diet modifications, and medications.

This is a fast-paced unit involving multiple diagnostic tests & procedures, in addition to a moderately high number of discharges and admissions per day. Because of this, teamwork is crucial to daily operations, and is greatly promoted amongst the staff and other members of the health care team. Among the nurses and physicians, other members of the patient care team include professionals in the areas of social work, pharmacy, dietary, physical therapy (PT), respiratory therapy (RT), speech therapy, occupational therapy, and pastoral care.


% of time Essential Function (Yes/No) Key Responsibilities (To be completed by Supervisor)
Develops and implements operational processes to ensure quality patient care across large departments and / or multiple units
Participates in the development and implementation of patient care practices which meet internal policy, external regulations, and accepted standards across the continuum of care
Partners with leadership across services (e
g
, outpatient, children's, cancer center, etc
) to develop and implement policies and procedures for coordination of care for all patient populations
Represents nursing units within purview, and / or medical center wide on interdisciplinary committees
Addresses a range of patient care topics impacting the medical center and / or health system, such as patient satisfaction levels, quality improvement initiatives, workflow efficiencies and clinical information systems
Provides mentorship / leadership to nurse leaders
Reviews and approves individual leadership / professional development plans, with succession planning needs in mind
Coordinates the resource needs for areas of responsibility, including the review and approval of budgetary recommendations
Prepares and reviews variance analyses of budgeted revenues and expenses
Promotes an environment for collaborative decision making and shared governance across large departments and / or multiple patient care units
Ensures a shared voice in nursing practice and the exchange of ideas to continually improve nursing and patient care outcomes
Responsible for employee recruitment, performance evaluation, progressive discipline and staff development
Instills strong management practices to create a culture of teamwork, collaboration, and timely achievement of goals and objectives
Works with clinical educators and leadership to evaluate core competencies in nursing care for units
Collaborates with IT managers to develop and implement new or improved patient care information systems and coordinates efforts across large and / or multiple units
Collaborates with subordinate management to recommend and maintain adequate staffing levels, Advises senior leaders of administrative and nursing issues, the needs of individual units, and resolution of these matters
Designs and coordinates a patient flow system
Works collaboratively with labor relations on bargaining unit issues and contract negotiations at the local level
Facilitates and oversees resolution of human resources, labor relations, employee safety and risk management issues

Minimum Requirements:

  • Bachelor's Degree or Master's Degree in Nursing required
  • Registered Nurse in the State of California
  • BLS by American Heart Association
  • Advanced Cardiovascular Life Support (ACLS) certification
  • Current assistant nurse manager or above in an adult nursing inpatient area with at least a minimum of three (3) years progressive inpatient nursing leadership experience
  • Progressive leadership experience must be in a Transitional Care/Stepdown or Critical Care unit in an academic medical center or highly matrixed organization
  • Strong hospital management experience, with progressive and in-depth expertise in patient care services
  • Knowledge of hospital / clinic operations in a hospital or medical center setting; knowledge of appropriate professional standards for the department and team
  • Strong knowledge of relevant healthcare information technology and patient care workflows and processes in complex cardiac care, for example open heart surgery, heart/lung transplant
  • Strong knowledge of relevant regulatory requirements, as well as related legislative, accreditation, licensing and compliance environments
  • Excellent communications and interpersonal skills to foster and promote an environment for effective communication and collaborative decision making across multiple units and disciplines
  • Excellent leadership, fiscal and operations management skills, with the ability to collaborate effectively with physicians, management and staff from all disciplines
  • Ability to create and maintain a goal-oriented climate of teamwork, collaboration and consistent achievement of objectives

Preferred Qualifications:

  • Master's Degree in Nursing or relevant area preferred
  • ANCC RN specialty certification in Nurse Executive or Nurse Executive-Advanced


Minimum Requirements:

  • Bachelor's Degree or Master's Degree in Nursing required
  • Registered Nurse in the State of California
  • BLS by American Heart Association
  • Advanced Cardiovascular Life Support (ACLS) certification
  • Current assistant nurse manager or above in an adult nursing inpatient area with at least a minimum of three (3) years progressive inpatient nursing leadership experience
  • Progressive leadership experience must be in a Transitional Care/Stepdown or Critical Care unit in an academic medical center or highly matrixed organization
  • Strong hospital management experience, with progressive and in-depth expertise in patient care services
  • Knowledge of hospital / clinic operations in a hospital or medical center setting; knowledge of appropriate professional standards for the department and team
  • Strong knowledge of relevant healthcare information technology and patient care workflows and processes in complex cardiac care, for example open heart surgery, heart/lung transplant
  • Strong knowledge of relevant regulatory requirements, as well as related legislative, accreditation, licensing and compliance environments
  • Excellent communications and interpersonal skills to foster and promote an environment for effective communication and collaborative decision making across multiple units and disciplines
  • Excellent leadership, fiscal and operations management skills, with the ability to collaborate effectively with physicians, management and staff from all disciplines
  • Ability to create and maintain a goal-oriented climate of teamwork, collaboration and consistent achievement of objectives

Preferred Qualifications:

  • Master's Degree in Nursing or relevant area preferred
  • ANCC RN specialty certification in Nurse Executive or Nurse Executive-Advanced
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