Charge Registered Nurse / Floor Lead in Madison, New Jersey at Madison Medical and Sports Rehabilitation Center

Charge Nurse (RN) – Clinical Operations & Accountability Lead

Madison Medical | Madison, NJ
Full-Time | In-Person | Rotating Weekends Required
Compensation: $102,000 – $110,000 per year

About Madison Medical

Madison Medical is a physician-led, multidisciplinary practice built for the future of healthcare — not the past.

We operate with exceptionally high clinical and operational standards. Our model depends on strong systems, disciplined workflows, and visible leadership on the floor to ensure professionalism, accountability, and seamless patient care.

Technology is not optional here. AI and automation are core operational tools used to reduce friction, protect staff time, and improve clinical decision-making. We believe systems matter more than heroics, and clarity beats chaos.

This is a fast-paced, high-expectation environment. We hire leaders who are adaptable, systems-minded, and comfortable driving accountability.

Position Summary

The Charge Nurse (RN) serves as the senior clinical and operational authority on-site during assigned shifts. This role leads day-to-day floor operations by coordinating staff, managing patient flow, supporting providers, enforcing professional standards, and resolving issues in real time to ensure the clinic runs smoothly from open to close.

This position requires an experienced and confident nurse with a calm but commanding presence. The ideal candidate is decisive, composed under pressure, and comfortable setting boundaries to protect patients, staff, and workflow.

The Charge Nurse partners closely with Nursing Leadership, Medical Providers, and Human Resources to identify issues early, address them directly, and maintain a consistently high-performing clinical environment.

How We Work at Madison Medical

AI and automation are foundational to how we operate.

In this role, you are expected to:

Use AI-enabled systems daily as operational support tools
Follow and enforce documented workflows and SOPs
Validate AI-assisted documentation for accuracy and compliance
Lead through change as systems evolve and improve
Key Responsibilities

Floor Leadership & Operational Control

Serve as the primary on-site authority for clinical operations and professional conduct during assigned shifts
Manage floor flow including staffing coordination, room utilization, patient movement, and provider support
Anticipate operational challenges and resolve issues before escalation
Adjust staffing and workflows in real time based on volume, acuity, delays, and call-outs
Act as the escalation point for clinical, operational, and patient-related concerns
Staff Accountability & Performance Management

Set and enforce expectations for attendance, punctuality, professionalism, and quality of care
Address performance concerns and unprofessional behavior immediately and directly
Provide firm, fair, consistent corrective guidance in the moment
Document issues accurately and escalate patterns appropriately
Maintain a steady leadership presence during high-volume or high-stress periods
Professional Environment & Staff Protection

Maintain a respectful, safe, controlled clinical environment for staff and patients
De-escalate conflicts calmly and decisively when issues arise
Protect staff from inappropriate behavior while maintaining professionalism
Escalate serious or repeated issues to leadership and HR as needed
Clinical Support & Patient Care

Provide direct patient care as needed (assessments, injections, IV therapies, medication administration)
Support providers across multiple specialties with 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

Partner with Nursing Leadership and HR on staffing, scheduling, and conduct concerns
Communicate issues clearly, professionally, and consistently
Contribute to continuous improvement of workflows, systems, and operational standards
Leadership Expectations

All clinical leaders at Madison Medical are expected to:

Engage actively with AI and automation tools
Follow and enforce established workflows and SOPs
Think critically and validate AI outputs
Adapt quickly to evolving systems
Contribute ideas that improve efficiency, accountability, and care delivery
Perfection is not required.
Leadership participation is.

QualificationsRequired

Active New Jersey RN license in good standing
Current CPR/BLS certification
Minimum 5+ years of nursing experience (outpatient or multidisciplinary preferred)
Prior experience as a Charge Nurse, Lead Nurse, or senior clinical leader
Strong command of clinical workflows, standards, and professional conduct expectations
Availability for rotating weekend shifts
Preferred

Proven ability to lead in high-accountability environments
Strong conflict management and communication skills
Calm, decisive leadership style under pressure
Reputation for being firm, fair, and consistent
This Role Is a Fit If You…

Bring a confident leadership presence to the medical floor
Enforce standards without hesitation
Anticipate problems and resolve them before they impact workflow
Value structure, accountability, and systems-driven operations
View technology as a leadership tool rather than an obstacle
Thrive in environments with clear expectations and real authority
This Role Is Not a Fit If You…

Avoid difficult conversations or conflict
Prefer informal or inconsistent standards
Resist new technology or evolving systems
Expect workflows to remain static
Lead through popularity rather than accountability
Compensation & Benefits

Salary: $102,000 – $110,000 per year
401(k)
Health, dental, and vision insurance
Paid time off
Tuition reimbursement
Modern, state-of-the-art clinical environment
Senior leadership role with real operational authority
Work Location

Madison, NJ (In-Person)

Our Commitment to You

We provide:

Clear authority and defined scope of leadership
Strong systems, documentation, and support
Executive leadership partnership
Tools that make leadership more effective—not harder
In return, we expect ownership, decisiveness, and adaptability.

“We don’t hire leaders to manage chaos. We build systems that allow strong leaders to run excellent floors.”

Job Type: Full-time