Lead Registered Nurse

Lead Registered Nurse

Mt. Grant General Hospital

PO Box 1510

200 S. A St.

Hawthorne, NV 89415

Hunter Bolanos, Human Resources



The SNF Lead RN is responsible for maintaining standards of care in the facility.  The SNF Lead RN performs such duties as completing care plans, providing coverage on the floor as the charge nurse, and assists the SNF Manager with planning and coordinating nursing services, policy formulation, and administrative decision.

Wage $36.00/hr-$50.00/hr Depending on experience.


The duties listed below are examples of work typically performed by an employee in this position.  An employee may not be assigned all duties listed and may be assigned duties which are not listed below.  Marginal duties (shown in italics) are those which are least likely to be essential functions of this position.

1.   Develops and maintains policies and procedures, rules and regulations, standards, etc., staffing, department objectives and philosophy, problems in patient care and personnel management, grievances, etc.

2.   Responsible for all RN assessments for SNF residents periodic and annually.

3.   Covers call every other week (alternating with SNF manager) and must be available for shift needs.

4.   Audits and adds to care plans.

5.   Meets with charge nurses concerning staffing of nursing unit, patient care planning, maintenance of supplies and equipment, problem solving, direct teaching of personnel.

6.   Makes daily clinical rounds when needed.

7.   Maintains all standards established by accrediting agencies and participates in the upgrading of standards by involvement in the planning of constructive change.

8.   Assists in establishing nursing policies and procedures, implements and administers nursing policies and procedures, assuring required standards in the unit are maintained. 

9.   Comply with standards established by Quality Assurance Program and participates in Quality Assurance studies.

10. Adheres to all Policies and Procedures of Mt. Grant General Hospital.

11. Responsible to assure accurate record taking and maintenance.

12. Cooperates with other members of nursing administration in planning and organizing department functions and activities, establishing policy, achieving department objectives, maintaining department philosophy, problem solving, institution of new systems, and other such matters.

13. Communicates problems of medical care through appropriate channels.

14. Participates in care of the residents when needed or scheduled.

15. Provides coverage on floor as charge nurse as needed.

16. Perform other related duties as assigned.


Knowledge and Ability:

Knowledge of

  • care plan procedures and policies;
  • application of the nursing process including assessment, diagnosis, planning, intervention, and evaluation;
  • universal precautions and infection control techniques and procedures;
  • medical terminology sufficient to understand a doctor’s orders;
  • the documentation process;
  • uses and effects of medications used in nursing;
  • the operation and use of medical equipment in the practice setting;
  • nutrition and personal hygiene as applied to patient care;
  • human growth and development; and
  • routine laboratory tests and diagnostic procedures.

Ability to

  • interview residents to elicit a health history, symptoms and/or complaints;
  • clinically assess the basic health status of a residents;
  • develop, implement and evaluate a nursing care plan;
  • prepare and maintain medical records, charts and reports;
  • follow detailed oral and written instructions;
  • provide health education to individuals and families;
  • provide emergency medical treatment as required;
  • establish and maintain cooperative working relationships with supervisors, staff, residents and families; and respond to and resolve residents care issues;
  • comply with hospital and safety policies and procedures;
  • comply with Resident Bill of Rights and Employee responsibilities;
  • work overtime, adjust to changes in days off and shifts on occasion if necessary;
  • be flexible and able to work in an environment that has frequent and multiple interruptions, which is stressful at times;
  • provide genuine caring for and interest in elderly and handicapped people

Experience and Training:

Any combination in training, education, and experience that would provide the knowledge and abilities.  A typical way to gain the required knowledge and ability is:

Possess and maintain a current RN license in the State of Nevada AND

Maintain current certification in CPR AND

Per NRS 449 and NRS 200, successful applicant(s) must pass required state and federal background checks AND

Experience with long term care preferred.

Interested applicants can download an application from www.mgghnv.org. Applications can be picked up and returned to MGGH 200 S. A St. Hawthorne, NV 89415 bldg 8. Applications can be mailed to MGGH PO Box 1510 Hawthorne, NV 89415 ATTN: Hunter Bolanos. Email resumes to hbolanos@mgghnv.org or fax to 7759450732. MGGH is an EEO/ADA Employer.

Posted 8/08/2022 HAB