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Covenant Health

Shift Leader CN III

Company : Covenant Health

Location : Harriman, TN, 37748

Job Type : Full Time

Date Posted : 12 January 2026

Overview

Registered Nurse, Shift Leader, Emergency Room

FullTime, 72 Hours Per Pay Period, Night Shift  

Proudly serving our community, Roane Medical Center is committed to your healthy future! Our state-of-the-art facility is equipped with modern technologies and expert staff to provide you the best possible patient care. From our quality medical, surgical, emergency and critical care services to our diagnostic imaging and rehabilitation support, you will find the right blends of technical expertise, medical professionalism, and patient quality and satisfaction at Roane Medical Center.

Position Summary:

This position is designed to provide supervisory leadership to staff level employees, coordinating such activities with the department’s Manager.  The incumbent is expected to exercise independent judgement and discretion in performing the duties listed below.

Recruiter: Sandra Simmons || apply@covhlth.com

Responsibilities

  • Participates in performance appraisal of staff on applicable shift.
  • Participates in hiring process, including providing hiring recommendations to the Manager.
  • Prepares documentation for possible disciplinary actions and makes recommendations for such action to the Manager.
  • Provides recommendations to the Manager for commendations, bonuses, or other appropriate forms of recognition for outstanding performance of employees on applicable shift.
  • Makes work assignments and directs work activities. Coordinates staff relief for meals, breaks, and meetings.
  • Projects staffing needs for next two shifts, coordinating adjustments in staffing level as needed.
  • Serves as clinical resource for all staff.
  • Checks the emergency crash cart or ascertains that the cart has been checked.
  • Provides shift report to next Shift Leader or Charge Nurse.
  • Participates in making work schedules.
  • Completes all charge nurse duties as specified in nursing policy.
  • Demonstrates competency in critical skills, including demonstration of competency in addressing the age-specific needs of the patient population served.
  • Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
  • Performs other duties as assigned.

Qualifications

Minimum Education:          

None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.

Minimum Experience:         

Minimum of three (3) years professional experience.

Licensure Requirement:      

Valid license in the State of Tennessee. CPR required.

RN license

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Frequently asked questions

The Shift Leader CN III at Covenant Health plays a pivotal role in guiding nursing staff through night shifts, ensuring smooth coordination of clinical tasks and staff relief. Their leadership directly impacts patient care quality and team morale, especially in fast-paced emergency room settings common in Harriman's healthcare environment.

Holding a Shift Er Cn Iii position demonstrates advanced clinical and supervisory expertise, making professionals highly sought after in Tennessee. This role opens pathways to senior management or specialized nursing units, reflecting a commitment to leadership within emergency and critical care sectors prevalent in the region.

Distinct from general nursing duties, a Shift Leader CN III oversees staff performance, manages scheduling complexities, and acts as the clinical resource during shifts. Their accountability spans disciplinary recommendations and ensuring compliance with safety protocols, which are crucial in the emergency department’s high-pressure context.

While a valid Tennessee RN license and CPR certification are mandatory, additional credentials like ACLS or trauma nursing certifications can enhance a candidate’s profile. Given Harriman’s focus on emergency and critical care, such specialized certifications are highly valued for leadership roles.

Harriman’s healthcare sector experiences moderate competition for Shift Leader roles in emergency settings, driven by regional demand for skilled nursing leadership. Candidates with over three years of clinical experience and proven supervisory abilities often stand out amid this competitive pool.

Shift Leader CN III positions in Harriman typically offer annual salaries ranging from $65,000 to $78,000, reflecting the area’s cost of living and healthcare demand. This is slightly below metropolitan Tennessee rates but competitive within rural healthcare systems focused on emergency services.

Night shifts at Roane Medical Center require the Shift Leader CN III to manage unpredictable emergency cases while maintaining staff readiness and morale. Challenges include rapid decision-making under pressure, coordinating limited night resources, and ensuring compliance with evolving safety protocols.

Covenant Health leverages Shift Leader CN III professionals as frontline contributors to quality improvements, expecting them to identify workflow inefficiencies and champion patient safety protocols. Their direct oversight of clinical staff and resource coordination is vital to sustaining high care standards.

A Shift Er Cn Iii not only delivers patient care but also orchestrates staff assignments, handles disciplinary documentation, and communicates shift reports. Unlike a standard RN, they exercise supervisory discretion, manage staffing projections, and act as a clinical resource throughout extended night shifts.

Limited public transit and rural road networks in Harriman can extend commute times, which may affect night shift nurse leader recruitment. Employers often consider flexible scheduling or shift differentials to offset these challenges and attract qualified healthcare professionals.

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