H-1B Visa Shift Lead Jobs

An Equal Opportunity Employer

Position Summary

This position is responsible for supervising and coordinating the activities of Nursing personnel during the night (NOC) shifts to maintain continuity for twenty-four hour nursing care.

SUPERVISION

This role is responsible for the overall clinical, operational, and administrative management of the facility, acting as the primary liaison between nursing staff, physicians, and families. The Supervisor ensures that high-quality, compassionate care is delivered in compliance with federal and state regulations, manages staff, handles emergency situations, and ensures the safety and security of the building. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

SCHEDULE

Days: Sunday - Thursday
Hours Per Shift: 8
Shifts Per Pay Period: 10
Position FTE: 1.00, Salaried Exempt

Applications are being accepted from current County employees as well as members of the public.

Note: This position is pending final approval for early 2027 budget implementation from the County Board and is anticipated to go into effect on Monday, October 26, 2026.

Essential Duties and Responsibilities

To include the following. Other duties may be assigned. This job description reflects management's assignment of essential functions, it does not prescribe or restrict the tasks that may be assigned.

• Resident Care & Rounding: Conduct proactive and routine rounds to assess resident conditions, with particular focus on those who are acutely or seriously ill. Ensure individualized care plans are followed and intervene as needed to support optimal resident outcomes.

• Emergency & Incident Management: Serve as the primary responder to medical emergencies, incidents, and accidents. Lead root-cause investigations, ensure proper documentation, and initiate corrective actions.

• Staffing & Workforce Coordination: Manage staffing levels for the current shift and the upcoming 24-hour period. Address call-offs, arrange replacements, and ensure adequate clinical coverage across all units.

• Communication & Reporting: Prepare comprehensive written reports for the Director of Nursing detailing overnight events, resident status changes, incidents, and any follow-up actions required.

• Administrative & Clinical Support Duties: Oversee admissions, transfers, and discharges; manage clinical documentation; and audit charts for completeness and accuracy.

• Mentorship & Staff Development: Provide coaching, guidance, and constructive feedback to nursing staff. Promote ongoing clinical growth, best practices, and professional development.

• Facility Environment, Safety & Security: Ensure the facility remains safe, clean, and secure throughout the night. Monitor medication rooms, kitchens, exits, and other key areas.

• Interdisciplinary Collaboration: Communicate relevant resident needs, concerns, and clinical issues to Nurse Managers and interdisciplinary team members.

• Care Planning Participation: Contribute to the development and revision of resident care plans as needed.

• Committee & Quality Involvement: Participate in ad hoc committees related to resident care, quality improvement, and employee management.

• Clinical Assessment & Family Communication: Use nursing assessment skills to identify and document significant changes in resident conditions and ensure timely communication with families when appropriate.

• Employee Injury Response: Take appropriate action following staff work-related injuries, including documentation and communication with leadership.

• Resident Grievance Management: Receive, assess, and initiate the investigation of resident grievances, reporting findings and concerns to the Director of Nursing.

• Emergency Preparedness & Drills: Participate in fire drills and lead disaster or evacuation procedures as required.

• Professional Development: Maintain professional competence through ongoing education in nursing practice and management principles.

• In-Service Participation: Attend, participate in and train all required in-services and training sessions.

Qualifications

Current, Registered Nurse (RN) license in the state of practice. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

Bachelors or Associate’s degree or formal preparation equivalent to a four-year degree program and one to three years of relevant prior experience; or an equivalent combination of education and experience. Proven experience in ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry as well as ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Proven experience with medical terminology.

Interactions & Communication

Required to actively persuade and/or direct others toward the achievement of expected outcomes.

Decision Making

This position has authority to make decisions that are consistent with policies and precedents; supervision and managerial directions is available as requested. These decisions directly impact performance at the department-wide level and information is provided with additional research and observations which contributes to the decision making process.

Thinking & Problem Solving

In relation to established procedures, protocols and policies of the County, challenges in this position tend to be diverse, but are typically covered by precedent or established practice. Strong clinical assessment skills (IV insertion, wound care), knowledge of Point Click Care (PCC) electronic health record systems. Excellent decision-making abilities under pressure, strong communication skills, and a proactive, compassionate, and "team-first" attitude.

Certificates, Licenses, Registrations

- Wisconsin Registered Nurse License
- Active CPR certification

Tools and Equipment Used

- Telephone
- Personal Computer/Printer
- Copy Machine
- Various Medical-Related Devices
- FAX Machine
- Calculator

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly exposed to moving mechanical parts and fumes or airborne particles. The employee is frequently exposed to toxic or caustic chemicals. The employee is occasionally exposed to wet and/or humid conditions, risk of electrical shock, and risk of radiation. The noise level in the work environment is usually moderate.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to constantly use bilateral upper extremities, above/below waist and above/below shoulder height.
• Ability to constantly walk and stand.
• Ability to constantly use hands and fingers to manipulate objects or to tend to resident needs.
• Ability to constantly lift and move up to 25 pounds.
• Ability to frequently lift and move up to 75 pounds with aid of provided equipment, or a second person assist.
• Ability to frequently lift, push or pull 50 pounds unassisted with bending and twisting of trunk.
• Ability to communicate to residents using talking and hearing.
• Ability to identify resident care needs through hearing and seeing.
• Must be free from communicable disease.

"Constant" means at least 2/3's of the shift.
"Frequent" means at least 1/3 of the shift.

NEPOTISM OR CONFLICT OF INTEREST COMPLIANCE

A person may not be offered or hold this position if the employment would result in that person being a supervisor or subordinate to an immediate family member. "Immediate family" includes the employee's spouse, brother, sister, parents, children, stepchildren, father-in-law, mother-in-law, sister-in-law, brother-in-law, daughter-in-law, son-in-law, and any other member of the employee's household.

A person may not be offered this position if employment would create either an actual conflict of interest or the appearance of a conflict of interest.

HEALTH INSURANCE PORTABILITY ACCOUNTABILITY ACT (HIPAA)

Employees of Lakeland Health Care Center are expected to respect resident’s privacy and provide confidentiality of all Protected Health Information (PHI). HIPAA, the first comprehensive Federal protection for the privacy of personal health information was passed by Congress in 1996 and implemented in April 2003.

Employees will have access to all information that is needed to perform their job, but they shall not have, or seek to gain, access to PHI that is not necessary to perform their job.

Every employee, even one who does not use protected health information in their work duties, is obligated under the provisions of HIPAA. All employees must protect resident privacy and respond to situations that may put a resident’s privacy in jeopardy.

Selection Process

Formal application; rating of education and experience; oral interview and reference check; personal computer skills test; post-offer medical examination. Other job related tests may be required.

WALWORTH COUNTY EMPLOYEE BENEFIT SUMMARY

I – Salaried Exempt Employees

BARGAINING UNIT: Salaried Exempt Employees

DATE: January 1, 2019

EMPLOYMENT STATUS: All employees of Walworth County are at-will employees.

BASIS OF PAYMENT: Salaried, FLSA Exempt. You are not eligible for overtime or compensatory time. You are required to account for all time absent from your regular work schedule.

SCHEDULED TIME OFF: Accrued based on salary each pay period. All accrued scheduled time off hours are available for use, subject to approval of your supervisor. You accrue scheduled time off (pro-rated for part-time) equivalent to the following:
- 15 days per year after 1 year of Walworth County Service
- 20 days per year after 5 years of Walworth County Service
- 25 days per year after 15 years of Walworth County Service

*may be considered for additional Scheduled Time Off (STO) based on continuous related experience per Ord. Sec. 15-515 (e)

PERSONAL TIME OFF: Employees will receive 64 hours of personal time off as a lump sum at the beginning of each year (pro-rated for part-time and newly-hired employees). At the end of each calendar year, an employee may request to move remaining personal time off hours to the extended sick leave bank. If no request is made, any remaining hours shall be paid out on the employee's last pay date of the calendar year.

EXTENDED SICK LEAVE BANK: Used for time off of work for more serious health conditions that require three or more consecutive days off or when on an approved leave of absence.

HOLIDAYS: Ten paid holidays each year. As a part-time employee, you receive pro-rated holiday pay based on your positions budgeted FTE.

INSURANCE: Employees hired into a .75 FTE or higher position are eligible for Health, Dental, Life, Vision Short-Term Disability and Long-Term Disability insurance benefits on the first of the month following 30 days of service provided you complete enrollment forms within 30 days of hire. Employees hired into a .50 FTE or higher position are eligible for all benefits listed below except Health insurance. Employees hired into a .49 FTE or less position are eligible to participate in Short-Term Disability only.
- Health Insurance: You can choose Tier 1 or Tier 2. Tier 1 is a standard co-pay plan. Tier 2 is a High Deductible Health Plan (HDHP) with a Health Savings Account (HSA). The County will contribute an amount approved by the County Board, payable as a lump sum to your HSA for Tier 2. You may also elect to contribute to your HSA up to the IRS maximum. You may elect either family or single coverage. The monthly premium will be split between the County and the employee.
- Dental Insurance: You may elect either family or single coverage. The county shall pay 100% (single or family) of the premium for a full-time and 50% (single or family) of the premium for a part-time employee enrolled in dental insurance.
- Life Insurance: The County provides you with term life insurance in an amount equal to $50,000. You have the option of purchasing additional coverage for yourself, spouse, and/or dependent children.
- Short-Term Disability Insurance: The County provides you with Short-Term Disability Insurance with premiums paid by the employer.
- LTD Insurance: The County provides you with Long-Term Disability Insurance. The monthly premium is 0.83% of your insured monthly wages. The County shall pay 67% of the premium & the employee shall pay 33% of the premium.
- Vision Insurance: You may elect to participate in Vision insurance. The employee electing coverage shall pay 100% (single or family) of the premium for vision insurance.

WISCONSIN RETIREMENT: You are covered under the Wisconsin Retirement System if you are expected to work a minimum of 1200 hours per year for a period of one year or more. The WRS provides you with separation, disability or retirement benefits upon termination. The payment is split between the county and employee, as prescribed by state law. Employees expected to work less than 1200 hours per year will not receive this benefit.

EDUCATIONAL ASSISTANCE: After completing 6 months of employment, you are eligible to participate in the Educational Assistance Program and receive partial reimbursement for tuition upon completion of approved courses.

TAX-SHELTERED BENEFITS: You may elect to participate in the following tax-sheltered benefits:
- Deferred Compensation (S457 plan)
- Medical Spending Account (S125 plan)
- Dependent Care Plan (S125 plan)
- Health Savings Account (S223 plan)

WORKERS COMPENSATION: You are covered by Workers Compensation for any illness or injury arising out of your employment. Medical expenses and compensation for lost time are paid from the workers' compensation plan. In addition, the County will supplement the workers' compensation lost-time payment for up to 1 year, making you whole on a "net-check" basis.

DIRECT DEPOSIT: You are required to participate in direct deposit of your paycheck to a banking institution of your choice.

EMPLOYEE ASSISTANCE PROGRAM: You and your family are encouraged to use the Employee Assistance Program for help in addressing confidential family and financial matters. EAP services are provided through Curalinc. Please call 888-881-5462 for help.

BEREAVEMENT LEAVE: You will receive pay for up to 3 days for the purpose of bereavement over the death of your spouse, child, step-child, parent, step-parent, brother, sister, grandparent, grandchild, mother-in-law, father-in-law, or other member of the immediate household (excluding renters).

You will receive up to 1 day of pay for the death of your brother-in-law, sister-in-law, son-in-law, daughter-in-law, aunt, uncle, niece or nephew.

JURY DUTY: Your regular wages will be made-whole for any time you are required to serve on jury duty.

MILITARY LEAVE: Your regular wages will be made-whole for up to two weeks for you to meet your annual two-week reserve duty obligation. Extended military leaves are provided in accordance with state and federal laws.

LEAVE OF ABSENCE: You are required to request a leave of absence in writing and a minimum of 15 calendar days prior to your expected absence. All leaves are subject to approval of the Human Resources Department and are at the discretion of the County's representative, except as otherwise required by law. Under emergency situations, the leave papers must be submitted within 5 days after the absence begins. Periods of absence less than 5 days may be approved by your department head.

**Note: This Summary provides only a brief outline of your benefits. All benefit terms and conditions are subject to the specific provisions of plan documents, policies, and/or legal rules and regulations. These benefits are subject to change from time to time by action of the County Board and/or Human Resources Committee.