Nurse Manager

Nurse Manager

Location: Avery County or Winston-Salem, NC;

Schedule: The Nurse Manager works primarily weekdays, with a minimum of four days per week on-site. The position also includes approximately eight hours per week of on-call responsibilities, which may involve phone triage and on-site nursing assessments for new admissions.

Hiring Range : $76,000 - $89,000 annually

Occasional travel between Crossnore campuses is required. Candidates must live within a reasonable distance of their assigned campus to fulfill on-site and on-call responsibilities.

Your Impact: At Crossnore Communities for Children, we believe every child deserves to feel safe, supported, and cared for. As our Nurse Manager, you'll play an active role in providing direct nursing care to children and adolescents while leading and supporting our Health Services team.

This is a hands-on position where you'll conduct nursing assessments, respond to medical needs, coordinate healthcare services, and provide clinical guidance to residential staff. You'll also supervise and develop Health Services team members, helping ensure consistent, compassionate, trauma-informed care. Your impact extends beyond the care you personally provide to the Health Services and residential staff you support every day.

Comfort using healthcare technology, including electronic health records (EHR), electronic medication administration records (eMAR), and data tracking systems, with the ability to learn new technology and support others in its use."

I would also consider adding a statement about staff development and accountability in your Impact section. A successful Nurse Manager will influence the quality of care not only through their own nursing practice, but through the nursing and residential staff they support.

Why Crossnore?
At Crossnore, nursing is about more than meeting healthcare needs. It's about building trust, supporting healing, and helping children experience consistency and compassion in their daily lives. If you're a nursing professional who enjoys leading others, improving healthcare practices, and making a meaningful difference for children and families, we'd love to hear from you.

Hiring Range : $76,000 to $89,000 annually - Compensation is based on experience and qualifications. Candidates who meet only the minimum requirements can expect to start at the beginning of the range, while those with additional and relevant experience and/or advanced skills may be considered for higher starting pay within the range.


Benefits:

• 20 Days PTO, 11 Paid Holidays
• 401k with Employer Match (up to 6%)
• Defined Contribution Benefits Plan including options for:
  • Health/Dental/Vision Insurance - $0 copay for mental health visits with our health insurance
  • Life, Short-Term Disability, and Long-Term Disability Plans
  • Critical Illness and Accident Coverage Options
  • Flexible Spending Plan
• Paid Parental Leave - Based on Tenure
• Ongoing Training

Education/Experience/Licensure:

• A valid and active North Carolina RN license required.
• 5+ years of clinical nursing experience, with at least 2 years in a pediatric or child welfare setting.
• Supervisory or managerial experience in a healthcare setting, preferably within child or family services strongly preferred.
• First Aid/CPR certified, First Aid/CPR trainer certified (or able to obtain).
• Experience in trauma-informed care and behavioral health support for children preferred.
• An equivalent combination and education and experience may be considered.

Skills and Competencies: We're looking for a Nurse Manager who brings strong clinical judgment, effective leadership, and a collaborative approach to healthcare.

Clinical Nursing & Healthcare Management

• Strong nursing assessment, triage, and clinical decision-making skills, particularly with children and adolescents.
• Knowledge of pediatric and adolescent healthcare, behavioral health, mental health conditions, and trauma-informed care.
• Experience with medication administration, medication reconciliation, medication safety, and electronic Medication Administration Records (eMAR).
• Understanding of nursing standards of practice, healthcare regulations, HIPAA, confidentiality, and child welfare requirements.
• Proficiency with electronic health records (EHR), medical documentation, and healthcare data management.
• Ability to coordinate primary care, psychiatric care, dental services, specialty appointments, and preventive healthcare.

Leadership & Team Development

• Ability to supervise, coach, and develop nursing staff and clinic assistants.
• Strong organizational skills for staff scheduling, delegation, and healthcare coverage.
• Experience developing or implementing healthcare policies, procedures, and quality improvement initiatives.
• Ability to provide effective medication administration training and other health-related education to clinical and nonclinical staff.
• Strong problem-solving skills, accountability, and the ability to respond calmly during emergencies or challenging situations.

Communication & Collaboration

• Excellent interpersonal communication and relationship-building skills.
• Ability to collaborate with physicians, residential staff, behavioral health professionals, families, and community healthcare providers.
• Sound professional judgment, discretion, and respect for confidentiality.
• Flexibility, cultural awareness, and the ability to provide respectful, individualized care to children and families from diverse backgrounds.
• Commitment to Crossnore's mission and trauma-informed approach to care.

Physical Ability & Clinical Readiness:

• Ability to perform the physical responsibilities of the role, including standing, walking, bending, performing nursing procedures, administering CPR and First Aid, and safely handling medical supplies and equipment, with or without reasonable accommodation.

Key Responsibilities: As our Nurse Manager , you'll provide leadership for the Health Services team while remaining actively involved in the healthcare needs of children and adolescents in our residential programs.

Lead & Support the Health Services Team

• Supervise, coach, and develop Health Services staff, providing appropriate delegation, guidance, and performance oversight.
• Coordinate staff schedules and on-call coverage to ensure timely access to healthcare services.
• Lead team meetings, support hiring and staff development, and manage administrative responsibilities, including payroll and paid time off approvals.
• Partner with the Medical Director to develop and maintain healthcare policies, procedures, and clinical practices.

Oversee Healthcare Quality & Medication Safety

• Oversee medication administration, storage, physician orders, electronic Medication Administration Records (eMAR), and medication safety practices.
• Monitor medication errors and incidents, identify trends, and provide corrective training and follow-up to improve patient safety.
• Develop and maintain medication administration training programs, including initial, refresher, and train-the-trainer instruction.
• Ensure compliance with nursing standards, licensing requirements, healthcare regulations, and documentation and reporting requirements.

Provide Direct Nursing Care & Care Coordination

• Conduct nursing admission assessments, health screenings, medication reconciliation, and clinical documentation.
• Provide nursing assessments, medical triage, First Aid, and other clinical interventions within the appropriate scope of practice.
• Coordinate medical, psychiatric, dental, and specialty healthcare services for children and adolescents.
• Collaborate with healthcare providers, residential staff, case managers, and families to support individualized healthcare needs and treatment plans.
• Monitor medication effectiveness, adverse reactions, and changes in residents' physical and behavioral health.
• Provide health education and guidance to children, families, and staff on medications, wellness, preventive care, and other healthcare needs.

Strengthen Systems & Collaboration

• Partner with agency departments to improve healthcare documentation, electronic health record (EHR) systems, data tracking, and clinical outcomes.
• Collaborate with pharmacies, laboratories, health departments, and community healthcare partners to coordinate services and support quality improvement initiatives.

Note: This job ad is a summary of the position and its requirements. For a full list of responsibilities and qualifications, please refer to the detailed job description which can be sent to you upon request.