Nurse Manager

New Hope Ranch

New Hope Ranch is a residential treatment center focusing on prevention, assessment, treatment, and reintegration for people suffering from substance abuse. Services are provided on our beautiful 49-acre ranch just 15 minutes from downtown Austin Texas


New Hope Ranch's mission has two basic purposes: to improve social behavior and enhance personal recovery and growth. The organization has a culture of innovation that thrives on the creation of new services that meet the community's needs while maintainingeffectiveness, excellence, and professionalism. New Hope Ranch values an integrated system of high-quality care focused on best practices, easy access to services, and providing a full range of services in an efficient manner.


If you are looking for an organization that thrives on growth, celebrates diversity of thought, and rewards passionate execution, you've come to the right place. Because we put clients first, it is our honor to support and reward those who serve them.


Position Summary:

The Nurse Manager is a mission-driven leader who guides and coordinates nursing operations to ensure safe, compassionate, and high-quality patient care. Through clinical leadership, collaboration, and staff development, this role fosters a culture of excellence, accountability, and teamwork while supporting positive patient outcomes and an exceptional care experience.

Working closely with the Nurse Administrator, the Nurse Manager oversees nursing activities and medical coordination to ensure efficient service delivery, strong staff relationships, and consistent, patient-centered care throughout the treatment journey.

Key Responsibilities:

Patient Care & Clinical Support

• Oversees nursing operations in alignment with the organization's mission, vision, core values, and strategic goals.
• Monitors facility census and ensures appropriate nursing staffing to support safe, effective, and patient-centered care.
• Provides direct supervision, leadership, and support to LVN/LPN staff, fostering a culture of teamwork, accountability, and growth.
• Collaborates with physicians and interdisciplinary team members regarding orders, care plans, medications, and patient needs to ensure coordinated care delivery.
• Provides on-call support, responds to emergencies 24/7, and covers shifts as needed to maintain continuity of nursing care.

Medication Administration & Management

• Performs Medication Administration Record (MAR) audits to ensure accuracy, compliance, and adherence to organizational standards.
• Reviews medication errors to identify opportunities for staff education, process improvement, and risk reduction.
• Audits medication rooms to ensure compliance with all regulatory and safety requirements.
• Participates in the utilization review process and communicates with nursing staff regarding patient authorizations and medication-related care coordination.

Collaboration & Patient Education

• Consults and collaborates with Nursing Administrators, physicians, therapists, case managers, leadership, and other departments to support integrated patient care and operational excellence.
• Develops educational materials and training resources for nursing staff, including videos and competency-based learning tools.
• Trains, mentors, and provides feedback to nursing staff regarding best practices, performance, and clinical competencies.
• Participates in leadership meetings, committee initiatives, performance improvement projects, risk reduction strategies, and staff retention efforts to support organizational growth and excellence.
• Onboards new nursing staff, validates competencies, and ensures ongoing education and professional development.

Documentation & Compliance

• Adheres to all DBH policies and procedures and maintains knowledge of applicable state regulations and CARF/TJC standards.
• Demonstrates knowledge of the Code of Ethics and integrates ethical decision-making into daily practice.
• Performs chart audits to ensure documentation accuracy and compliance with policy and regulatory requirements.
• Monitors HR compliance, follows up on missing employee documentation and incident reports, and maintains internal employee files in accordance with regulatory standards.
• Participates in follow-up and completion of assigned committee responsibilities and organizational initiatives.

Residential Treatment Only:

Provides transportation services including patient transportation/supervision, medical appointments, etc. (must be pre-qualified to drive a company vehicle)

• Substance and Mental Health Use Disorder Division:
  • Monitoring of CIWA/COW scores for patients on detoxification protocols.
  • Knowledge of detoxification medication, withdrawal symptoms, and medical complications that can occur in detox.
  • Provide assistance to Utilization Review in communicating pertinent nursing information

Knowledge, Education, Experience:

• RN required
• Preferred: Experience as a staff nurse, preferably in the field of chemical dependency, eating disorders and/or behavioral health.
• Must maintain and possess a current Driver's License and be in good standing
• Knowledge of industry standards: organization, theory, principles, and research processes, accreditation and regulatory standards, ability to assess clinical care requirements based on nursing principles, scope of practice.
• Basic knowledge and understanding of substance use disorders and addiction, eating disorders and behavioral health.
• Familiar with behavior change, recovery models, and treatment methods
• Knowledge of medications, indications, dosage ranges, side effects, and potential toxicity.

Employment Status: Full time


Schedule: Monday-Friday 8am-4pm

Work location: Manor, TX

Compensation range: $85,000-95,000 salary

Discovery Behavioral Health seeks to build a diverse staff that is reflective of the patients we serve and the communities where we work. DBH encourages multiple perspectives, experiences, and strives to hire and retain a diverse workforce.


We are proud to be an EEO employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, or national origin.