Lead Registered Nurse- Nights

The Emily Program • Durham, NC

15d • $40 - $50

About The Position

Our vision is a world of peaceful relationships with food, weight, and body image, where everyone with an eating disorder can experience recovery. We believe that exceptional, individualized care leads to lasting recovery from eating disorders. That’s why our teams are comprised of compassionate, dedicated professionals from a variety of backgrounds who collaborate to provide the very best evidence-based care for our clients at all levels of care.
Position Overview:
The Lead Nurse delivers holistic, compassionate nursing care and supports clinical operations as a key member of the multidisciplinary team across all levels of care (Inpatient, Residential, and Outpatient). This role includes leadership responsibilities such as supporting onboarding, acting as a liaison between staff and providers, and stepping in for the Nurse Manager as needed.

Requirements

• Graduate of Accredited Bachelor of Science in Nursing (BSN) (RN) required.
• Must hold an active and unrestricted Registered Nurse (RN) license in the state of practice or a compact state license, as applicable.
• Minimum of 2 years clinical experience required (inpatient medical or psychiatric setting preferred)
• Employees at Residential or Inpatient sites are required to have a current Basic Life Support certification within 30 days of hire.
• Employees at residential or inpatient sites in North Carolina or Georgia are required to have a current CPI certification within 30 days of hire
• Employees at the Seattle Residential location are required to obtain a Washington State Department of Health Food Handler permit within 30 days
• Ability to learn and demonstrate competencies in nursing skills as required by LOC.
• Demonstrates sound nursing judgment and clinical decision-making skills. Uses evidence-based practices to assess client needs, identify risk factors, and implement appropriate nursing interventions.
• Works effectively within a multidisciplinary team, contributing nursing expertise to support comprehensive, person-centered treatment plans. Collaborates across medical, psychiatric, nutritional, and behavioral disciplines to ensure continuity of care.
• Communicates clearly, compassionately, and professionally with clients, families, and colleagues. Able to navigate sensitive conversations and support clients in emotionally charged situations.
• Proficient in medication administration, monitoring for efficacy and side effects, client education, and adherence assessment in collaboration with prescribing providers.
• Responds swiftly and appropriately to medical and psychiatric emergencies, including initiation of emergency protocols, escalation to on-call leadership, and providing first-line interventions.
• Coordinates care among clients, families, providers, and external care teams to promote seamless transitions and ensure alignment of care goals.
• Takes initiative, demonstrates self-direction, and follows through with nursing responsibilities. Holds self-accountable for timely documentation and quality of care delivery.
• Provides direction, mentorship, and oversight to LPNs, CNAs, and Medical Assistants, ensuring tasks are completed to the expected standard and scope of practice.
• Thrives in a fast-paced and evolving environment. Willingness to work varied shifts, including weekends, holidays, and after-hours, as client and site needs arise.
• Competent with electronic health records (EHRs), Microsoft Office Suite, and communication platforms such as Microsoft Teams. Maintains timely and accurate clinical documentation.
• Committed to delivering holistic, trauma-informed, and recovery-oriented nursing care that supports client dignity, autonomy, and individualized treatment goals.
• Demonstrates respect for all individuals, actively seeks to understand diverse perspectives, and provides inclusive care sensitive to cultural, racial, gender, and identity differences.

Nice To Haves

• Bachelor of Science in Nursing (BSN) preferred.
• Previous Supervisor experience preferred
• Experience in eating disorders preferred

Responsibilities

• Assist in admission and discharge process for clients across all LOC, as designated by site.
• Conduct thorough nursing assessments to identify client care needs, potential risks, and psychological concerns.
• Across all LOC, manage medications in collaboration with providers, including education, adherence monitoring, side effect assessment, and administration (in Inpatient and Residential settings only).
• Coordinate medical care and communication among clients, providers, families, staff, and external care agencies.
• Serve as a clinical resource to staff regarding client medical needs and health-related inquiries.
• Respond promptly and appropriately to medical and psychiatric emergencies.
• Ensure timely and accurate documentation in the client’s medical record.
• Perform essential nursing tasks as required/needed based on level of care.
• Physical and psychological assessments
• Venipuncture/Phlebotomy
• EKG placement and capture
• Nasogastric tube insertion and feedings (in Inpatient and Residential LOC)
• Implementation of provider order
• Follow directives from the Nurse Manager or Lead Nurse, as applicable.
• Collaborate effectively with the multidisciplinary team, utilizing strong communication and adaptability skills to promote high-quality care.
• Act as the clinical lead after hours, initiating emergency protocols and escalating concerns to on-call leadership and providers.
• Provide support to floor nurses with high-acuity clients (e.g., insulin management, NG feeds, refusals).
• Assist with admissions, discharges, and complex clinical situations as needed.
• Serve as a clinical resource for nurses, CNAs, Medical Assistants, and other team members.
• Assist in department audits and participate in clinical or department-wide projects and initiatives.
• Support critical staffing gaps and collaborate with other Lead Nurses and the Nurse Manager to maintain operational stability.
• Help train and onboard new nursing staff; provide routine check-ins with staff to support successful integration and competency development.
• Attend clinical team meetings and represent nursing leadership in the Nurse Manager's absence.
• Step into the Nurse Manager role temporarily, as needed.
• Act as a liaison between the nursing team and medical/psychiatric providers to ensure clear communication and continuity of care.
• Adhere to all policies and procedures, including those related to client rights, confidentiality, safety, and professional boundaries.
• Drive clients, staff, or supplies in a company vehicle as needed.
• Demonstrate initiative, adaptability, and critical thinking to work independently and within a team.
• Perform other duties as assigned.

Benefits

• HSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield)
• Dental insurance (Delta Dental)
• Vision insurance (EyeMed)
• Short-term and long-term disability insurance
• Company-paid life insurance
• 401(k) plan available two months after start date
• Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation
• Paid time off is a crucial part of maintaining work and life balance. Our generous PTO plan accrues annually and begins with your first whole pay period. Eligible employees enjoy seven paid holidays and one floating holiday in addition to their regular PTO.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 251-500 employees