Nurse Manager

Crossnore•Winston-Salem, NC

18d•Onsite

About The Position

The Nurse Manager provides direct nursing care to children and adolescents in residential programs while leading and supporting the Health Services team. This hands-on position includes nursing assessments, medical triage, healthcare coordination, and clinical guidance for residential staff. The Nurse Manager supervises and develops Health Services employees and promotes consistent, compassionate, trauma-informed care, staff accountability, and quality clinical practice. The role is based at either the Avery County or Winston-Salem, North Carolina campus. It works primarily on weekdays, with at least four days per week on-site and approximately eight hours per week of on-call duties, which may include phone triage and on-site nursing assessments for new admissions. Occasional travel between Crossnore campuses is required, and candidates must live within a reasonable distance of their assigned campus. The hiring range is $76,000–$89,000 annually, with compensation based on experience and qualifications. Candidates meeting only minimum requirements can expect to start at the beginning of the range; additional relevant experience or advanced skills may be considered for higher starting pay. Crossnore describes its care as focused on building trust, supporting healing, and providing children with consistency and compassion.

Requirements

Valid and active North Carolina RN license.
At least 5 years of clinical nursing experience, including at least 2 years in a pediatric or child welfare setting.
First Aid/CPR certification and First Aid/CPR trainer certification, or ability to obtain trainer certification.
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 learn new technology and support others in its use.
Ability to coordinate primary care, psychiatric care, dental services, specialty appointments, and preventive healthcare.
Ability to supervise, coach, and develop nursing staff and clinic assistants.
Strong organizational skills for staff scheduling, delegation, and healthcare coverage.
Ability to develop or implement healthcare policies, procedures, and quality improvement initiatives.
Ability to provide medication administration training and other health-related education to clinical and nonclinical staff.
Strong problem-solving skills, accountability, and ability to respond calmly during emergencies or challenging situations.
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 ability to provide respectful, individualized care to children and families from diverse backgrounds.
Commitment to Crossnore’s mission and trauma-informed approach to care.
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.
Ability to live within a reasonable distance of the assigned campus to meet on-site and on-call responsibilities.

Nice To Haves

Supervisory or managerial experience in a healthcare setting, preferably within child or family services.
Experience in trauma-informed care and behavioral health support for children.
An equivalent combination of education and experience may be considered.

Responsibilities

Supervise, coach, develop, and provide delegation, guidance, and performance oversight to Health Services staff.
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 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.
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.
Partner with agency departments to improve healthcare documentation, electronic health record systems, data tracking, and clinical outcomes.
Collaborate with pharmacies, laboratories, health departments, and community healthcare partners to coordinate services and support quality improvement initiatives.
Respond to on-call needs, including phone triage and on-site nursing assessments for new admissions.
Travel occasionally between Crossnore campuses.