Nurse Unit Manager

Horizons Residential Care•Rural Hall, NC

3d•Onsite

About The Position

Horizons Residential Care Center, a nonprofit serving children and adults with intellectual and developmental disabilities, including individuals with complex medical needs, is seeking an experienced nurse to lead an assigned unit. Reporting to the Director of Nursing, the Nurse Unit Manager oversees daily nursing operations, coordinates resident care, and provides hands-on clinical support when needed. The role requires a visible, approachable leader who communicates expectations clearly, addresses concerns promptly, supports staff, and ensures safe, consistent care and accurate documentation. This full-time position is scheduled 8 AM–5 PM with a rotating on-call schedule and flexibility to support staff and resident care needs across shifts.

Requirements

Current, unrestricted LPN or RN license authorizing practice in North Carolina.
At least two years of nursing experience.
Experience caring for individuals with intellectual/developmental disabilities or patients with complex medical needs.
Strong clinical judgment and ability to recognize, prioritize, and escalate concerns.
Ability to coach staff, address difficult conversations professionally, and follow through on expectations.
Working knowledge of medication and treatment documentation, infection prevention, and clinical recordkeeping.
Strong organization, communication, and electronic documentation skills.
Ability to meet the physical demands of the role, with or without reasonable accommodation, including standing and walking for extended periods; bending, kneeling, and reaching; assisting with resident care and mobility; and lifting, pushing, or pulling up to 40 pounds.

Nice To Haves

Three or more years of nursing experience.
Charge nurse, nurse supervisor, or other nursing leadership experience.
Experience in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID), pediatric care, long-term care, or a medically complex residential setting.
Experience with feeding tubes, tracheostomy care, and seizure management.
Experience with chart audits, survey preparation, staff competency assessments, or quality improvement.
Familiarity with Therap or similar electronic documentation systems.

Responsibilities

Oversee daily nursing care and respond promptly to changes in residents’ conditions.
Coordinate admissions, hospital returns, transfers, and follow-up care.
Ensure physician orders, medications, treatments, and nursing care plans are implemented accurately and on time.
Monitor care involving seizure disorders, feeding tubes, tracheostomies, and other complex medical needs.
Provide direct nursing care and assist with coverage as needed.
Coordinate nursing assignments and coverage according to resident needs and staff competency.
Provide direction, coaching, and timely feedback to nursing staff.
Partner with direct care leadership to reinforce resident care expectations and address concerns.
Orient new staff, assess competencies, and identify training needs.
Address performance concerns consistently and collaborate with the Director of Nursing on corrective action and evaluations.
Review medication and treatment administration records, nursing notes, incident reports, and other clinical documentation.
Conduct routine chart audits and follow up on identified gaps.
Review incidents, medication concerns, falls, seizures, infections, and hospital transfers to identify trends and improvement opportunities.
Reinforce infection prevention, resident rights, safety practices, and regulatory requirements.
Maintain survey readiness and participate in quality improvement activities.
Keep the Director of Nursing informed of significant clinical concerns, staffing needs, and unresolved issues.
Communicate professionally with families, guardians, providers, and interdisciplinary team members.
Ensure required notifications and follow-up are completed and documented.
Contribute to care conferences, resident care planning, and emergency preparedness.