Clinical Manager

Brattleboro Retreat; Brattleboro, Northern (VT, KY); Hybrid; USD 110,000 - 140,000; Full time

Job summary

Brattleboro Retreat is seeking a Clinical Nurse Manager (CNM) to lead the Adolescent Inpatient Unit, delivering trauma-informed, developmentally appropriate psychiatric care for youth in crisis.

The CNM will manage staffing, safety, and performance improvement, collaborating across disciplines to uphold best practices and organizational goals.

Qualifications

• Active Vermont RN license or eligibility.
• Minimum two years of leadership experience in a hospital or inpatient setting.
• Two years of experience working with adolescents in mental health or related care.
• Ability to supervise and support a diverse staff.
• BLS- CPR certification (or ability to obtain).
• CPI certification (or ability to obtain).
• BSN or MSN preferred or equivalent experience with education.

Responsibilities

• Provide strategic and operational leadership for the Adolescent Inpatient Unit, including staffing and budget oversight.
• Direct trauma-informed, non-coercive nursing care for adolescents in crisis and ensure patient safety.
• Collaborate with interdisciplinary teams to deliver developmentally appropriate care.
• Lead quality improvement initiatives and coordinate staff education and performance evaluations.
• Ensure regulatory compliance, documentation standards, and organizational initiatives.

Skills

Leadership

Staff development

Adolescent mental health

Crisis intervention

Trauma-informed care

Education

BSN or MSN preferred

Job description

Description

Job Summary

The Clinical Nurse Manager (CNM) provides strategic, clinical, and operational leadership for the Adolescent Inpatient Unit, an acute psychiatric stabilization program serving youth experiencing significant mental health crises. The CNM is responsible for daily operations, staff management, and coordination of nursing services in alignment with the Hospital’s mission, values, and evidence-based practices for trauma-responsive adolescent mental healthcare.

The CNM ensures a safe, developmentally appropriate, and therapeutically structured treatment environment and fosters a cohesive, culturally respectful workforce that includes staff from diverse professional backgrounds and levels of experience. In collaboration with interdisciplinary leaders, the CNM upholds quality care standards, promotes patient and staff safety, supports continuous performance improvement, and engages in hospital-wide initiatives.

Essential Duties & Responsibilities

Leadership & Management

• Develops and executes unit-specific goals aligned with organizational priorities for quality, safety, patient experience, and fiscal responsibility.
• Provides leadership that promotes a therapeutic milieu tailored to the developmental needs of adolescents in acute psychiatric crisis.
• Creates and sustains a positive work culture that supports inclusivity, professional respect, teamwork, and equitable treatment for staff from a wide range of cultural, educational, and experiential backgrounds.
• Demonstrates effective personnel management, including recruitment, selection, coaching, mentoring, performance management, corrective action, and retention.
• Ensures appropriate staffing levels and staff skill mix based on clinical acuity, regulatory standards, and patient safety needs.
• Conducts timely and comprehensive performance evaluations and supports staff growth through ongoing feedback and development planning.
• Leads, supports, and communicates organizational initiatives related to trauma-informed care, patient safety, quality improvement, and evidence-based adolescent psychiatric treatment.
• Leads unit-level cultural and operational change initiatives, ensuring transparent communication and staff engagement.

Clinical & Operational Oversight

• Directs nursing care practices consistent with trauma-responsive, recovery-oriented, non-coercive approaches to adolescent inpatient psychiatry.
• Ensures adherence to all clinical policies, procedures, regulatory requirements, and documentation standards.
• Maintains responsibility for the physical environment, including safety standards, infection prevention, equipment needs, and risk mitigation.
• Collaborates with interdisciplinary partners (psychiatry, psychology, social work, milieu staff, education services) to support coordinated and developmentally informed care.
• Oversees unit-level quality and performance improvement initiatives, including data collection, analysis, reporting, and implementation of corrective action plans.
• Prepares, manages, and monitors the annual operating budget, ensuring efficient use of staffing and resources.
• Conducts routine staff meetings, ensures transparent communication, and escalates significant issues to senior leadership as appropriate.
• In the absence of the Service Administrator or Director of Nursing, the CNM may assume expanded administrative responsibilities.

Education, Training & Staff Development

• Plans, implements, and evaluates staff education activities relevant to adolescent mental health, crisis intervention, safety practices, and clinical skill development.
• Works closely with the Nursing Education Department to ensure staff competency, including orientation, mandatory trainings, and age‑specific clinical proficiencies.
• Promotes staff participation in internal and external continuing education programs.

Organizational Responsibilities

• Demonstrates competency in de‑escalation strategies and non‑coercive crisis intervention techniques appropriate for adolescents.
• Applies principles of trauma‑informed care, adolescent development, and family‑centered practice in all interactions.
• Maintains regulatory compliance regarding confidentiality (HIPAA), patient rights, documentation, and patient safety.
• Demonstrates strong attendance, punctuality, professionalism, and adherence to all Hospital policies and procedures.
• Participates in emergency preparedness activities and ensures staff readiness for fire safety, disaster response, and crisis procedures.
• Models exemplary interpersonal conduct and customer service in interactions with patients, families, staff, and external partners.

Non-Essential Responsibilities

• May be required to perform other duties of similar, lesser, or greater responsibility as needed.

Requirements

Qualifications

Required:

• Registered Nurse with Vermont licensure (or eligibility for licensure).
• Minimum two years of leadership experience in a hospital or inpatient healthcare setting.
• Demonstrated two years of experience working directly with adolescents in a mental health, social services, or related healthcare environment.
• Demonstrated ability to supervise, mentor, and support staff with diverse backgrounds, training levels, and roles.
• BLS- CPR certified (or ability to obtain)
• CPI certification (or ability to obtain)

Preferred:

• BSN or MSN (or equivalent experience combined with education).
• Prior leadership experience in an adolescent psychiatric or acute behavioral health program.
• Certification in Psychiatric–Mental Health Nursing (or willingness to pursue).