Nurse Unit Manager

Horizons Residential Care Ltd; Rural Hall (NC); On-site; USD 75,000 - 110,000; Full time

Benefits offered by this job

Health insurance

Paid time off

401(k) retirement plan

Shift differential

Job summary

Horizons Residential Care Center in Rural Hall, NC is seeking an experienced Registered Nurse to lead a clinical team and ensure safe, compassionate care.

As Nurse Unit Manager, you will oversee daily nursing operations, coordinate admissions and transitions, and provide hands-on support while guiding staff development.

This role requires an active NC RN/LPN license, at least two years of nursing experience, and a commitment to quality care, documentation, and regulatory readiness.

Qualifications

• Current, unrestricted LPN or RN license in North Carolina.
• At least two years of nursing experience.
• Experience with intellectual/developmental disabilities or complex medical needs.
• Strong clinical judgment and prioritization.
• Ability to coach staff and handle difficult conversations professionally.
• Working knowledge of medication and treatment documentation, infection prevention, and clinical recordkeeping.
• Strong organization, communication, and electronic documentation skills.

Responsibilities

• Oversee daily nursing care and respond promptly to changes in resident condition.
• 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 for complex medical needs (e.g., seizures, feeding tubes, tracheostomies).
• Provide direct nursing care and assist with coverage as needed.
• Support and develop staff through coaching and scheduling based on resident needs.
• Maintain quality and regulatory readiness through chart audits and incident reviews.
• Communicate effectively with families, guardians, providers, and the interdisciplinary team.

Skills

RN/LPN license (NC)

Nursing experience

Clinical judgment

Staff coaching

Communication skills

Electronic documentation

Infection prevention

Quality improvement

Tools

Therap

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Nurse Unit Manager

Nursing Management Rural Hall, NC, US

Horizons Residential Care Center | Rural Hall, NC | Full-Time

Lead with compassion. Set clear expectations. Help residents receive exceptional care every day.

Horizons Residential Care Center is seeking an experienced Registered Nurse who can lead a clinical team, recognize changing resident needs, and follow through on the details that make care safe and consistent.

Our nonprofit organization serves children and adults with intellectual and developmental disabilities, including individuals with complex medical needs. As Nurse Unit Manager, you will help build a supportive environment where residents are treated with dignity and staff have the guidance, training, and accountability they need to succeed.

Reporting to the Director of Nursing, you will oversee the daily nursing operations of your assigned unit, coordinate resident care, and provide hands‑on clinical support when needed.

What Success Looks Like

You are visible and approachable on the unit. You address concerns promptly, communicate expectations clearly, and follow up until issues are resolved. You support your team while holding staff accountable for safe care, accurate documentation, and professional conduct.

What You’ll Do

Oversee daily nursing care and respond promptly to changes in resident condition.

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.

Support and develop staff

Coordinate nursing assignments and coverage based on resident needs and staff competency.

Provide clear direction, practical coaching, and timely feedback to nursing staff.

Partner with direct care leadership to reinforce resident care expectations and address concerns.

Help orient new staff, assess competencies, and identify additional training needs.

Address performance concerns consistently and collaborate with the Director of Nursing on corrective action and evaluations.

Maintain quality and accountability

Review medication and treatment administration records, nursing notes, incident reports, and other clinical documentation.

Conduct routine chart audits and follow through on identified gaps.

Review incidents, medication concerns, falls, seizures, infections, and hospital transfers to identify trends and opportunities for improvement.

Reinforce infection prevention, resident rights, safety practices, and regulatory requirements.

Maintain ongoing survey readiness and participate in quality improvement activities.

Communicate and coordinate

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.

Required Qualifications

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 the ability to recognize, prioritize, and elevate 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.

Preferred Qualifications

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 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.

Schedule and Physical Requirements

This full‑time position requires flexibility to support staff and resident care needs across shifts.

Essential duties include 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. Essential functions may be performed with or without reasonable accommodation.

100% employer-paid employee health insurance

Paid time off

401(k) retirement plan with employer match

Shift differential for qualifying shifts