Nurse Unit Manager – Lead Complex Care Team (RN/LPN)

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

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.