Senior Level Acute Care Nurse Jobs
Senior level acute care nurse jobs place experienced clinicians in charge of complex patient management, clinical decision-making, and mentoring the nursing staff who deliver critical care. Most openings are on-site, with 50% remote or hybrid, concentrated across Healthcare & Medical Services and Education, with employers like Hamilton Medical, Geisinger, and Cone Health hiring at this level now.
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Description
Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
Summary:
The Director of Nursing, Acute is responsible for the planning, designing, coordinating, and evaluation of all Acute Care Nursing, Cardiopulmonary and the Emergency Department. The Director is also responsible for input, coordination, and ongoing financial oversight of the departmental budgets.
Responsibilities:
1. Provides quality services that meet regulatory/accreditation requirements. Delivers safe, effective services. Analyzes sentinel events and errors and develops and implements strategies to address the conditions that contributed to these situations. Monitors unit(s) performance and ensures scores are showing improvement. Monitors quality of work product for work unit/sector. Maintains familiarity with applicable rules, regulations, and accreditation issues. Ensures work unit is in compliance with applicable rules, regulations, and accreditation issues. Participates in activities designed to monitor and improve compliance.
2. Leadership-Aligns work unit goals with organizational strategic direction. Participates in formation of strategic goals at the departmental level. Demonstrates active support of organizational initiatives. Accesses and utilizes appropriate administrative/clinical/financial systems. Acquires and maintains quantitative skills for data analysis. Leads in change efforts for improvement in work quality.
3. Financial Stewardship-Develops and submits budgetary requests on or before stated deadlines. Monitors and analyzes budgetary trends. Implements strategies to increase revenue/decrease costs and cost-effectively manage personnel, supply and equipment resources. Makes necessary adjustments to ensure goals are achieved and/or meet budget projections. Recognizes opportunities for increases in productivity, cost savings, and revenue generation.
Human Resource Stewardship/Management-Effectively recruits, selects, hires, coaches, and uses appropriate corrective actions with staff in accordance with policies and procedures. Maintains accountability for annual competency assessment of staff. Creates an environment conducive to retaining staff, and to learning. Provides staff with accurate annual performance feedback and the opportunity to set development goals. Conducts and documents regularly recurring staff meetings at which pertinent information such as policy and procedure changes are communicated. Encourages staff to celebrate successes, express concerns and identity opportunities for improvements. Implements strategies to improve employee satisfaction inclusive of strategies to involve employees in decision-making.
Other information:
IV. Minimum Qualifications
Education
Bachelor's degree in nursing.
Licensure/
Certification
Licensed to practice as a Registered Nurse in the state of North Carolina.
Experience
Seven years of relevant work experience, including at least five years in a management role.
Knowledge, Skills and Abilities
- In depth knowledge of nursing practices relevant to area of specialty.
- In depth knowledge of relevant regulations and legislation.
- Solid decision making and critical thinking skills.
- Proven leadership qualities, e.g., maturity, job knowledge, professionalism, communication skills, etc. to lead, guide and motivate others.
- Excellent interpersonal and customer service skills.
- Ability to read, write and communicate effectively in English.
- Proficient with EMR and able to learn new software rapidly.
- Ability to stand, walk and meet the physical requirements of the role.
Valid NC Driver’s License
- Yes
- No
If driving a Wayne UNC Vehicle, must be 21 years old and MVR must be approved by Risk Management.
Job Details
Legal Employer: Wayne Health
Entity: Wayne UNC Health Care
Organization Unit: Patient Service Admin.
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: WAYNE MED
Exempt From Overtime: Exempt: Yes
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
Qualifications
Primary Location: Goldsboro, NC, US
Department: Wayne Healthcare - Process Level
Shift: DAY JOB
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Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
- Education
Senior Level Acute Care Nurse Jobs: Frequently Asked Questions
How do I get a senior level acute care nurse job?
Employers hiring at the senior level look for clinicians who have managed high-acuity patients independently, led rapid-response situations, and can precept or mentor junior staff without close supervision. Certifications like CCRN or PCCN strengthen your candidacy, as does experience in a specialty unit such as cardiac, surgical, or medical ICU. Demonstrating ownership of patient outcomes and protocol improvement sets candidates apart at this stage.
Which companies hire senior level acute care nurses?
Companies hiring senior level acute care nurses right now include Hamilton Medical, Geisinger, and Cone Health, based on current listings on Migrate Mate as of November 2026. At this level, hiring is driven by large health systems, regional medical centers, and specialty hospitals that need experienced clinicians capable of leading on high-acuity units with minimal oversight.
Are there remote senior level acute care nurse jobs?
Yes, though most acute care nursing is on-site by nature. About 50% of senior level acute care nurse openings are remote or hybrid as of November 2026, and these tend to be utilization review, care coordination, or case management roles that draw on acute care clinical backgrounds rather than bedside positions.
What makes an acute care nurse role senior level?
A senior level acute care nurse role goes beyond bedside competency to include clinical leadership, independent judgment on complex or deteriorating patients, and accountability for unit-level outcomes. Senior nurses are expected to precept staff, contribute to protocol development, and function as a resource for the broader care team, often without direct supervision on shift.
Which industries hire the most senior level acute care nurses?
Senior level acute care nurse roles concentrate in Healthcare & Medical Services and Education, based on current listings on Migrate Mate as of November 2026. These sectors drive hiring at this level because they operate high-volume, high-acuity patient populations that require experienced nurses who can function autonomously and stabilize critical situations quickly.