Entry Level Lead Registered Nurse Jobs
New grad lead registered nurse jobs welcome recent graduates and entry level candidates with zero to two years of experience, where clinical rotation performance and internship work can carry more weight than a long resume. Most openings are on-site roles across Healthcare & Medical Services and Non-Profit & Social Services, with employers like Ascension, RHA Health Services, and BRS hiring at this level now.
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We are hiring for:
IDD Facility Nurse (RN) - Team Lead
Type:
Regular
If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services!
To provide professional care to service users, aimed at preventing disease and maintaining good health care.
Bear Creek ICF - Children & Adults
Seeking Team Lead Nurse
Location: La Grange, NC (On-Site)
Employment Type: Full-time
Compensation: $38/hr+ (depending on role and experience)
Incentives: $6,000 sign-on bonus is being offered for full-time. $3,000 for part-time. No relocation packaged offered.
Schedule: 6:30am - 7:00pm
As a nurse with RHA, you will have an opportunity to practice holistic nursing and to positively impact the lives of others by providing healthcare oversight and monitoring for the people we serve.
Job Responsibilities
- Provide holistic nursing care to individuals with intellectual and developmental disabilities
- Observe, assess, and evaluate the health needs of the people we support
- Provide health-related training to unlicensed personnel
- Teach the people we serve to monitor their health and provide medication administration training to the people we serve when appropriate
- Administer medications and treatments or assist the person supported with medication administration
- Assist with ensuring preventative and routine medical appointments are scheduled
- Conduct medication closest assessments
- Perform quality assurance checks and observations to ensure unlicensed personnel are performing health-related tasks as assigned
- Collect health-related data
- Conduct nursing assessments
- Observe for and report any abnormal health-related findings to the physician
- Communicate with physicians, pharmacies, medical suppliers, and the Interdisciplinary Team
- Advocate for the people supported and assist with developing community supports to promote optimal health for the people supported
Requirements
- Graduation from an accredited registered nurse program
- BSN preferred, but not required
- Current nursing license with no restrictions to practice nursing
- Must be able to communicate effectively with Interdisciplinary Team Members, as well as the people supported and their families
- Must be able to work independently, be organized, and possess the ability to prioritize work tasks
- Current CPR Certification or eligibility to obtain certification
Why Should You Apply?
- Ability to help others and make a difference
- Ability to join a team of dedicated caregivers, where you will be a valued member of a care team, enabling people RHA supports to identify and achieve personal goals, experience meaningful days, participate in the community, and live more independently.
Physical requirements include: ability to regularly lift 20 pounds. Must be able to lift a minimum of 40 pounds. Must be able to pull a minimum of 25 pounds. Must be able to squat, kneel, crawl, crouch, climb, and stoop. Must be able to regularly stand and walk. Must be able to demonstrate proficiency in CPR from the floor level. Vision requirements include close vision, distance vision, and peripheral vision. Must be able to communicate.
Pre-employment screening:
- Complete criminal background
- Name checked in the registries (OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities)
- Drug testing
- Education verification and other credentialing based on position requirements
- Proof of employment history or references (if required)
- Positions that require driving: Proof of driver's license, driver's insurance, and vehicle, IF required for providing transportation for individuals
We offer the following benefits to employees:
- Payactiv: early access to the money you’ve earned from hours you’ve already worked, before payday!
- Employee perks and discount program: to help you save money!
- Paid Time Off (full-time employees only)
- Health/Insurance (full-time employees only)
- 401(k) retirement savings program
- Wellbeing Programs: Physical, Emotional and Financial
- Chronic Disease management programs for hypertension and diabetes (for qualifying employees)
- Training: Free CPR, first aid, and job-specific training opportunities
- Contract/contingent workers and interns do not qualify for any of the above benefits
EEO Statement
RHA is an equal opportunity employer. In addition, we provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations, and ordinances. If you are an individual with a disability and need a reasonable accommodation to participate in the application process, please contact our solutions center.
About RHA:
At RHA Health Services, we help individuals with intellectual and developmental disabilities, mental health and/or substance use needs live their best lives. Our mission is to provide a safe and healthy environment while creating opportunities for personal outcomes.
For over 30 years, the people we serve and support have remained at the very center of everything we do. RHA currently provides services in North Carolina, Georgia, Pennsylvania, Tennessee, and New Jersey.
If you are ready to make a difference in the lives of people we serve and support, apply to join the team today.
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Who's Hiring



Top Industries Hiring
- Healthcare & Medical Services
- Non-Profit & Social Services
Entry Level Lead Registered Nurse Jobs: Frequently Asked Questions
How do I get an entry level lead registered nurse job?
Start by highlighting clinical rotations, preceptorship hours, and any charge nurse or team lead experience from school or internships. Employers hiring at the entry level look for NCLEX licensure, strong communication skills, and evidence you can coordinate care across a small team. A well-organized resume that speaks to patient outcomes and shift coordination gives new grad applicants a clear edge.
Which companies hire entry level lead registered nurses?
Companies hiring entry level lead registered nurses right now include Ascension, RHA Health Services, and BRS, based on current listings on Migrate Mate as of November 2026. At this level, hiring tends to come from hospital systems, outpatient clinics, and long-term care networks that run structured new grad programs with built-in leadership development.
Are there remote entry level lead registered nurse jobs?
Yes, though most nursing roles require an on-site presence for direct patient care. About 0% of entry level lead registered nurse openings are remote or hybrid as of November 2026, and those positions typically involve care coordination, utilization review, or case management rather than bedside nursing.
Are these new grad lead registered nurse jobs?
Yes, many of these postings are new grad and junior roles that explicitly welcome candidates with zero to two years of experience, recent graduates, and applicants coming out of nursing school. A new grad-friendly posting usually accepts clinical internship hours or preceptorship in place of post-licensure experience, and may include mentorship or residency support.
Which industries hire the most entry level lead registered nurses?
Entry Level lead registered nurse roles concentrate in Healthcare & Medical Services and Non-Profit & Social Services, based on current listings on Migrate Mate as of November 2026. These sectors drive entry level hiring because they operate at high patient volume, run shift-based staffing models, and need early-career nurses who can step into team coordination responsibilities quickly.