Registered Nurse Supervisor Jobs in North Carolina
Registered Nurse Supervisor jobs in North Carolina draw consistent demand across hospital systems, long-term care networks, and outpatient clinics, with openings at every level from newly promoted charge nurse through seasoned director of nursing. The heaviest hiring concentrates in Charlotte, Raleigh, and Greensboro, where large employers like Atrium Health, Duke University Health System, and Novant Health maintain significant nursing leadership needs. The most in-demand specialties include med-surg unit supervision, critical care management, and home health coordination. Find a role that fits below and apply directly.
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Hours / Shift Available:
Acadia Healthcare and ECU Health have partnered to establish a state-of-the-art, 144-bed behavioral health hospital in Greenville, NC. This new facility will help meet the urgent need for accessible, high-quality psychiatric care in the region, expanding capacity to support patients with diverse mental health needs. Newly opened, the hospital—located just under a mile from ECU Health Medical Center—will offer a full range of inpatient and intensive outpatient services.
Acadia Healthcare is a leading provider of behavioral healthcare services across the United States. Acadia operates a growing network of 260 plus behavioral healthcare facilities with approximately 11,100 beds in 39 states and Puerto Rico. With more than 23,000 employees serving approximately 75,000 patients daily, Acadia is the largest stand-alone behavioral health company in the U.S.
Responsibilities:
PURPOSE STATEMENT:
Responsible for day to day oversite of nursing operations of the facility and ensures staffing is adequate to provide care. When scheduled, oversees the delivery of behavioral health/nursing services in a positive, empathetic, and professional attitude toward customers at all times. As needed, collaborates with interdisciplinary treatment teams, other departments and administration to ensure that all residents’ physical, biopsychosocial, age, developmental and cultural needs are met and when they are not met, acknowledges and works to resolve customer complaints. Provide leadership to assure compliance with local, state, and federal regulations, as well as nursing practice standards. Recognizes that patient safety is a top priority.
ESSENTIAL FUNCTIONS:
- Anticipates and effectively manage changes in census and acuity and allocates nursing resources based on measurement of patient acuity/care needed
- Role models expectations related to customer service and demonstrates a sense of urgency related to the importance of patient safety
- Enforce and interpret policies for the delivery of patient and resident care.
- Ensure proper staffing for each unit, keeping staff ratio, appropriate staffing for patient care needs, covering call-offs and vacation time.
- Ensure chart checks are completed, seclusion/restraint log is up to date and nursing assessments are completed, as well as MAR’s and report sheets are kept accurate and up to date.
- Rounds are completed at the beginning of shift and perform random audits.
- Assist nursing leaders to make sure all staff are oriented and competent to perform required duties. May include coaching staff.
- Provide mentoring and training as needed.
- Assist the nursing leadership team by ensuring facility compliance with professional, regulatory and governmental standards.
- Ensure the effective delivery of competent, compassionate and safe care by monitoring and evaluating patient care processes and outcomes on the patient care units.
- Coordinate all care rendered to patients, including physician orders and diagnostic information, and ensure consultations are ordered.
- Document medical, behavioral health information and nursing care.
- Administer medications and maintain records in accordance with company policies and procedures.
- Assist in developing a plan of care with specific and measurable goals, objectives and interventions defining actions unique to each patient's needs. Assist in updating and revising the plan of care as goals/objectives are met or when the patient's condition changes.
- Prioritize tasks and delegate staff to ensure quality patient care.
- Leader on shift for all admissions and discharges, as well as informing physician of changes in the patient’s conditions. Adjusts staffing accordingly.
- Utilize administrator-on-call for situations that require additional attention.
- Provides direct care as needed.
OTHER FUNCTIONS:
Perform other functions and tasks as assigned.
Qualifications:EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- BSN from accredited school of nursing preferred.
- Current registered nursing license in State of facility required
- Greater than 1 year of experience as an RN strongly preferred.
- 1 year of experience as an RN in any setting required.
- 1 year in psychiatric/recovery programs preferred.
- Some experience as a charge RN or other leadership position strongly preferred.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
First aid may be required based on state or facility.
AHRN
See All 186+ Registered Nurse Supervisor Jobs in North Carolina
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Find JobsRegistered Nurse Supervisor Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Registered Nurse Supervisor Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
- Advocate Aurora Health43

- Atrium Health36

- Saber Healthcare19

- Yad Healthcare10

- Liberty Healthcare Companies7

Top Industries Hiring
- Healthcare & Medical Services
What North Carolina Employers Look For
The qualifications that appear most often in registered nurse supervisor jobs across North Carolina.
- Active registered nurse license issued or recognized by the North Carolina Board of Nursing
- Bachelor of Science in Nursing degree required by most acute care and health system employers
- Minimum of several years of clinical nursing experience in a relevant care setting
- Demonstrated leadership experience as a charge nurse, team lead, or unit coordinator
- Current BLS certification and Advanced Cardiovascular Life Support where applicable
- Proficiency with electronic health record platforms such as Epic or Cerner
Registered Nurse Supervisor Jobs in North Carolina: Frequently Asked Questions
How do you become a registered nurse supervisor in North Carolina?
Start by holding an active RN license through the North Carolina Board of Nursing, which requires passing the NCLEX-RN after completing an accredited nursing program. Most North Carolina employers expect a BSN and several years of direct patient care experience before considering candidates for supervisory roles. Earning a certification such as the Nurse Executive credential from the American Nurses Credentialing Center strengthens your candidacy alongside demonstrated leadership in charge nurse or preceptor roles.
Which companies hire registered nurse supervisors in North Carolina?
Employers hiring registered nurse supervisors in North Carolina right now include Advocate Aurora Health, Atrium Health, and Saber Healthcare, based on current listings on Migrate Mate as of August 2026. North Carolina's large integrated health systems and growing community health networks consistently post supervisory nursing roles across hospital campuses, outpatient surgery centers, and skilled nursing facilities throughout the state.
Which North Carolina cities have the most registered nurse supervisor jobs?
Charlotte, Greensboro, and Concord account for the most registered nurse supervisor openings in North Carolina. Charlotte's concentration of major health systems like Atrium Health and Novant Health drives the highest volume, while Raleigh benefits from the Research Triangle's academic medical centers and Greensboro anchors a growing Piedmont Triad healthcare corridor that includes Cone Health and Moses Cone Memorial Hospital.
Are there remote registered nurse supervisor jobs in North Carolina?
Yes, but they're rare. Registered nurse supervisor roles are primarily on-site positions requiring direct oversight of nursing staff and patient care operations. About 8% of registered nurse supervisor openings tied to North Carolina are remote or hybrid as of August 2026, and those positions typically involve case management supervision, utilization review leadership, or telehealth program coordination rather than floor-based unit management.
How can I get hired as a registered nurse supervisor in North Carolina with little or no experience?
The most realistic entry path is moving into a charge nurse or shift lead role within a North Carolina hospital or long-term care facility before pursuing formal supervisor titles. Atrium Health, Novant Health, and WakeMed run nurse residency and leadership development programs that build supervisory competencies over time. Lateral moves from case management coordinator or clinical educator positions are also common on-ramps, and completing a nurse leadership certificate from a University of North Carolina system school adds measurable credibility.
Where can I find and apply to registered nurse supervisor jobs in North Carolina?
You can find and apply to registered nurse supervisor jobs in North Carolina on Migrate Mate, which lists current openings from employers actively hiring across the state. Search the listings for roles that match your specialty and experience level, then apply directly to the ones that fit.
See All 186+ Registered Nurse Supervisor Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
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