Nurse Manager

Position:
Nurse Manager

Reports To:

Director of Operations
Supervises:
Licensed Vocational Nurses (LVNs), Registered Nurses (RNs), and unlicensed medical support staff
Position Classification:
Exempt

Location:

On-Site

Hours:

Full-Time, Salaried – includes scheduled shifts as the nurse on duty

The Nurse Manager is a dual-function role responsible both for direct, hands‑on nursing care as the nurse on duty during scheduled shifts and for the overall supervision, coordination, and leadership of the nursing department at The Annex. During scheduled shifts, the Nurse Manager functions as the acting floor nurse, providing direct client care, medication administration, and clinical monitoring. Outside of direct care duties, this position ensures that high standards of nursing care are delivered across The Annex's treatment programs, manages the nursing schedule and staffing coverage, oversees medication and health‑related procedures, and ensures compliance with regulatory, clinical, and organizational requirements.

The Nurse Manager serves as the primary point of escalation for medical incidents requiring clinical judgment beyond the scope of frontline nursing staff and plays a key leadership role in promoting client safety, documentation accuracy, clinical competence, and interdisciplinary collaboration.

• Direct supervision of Registered Nurses (RNs), Licensed Vocational Nurses (LVNs), and unlicensed medical support staff
• Assist with hiring, onboarding, training, scheduling, evaluating, and disciplining nursing personnel, in coordination with the Director of Operations and Human Resources
• Assist with nursing operations including medication administration, storage, reconciliation, and documentation
• Leads nursing meetings and skills trainings, and participates in leadership and quality improvement meetings

• Serve as the acting nurse on duty for the full duration of scheduled shifts, providing direct client care consistent with RN scope of practice.
• Administer medications, conduct health assessments, and perform clinical monitoring for residents in accordance with physician orders and The Annex's clinical protocols.
• Complete all required nursing documentation, MAR entries, and shift‑level clinical notes in real time during scheduled shifts.
• Respond directly to client medical needs, symptom changes, and urgent care situations arising during the shift.
• Coordinate directly with prescribing providers, pharmacies, and other nursing staff on client‑specific care needs during the shift.

• Build, maintain, and adjust the nursing schedule to ensure adequate 24/7 coverage, accounting for census, acuity, PTO, and call‑outs.
• Manage the on‑call nursing rotation and ensure timely, appropriate coverage during nights, weekends, and holidays.
• Assist with recruiting, onboarding, and training new nursing staff, including orientation to The Annex's clinical protocols, EMR/documentation systems, and medication administration procedures.
• Conduct ongoing skills validation, and annual competency evaluations for nursing staff.
• Conduct regular performance evaluations of nursing staff, provide coaching and corrective action as needed, and elevate significant performance or conduct concerns to the Director of Operations.

• Supervise all aspects of medication management, including storage, controlled access, dosing documentation, and disposal, across all shifts (not only their own).
• Conduct regular MAR (Medication Administration Record) audits for accuracy and compliance.
• Ensure nursing practice and documentation comply with Texas Board of Nursing regulations, DEA…