RN Team Lead - Emergency Department - CRBH - Nights

Employment Status: Full time

Shift: Evening/Night (United States of America)

Facility: 1 Health Cir
- Lexington

Requisition Number: R161231

Position: RN Team Lead
- Emergency Department - CRBH
- Nights (Open)

This position is located at Carilion Rockbridge Community Hospital (CRBH) in Lexington, VA, working nights 7pm-7am with EOW and rotating holidays. The RN Team Lead provides clinical leadership and oversight for patient care delivery while supporting staff development, operational efficiency, and quality outcomes. This role serves as a clinical resource, mentor, and team leader to ensure high‑quality, patient‑centered care across assigned areas.

• Provides direct patient care and coordinates care delivery for patients of all ages.
• Assesses, plans, implements, and evaluates patient care to achieve optimal outcomes.
• Leads and mobilizes the care team to support positive patient outcomes.
• Facilitates effective communication and resolves operational issues within the work group.
• Supports staff development through coaching, mentoring, and performance feedback.
• Participates in performance evaluations and contributes to development planning.
• Assists with staffing, scheduling, and workload distribution to ensure adequate coverage.
• Collaborates with leadership on fiscal management, resource allocation, and budget considerations.
• Participates in performance improvement, patient satisfaction, and quality initiatives.
• Conducts team meetings and promotes a positive, accountable work environment.
• Ensures compliance with regulatory, licensure, and accreditation standards.
• Communicates effectively with patients, families, staff, and interdisciplinary teams.
• Maintains confidentiality and exercises sound judgment in handling sensitive information.
• Supports organizational initiatives and adapts to changing priorities.
• Responds to staffing needs, including supporting other Carilion facilities as required.

• Education: Graduate of a State Board of Nursing approved program required.
• Experience: Minimum of 1 year of clinical experience including demonstrated clinical and leadership expertise required.
• Licensure, Certification, and/or Registration: Current Registered Nurse license in the Commonwealth of Virginia required.
• Behavioral Health Roles: De‑escalation training must be completed within the required timeframe.
• OB/GYN Roles: EFM NCC certification required.
• Life Support: AHA BLS‑HCP required. ACLS, PALS, or NRP may be required based on assigned work area.
• Other
  
  Minimum Qualifications:
  
  Demonstrated leadership, interpersonal, and communication skills; ability to work collaboratively in a team environment; ability to manage challenging patient situations as appropriate to role.

Range: $39.00 – $62.40 per hour. Pay is based on qualifications, credentials, education, and prior work experience. The range does not include benefits or pension plan.

• Comprehensive Medical, Dental & Vision Benefits
• Employer Funded Pension Plan, vested after five years (Voluntary 403B)
• Paid Time Off (accrued from day one)
• Onsite fitness studios and discounts to our Carilion Wellness centers
• Access to our health and wellness app, Personify Health
• Discounts on childcare
• Continued education and training

Carilion Clinic is an Equal Opportunity

Employer:

We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug‑Free Workplace.