Charge Nurse - Intermediate Care at Appalachian Regional Healthcare System – Boone, North Carolina

Location: Boone, North Carolina | Full-Time | 12-hour shifts

As a Charge Nurse at UNC Health Appalachian, you’ll play a vital leadership role in ensuring the highest quality of patient care while supporting and mentoring nursing staff on your shift. You’ll collaborate closely with interdisciplinary teams, coordinate patient flow, and maintain operational excellence across the unit.

Nestled in the scenic Appalachian Mountains, Boone offers the perfect blend of community, culture, and outdoor adventure.

• Compensation: Starts at $36.38/hour, based on experience, education, and internal equity.

• Schedule: 3x12-hour shifts, with weekend and holiday rotations as needed.

• Benefits: Comprehensive medical/dental/vision, retirement with match, PTO, tuition reimbursement, paid parental leave, wellness incentives, and employee discounts.

• Provide on-shift leadership and clinical guidance to nursing staff to ensure safe, efficient, and compassionate patient care.

• Coordinate and oversee daily unit operations, including patient assignments, admissions, and discharges.

• Promote teamwork and communication across interdisciplinary teams to support quality outcomes.

• Serve as a resource and mentor to nurses, fostering professional growth and confidence.

• Support patient care delivery through direct clinical involvement and decision-making when needed.

• Monitor patient progress and collaborate with providers to address changes in condition.

• Partner with the Clinical Operations Manager and House Supervisor to ensure compliance with policies and standards.

• Graduate of an accredited school of nursing (BSN preferred).

• Current Registered Nurse (RN) license in North Carolina (or compact state).

• Minimum of two (2) years of inpatient nursing experience with demonstrated leadership ability.

• BLS required at hire; ACLS, PALS (or ENPC), and NIHSS required within one year of hire.

• Strong clinical judgment, leadership, and communication skills.

• Ability to prioritize, delegate, and manage multiple responsibilities in a fast-paced environment.

• Ability to lift, position, or transfer patients up to 50 lbs; frequent standing, walking, or bending required.

• Exposure to blood-borne pathogens, chemicals, and emergency situations.

• Must demonstrate physical and emotional resilience to lead effectively in high-pressure clinical environments.

• Schedule flexibility to include nights, weekends, and holidays as needed.

• Leadership Impact: As a Charge Nurse, you’ll help shape unit culture, enhance team collaboration, and ensure exceptional patient experiences.

• Career Growth: Access structured leadership development, tuition reimbursement, and professional advancement opportunities.

• Community Commitment: Our nurses deliver compassionate care across three hospitals, 13 practices, and specialized centers like the Seby B. Jones Regional Cancer Center and The Rehabilitation Center.

• Inclusive Culture: We embrace diversity, equity, and inclusion — and provide accommodations as needed.

Ready to lead with compassion and excellence?
Apply today to join UNC Health Appalachian and advance your nursing career while making a meaningful impact on patients, families, and your community.

About UNC Health Appalachian
UNC Health Appalachian is a premier healthcare provider in the High Country, operating three hospitals and a variety of medical services. We are committed to improving the health and quality of life for residents of the region.

About UNC Health
As part of the University of North Carolina system, UNC Health includes 14 hospitals and over 500 clinics, dedicated to advancing the health and well-being of North Carolinians.

Diversity and Inclusion
UNC Health Appalachian is committed to a diverse and inclusive workforce. We welcome applicants from all backgrounds and experiences. Employment is contingent upon successful background checks and drug screening. For accommodations or additional information, contact arhsrecruitment@unchealth.unc.edu.