House Supervisor - Registered Nurse (RN) in Boone, North Carolina at Appalachian Regional Healthcare System

RN (Registered Nurse) House Supervisor

Location: Boone, North Carolina | Nursing Administration | Non-Exempt Leadership

Why You’ll Love Working Here

As an RN (Registered Nurse) House Supervisor at UNC Health Appalachian, you will serve as a key clinical and operational leader, helping coordinate nursing care and hospital operations across inpatient areas. You’ll support frontline teams, collaborate with nursing and medical leadership, help ensure appropriate staffing, and provide real-time guidance when patient care or operational needs arise.

This role is ideal for an experienced acute care nurse who enjoys leading others, solving problems, and seeing the bigger picture while remaining connected to bedside care. As a working clinical leader, the RN House Supervisor maintains bedside competency and is prepared to step in when needed to support patients and nursing teams.

Compensation: Starts at $40.42 per hour or higher, based on education, experience, and internal equity

Status: Non-Exempt Leadership
Benefits: Comprehensive medical, dental, and vision coverage; retirement plan with employer match; paid time off; tuition reimbursement; wellness incentives; Career Pathways opportunities; employee assistance programs; and additional employee perks.

Applicable benefits begin the first of the month following 60 days of employment from new hire orientation.

Located in the heart of the Blue Ridge Mountains, Boone, North Carolina offers exceptional outdoor recreation, vibrant community living, and outstanding quality of life.

What You’ll Do as an RN House Supervisor

Hospital Operations & Nursing Coordination

• Coordinate day-to-day nursing operations across hospital units to support safe, efficient, and effective patient care.

• Assess staffing needs based on patient census, acuity, staffing ratios, available resources, and operational needs.

• Coordinate nursing staff assignments and resources in accordance with established staffing and budgetary guidelines.

• Help address changing patient care demands and operational priorities throughout the shift.

• Collaborate with unit managers, nursing leadership, medical staff, and other departments to promote continuity and efficiency of care.

Clinical Leadership & Staff Support

• Serve as an accessible clinical and leadership resource for nursing staff throughout the hospital.

• Provide guidance and support to frontline team members to promote safe practice, professional development, empowerment, and job satisfaction.

• Maintain clinical and bedside competency and assist with direct patient care when needed.

• Support clinical decision-making and help staff appropriately escalate patient care concerns.

• Promote effective teamwork, communication, and collaboration across nursing units and disciplines.

• Provide leadership input regarding staff performance and employee evaluations as appropriate.

Patient Safety & Emergency Response

• Promote a hospital-wide culture focused on patient safety, quality, and exceptional care.

• Respond promptly and effectively to emergencies, changes in patient condition, staffing challenges, and other urgent operational needs.

• Assist in coordinating resources and communication during emergency situations.

• Ensure nursing activities are performed within applicable licensure requirements, organizational policies, and standards of care.

• Identify and communicate significant clinical, regulatory, or operational concerns to the appropriate manager or nursing leader.

Quality, Compliance, & Continuous Improvement

• Support compliance with applicable regulatory requirements, nursing standards, and UNC Health Appalachian policies and procedures.

• Partner with nursing leadership to identify opportunities to improve patient care, workflow, staff satisfaction, and operational efficiency.

• Participate in leadership initiatives and quality or performance improvement activities.

• Promote consistent nursing practices and effective care delivery across the continuum.

• Help maintain an environment of accountability, professionalism, collaboration, and continuous improvement.

Qualifications

Minimum Education

• Graduate of an accredited nursing program

Experience

• Minimum of two (2) years of acute care nursing experience required

• One (1) or more years of previous leadership experience in a supervisory, charge nurse, or similar clinical leadership role preferred

Licensure & Certifications

• Current Registered Nurse (RN) licensure in North Carolina

• Basic Life Support (BLS) certification from the American Heart Association required at the time of hire

• Advanced Cardiac Life Support (ACLS) certification from the American Heart Association is required within one (1) year of hire

• Pediatric Advanced Life Support (PALS) certification from the American Heart Association is required within one (1) year of hire

Knowledge, Skills, & Abilities

• Strong clinical judgment and ability to provide safe, effective nursing care within applicable licensure, policy, and regulatory requirements

• Demonstrated leadership ability with the confidence to provide guidance and direction in a dynamic hospital environment

• Strong interpersonal and communication skills with patients, families, nurses, physicians, leadership, and other healthcare professionals

• Ability to coordinate multiple priorities, staffing needs, and patient care demands across nursing units

• Ability to remain calm, organized, and responsive during emergencies and rapidly changing situations

• Strong problem-solving, critical-thinking, and clinical decision-making skills

• Understanding of nursing care across the continuum and principles of quality and performance improvement

• Commitment to patient safety, clinical excellence, teamwork, and an exceptional patient experience

• Ability to establish and maintain positive working relationships across departments and disciplines

• Ability to provide leadership while maintaining clinical competency and supporting bedside care when needed

Physical Requirements

• Frequent walking and standing throughout the hospital and patient care areas

• Frequent bending, reaching, lifting, positioning, pushing, and pulling associated with clinical nursing responsibilities

• Ability to lift and/or assist with weights of 50 pounds or greater as required for patient care

• Manual dexterity and mobility necessary to perform clinical nursing responsibilities

• Visual acuity necessary for patient assessment, documentation, medication administration, and other clinical responsibilities

• Ability to sustain prolonged periods of physical activity during a shift

Work Environment

• Work is performed throughout an acute care hospital environment with regular interaction with patients, families, nursing staff, physicians, leadership, and other clinical departments.

• Regular exposure to bloodborne pathogens and other clinical or environmental hazards.

• Requires flexibility to work variable shifts based on hospital operational needs, including nights, weekends, and holidays.

• Must be able to respond quickly to emergencies, changes in patient condition, staffing needs, and fluctuating workloads.

• May require movement between multiple nursing units and patient care areas during the shift.

• Requires the ability to balance leadership and operational responsibilities with direct clinical support when patient care needs require it.

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.