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

Charge Nurse - Intermediate Care

Charge Nurse (RN) – Intermediate/Acute Care

Location: Boone, North Carolina | Full-Time | 12-Hour Shifts - Nights | Non-Exempt

Why You'll Love Working Here

As a Charge Nurse (RN) 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 throughout your shift. You'll collaborate closely with interdisciplinary teams, coordinate patient flow, and help maintain operational excellence across the unit.

This position is ideal for an experienced Registered Nurse who excels in leadership, clinical decision-making, teamwork, and patient advocacy while fostering a culture of excellence and compassion.

Nestled in the scenic Blue Ridge Mountains, Boone, North Carolina offers the perfect blend of community, culture, and outdoor adventure.

• Compensation: Starting at $38.00/hour, based on education, experience, certification, and internal equity.

• Schedule: Three 12-hour shifts per week, with weekend and holiday rotations as needed.

• Applicable Benefits: Comprehensive medical, dental, and vision coverage; retirement plan with employer match; paid time off; tuition reimbursement; paid parental leave; wellness incentives; and employee discounts.

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

• Status: Non-Exempt

What You'll Do as a Charge Nurse

Clinical Leadership

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

• Serve as a clinical resource and mentor to nursing team members.

• Foster teamwork, accountability, and professional development among staff.

Unit Operations & Patient Flow

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

• Maintain efficient patient flow while ensuring high-quality care delivery.

• Collaborate with interdisciplinary teams to support positive patient outcomes.

Patient Care & Clinical Decision Making

• Support patient care delivery through direct clinical involvement as needed.

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

• Promote evidence-based practice and patient-centered care.

Quality, Safety & Compliance

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

• Maintain a safe environment focused on quality outcomes and patient satisfaction.

• Support patient safety initiatives and regulatory compliance efforts.

What We're Looking For

Qualifications/Licenses

Education

• Graduate of an accredited school of nursing required.

• Bachelor of Science in Nursing (BSN) preferred.

Experience

• Minimum of two (2) years of inpatient nursing experience required.

• Demonstrated leadership ability in a clinical setting required.

Required Licensure & Certifications

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

• Basic Life Support (BLS) certification required at hire.

• Advanced Cardiovascular Life Support (ACLS) required within one year of hire.

• Pediatric Advanced Life Support (PALS) or Emergency Nursing Pediatric Course (ENPC) required within one year of hire.

• NIH Stroke Scale (NIHSS) certification required within one year of hire.

Knowledge, Skills & Abilities

• Strong clinical judgment and critical-thinking skills.

• Effective leadership and team-building abilities.

• Excellent communication and interpersonal skills.

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

• Commitment to patient safety, quality outcomes, and service excellence.

Physical & Work Environment

Physical Demands

• Ability to lift, position, move, and transfer patients weighing up to and greater than 50 pounds.

• Frequent standing, walking, bending, reaching, and other patient care activities.

• Manual dexterity and mobility necessary for clinical care delivery.

• Ability to respond quickly and effectively in emergency situations.

Working Conditions

• Exposure to bloodborne pathogens, infectious materials, chemicals, and clinical hazards.

• Fast-paced inpatient environment with frequent interruptions and changing priorities.

• Requires physical and emotional resilience to lead effectively in high-pressure situations.

• Schedule flexibility necessary to support nights, weekends, holidays, and staffing needs.

What Sets Us Apart

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

• Career Growth: Access leadership development programs, tuition reimbursement, continuing education opportunities, and professional advancement pathways.

• Impactful Work: Play a key role in improving patient outcomes, supporting nursing excellence, and strengthening healthcare delivery throughout the High Country.

• Community & Lifestyle: Enjoy year-round recreation, vibrant arts and culture, excellent schools, and the natural beauty of the Blue Ridge Mountains.

• Top-Tier Community: Boone is home to Appalachian State University and is consistently recognized as one of North Carolina's most desirable mountain communities.

• Meaningful Benefits: Receive comprehensive benefits, retirement savings with employer match, paid parental leave, wellness resources, tuition assistance, and employee discounts.

• Inclusive Culture: We embrace diversity, equity, inclusion, and respect while providing a supportive environment where every team member can thrive.

Ready to Lead with Compassion and Excellence?

Apply today to join UNC Health Appalachian as a Charge Nurse (RN) and advance your nursing career while making a meaningful impact on patients, families, and your community.

About UNC Health Appalachian

It's official. UNC Health Appalachian earned an "A" Leapfrog Patient Safety Grade. UNC Health Appalachian, the leader for healthcare in the High Country, comprises three hospitals, 13 medical practices, the Seby B. Jones Regional Cancer Center, The Rehabilitation Center, and Appalachian Regional Healthcare Foundation.

UNC Health Appalachian remains committed to promoting health in the High Country, enhancing quality of life, and simply "making life better."

About UNC Health

UNC Health is a state entity and an affiliated enterprise of the University of North Carolina system, comprised of 14 hospitals, 18 hospital campuses, and more than 500 clinics, along with the clinical patient care programs of the UNC School of Medicine.

It exists to improve the health and well-being of North Carolinians and others we serve while furthering the teaching mission of the University of North Carolina School of Medicine. Over the past three years, UNC Health has provided more than $400 million in uncompensated and charity care to the citizens of North Carolina. Our hospitals have received numerous awards and recognitions for quality care, patient safety, and the overall patient experience.

For more information, visit unchealth.org.

Equal Opportunity Employer

UNC Health Appalachian embraces diversity and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected status.

We value a workforce that reflects a variety of backgrounds and perspectives, as it enhances our ability to provide outstanding care. We welcome and encourage applications from candidates of all backgrounds and experiences.

UNC Health Appalachian is committed to providing a fair and inclusive hiring process and a workplace where all team members feel respected and empowered. If you require accommodations during the application process, please contact us.

Employment is contingent upon successful completion of a background check and drug screening.

For accommodations or additional information, contact arhsrecruitment@unchealth.unc.edu.