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Nurse Manager Director information

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$55.5K

$108.7K

$170.5K

How much do nurse manager director jobs pay per year?

As of Aug 30, 2026, the average yearly pay for nurse manager director in the United States is $108,675.00, according to ZipRecruiter salary data. Most workers in this role earn between $83,000.00 and $125,500.00 per year, depending on experience, location, and employer.

What does a nurse manager director do?

A Nurse Manager Director oversees the nursing staff and operations within a healthcare facility or department. Their responsibilities include managing budgets, ensuring compliance with healthcare regulations, developing policies, and leading quality improvement initiatives. They also play a key role in hiring, training, and evaluating nurses, while fostering a positive work environment. Ultimately, Nurse Manager Directors ensure that patients receive high-quality care by maintaining efficient and effective nursing practices.

What are some common challenges nurse manager directors face in balancing administrative duties with supporting clinical staff?

Nurse Manager Directors often juggle significant administrative responsibilities, such as budgeting, staffing, and regulatory compliance, while also supporting and mentoring clinical staff. One common challenge is finding time to remain visible and accessible to nurses on the floor while meeting the demands of upper management. Effective Nurse Manager Directors prioritize communication, delegate tasks appropriately, and use strong organizational skills to ensure both operational goals and staff needs are met. This balance is crucial for maintaining staff morale and ensuring high-quality patient care.

What are the key skills and qualifications needed to thrive as a nurse manager director, and why are they important?

A Nurse Manager Director requires advanced clinical expertise, leadership experience, and typically a BSN or MSN degree along with active RN licensure. Familiarity with healthcare management systems, budgeting tools, and quality improvement frameworks is also essential. Outstanding communication, conflict resolution, and team-building skills are crucial for motivating staff and managing complex situations. These competencies ensure effective leadership, high-quality patient care, and smooth operations within healthcare organizations.

What is the difference between Nurse Manager Director vs Nurse Supervisor?

AspectNurse Manager DirectorNurse Supervisor
CredentialsRN license, BSN or higher, leadership experienceRN license, some supervisory experience
Work EnvironmentHospital or healthcare facility leadership, strategic planningUnit or department oversight, staff management
ResponsibilitiesOversees multiple units, policy development, budget managementSupervises nursing staff, ensures patient care standards

The Nurse Manager Director typically holds a higher leadership role with broader responsibilities, including strategic planning and organizational oversight. In contrast, a Nurse Supervisor focuses on direct staff management within a specific unit. Both roles require RN licensure and healthcare experience, but the Nurse Manager Director's scope is more extensive, often involving administrative duties at a higher organizational level.

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Nurse Manager Director jobs near you
Infographic showing various Nurse Manager Director job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 80% Physical, 2% Hybrid, and 18% Remote job distribution, with an average salary of $108,675 per year, or $52.2 per hour.

Nurse Manager/Director of Nursing Designee

Manchester Township, NJ • On-site

Renew360°
See more jobs at Renew360°external

$110 - $140/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 21 days ago

Job description

Benefits
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance
About Us

Renew360° is a detoxification and residential substance use disorder treatment facility in Toms River, New Jersey, dedicated to helping individuals begin their journey to lasting recovery. We provide compassionate, evidence-based care that focuses on healing the mind, body, and spirit, recognizing that recovery is a personal journey and that every pathway deserves respect and support.

Our multidisciplinary team of licensed counselors, medical professionals, and addiction specialists works collaboratively to deliver high-quality, individualized care that improves lives. If you are passionate about making a meaningful difference and want to be part of a team that values compassion, integrity, collaboration, and excellence, we’d love to have you join us as we empower individuals, foster hope, and create opportunities for lasting change.

JOB PURPOSE

Under the direction of the Director of Nursing, the Nurse Manager/Director of Nursing Designee provides day-to-day operational and clinical leadership for nursing services at Renew360. The position serves as the designated representative of the Director of Nursing when assigned and is responsible for ensuring safe, evidence-based, trauma-informed, and patient-centered nursing care in accordance with New Jersey Department of Health regulations, applicable federal requirements, ASAM Criteria, accreditation standards, and organizational policies.

The Nurse Manager promotes excellence in nursing practice through staff development, quality improvement, regulatory compliance, interdisciplinary collaboration, and continuous monitoring of patient outcomes.

When formally designated by the organization and only during the absence or unavailability of the Director of Nursing, the Nurse Manager serves as the Director of Nursing Designee. In this capacity, the DON designee assumes delegated operational and administrative responsibilities necessary to maintain continuity of nursing services. The Nurse Manager does not permanently assume the Director of Nursing position and exercises only those responsibilities specifically delegated by the Director of Nursing or organizational leadership.

TIME COMMITMENT

Full time, in-person onsite position, consisting of 40 hours per week depending on organizational needs.

ESSENTIAL FUNCTIONS AS DIRECTOR OF NURSING DESIGNEE

The Nurse Manager serves as the Director of Nursing Designee only when formally designated by the organization and during the temporary absence, leave, or unavailability of the Director of Nursing. While serving in this capacity, the Nurse Manager is authorized to perform delegated operational and administrative functions necessary to ensure continuity of nursing services, including:

  • Providing operational oversight of nursing services.
  • Supervising nursing staff and making day-to-day staffing decisions.
  • Responding to regulatory, licensing, and survey-related issues requiring nursing leadership.
  • Coordinating with the Medical Director, Executive Director, and other department leaders regarding patient care operations.
  • Reviewing and approving nursing documentation, reports, and operational matters within delegated authority.
  • Addressing urgent personnel, patient care, and safety issues requiring nursing leadership.
  • Ensuring continued compliance with New Jersey regulations, organizational policies, and accreditation standards.
  • Communicating significant issues and actions taken to the Director of Nursing upon their return.
  • Reporting back to the DON all items

The Nurse Manager/Director of Nursing Designee does not independently establish departmental policy, make permanent organizational decisions reserved for the Director of Nursing, or assume responsibilities beyond those specifically delegated by the Director of Nursing or executive leadership. Authority as Director of Nursing Designee is temporary and limited to the period of official assignment.

The Nurse Manager/Director of Nursing Designee is expected to maintain detailed documentation of significant decisions, incidents, staffing changes, regulatory communications, quality concerns, and operational actions taken while serving in the delegated role. Upon the Director of Nursing's return, the designee will conduct a formal handoff to ensure continuity of leadership, patient care, regulatory compliance, and departmental operations. This includes but is not limited to:

  1. A formal transition of leadership.
  2. Documentation of actions taken.
  3. Accountability for decisions made during the delegated period.
  4. Immediate return of authority to the Director of Nursing.
  5. Continuity of patient care and regulatory compliance.
ESSENTIAL FUNCTIONS OF NURSE MANAGER Clinical Leadership
  1. Supervise daily nursing operations for detoxification and residential treatment programs.
  2. Ensure delivery of nursing care consistent with evidence-based practices and ASAM Criteria.
  3. Monitor patient acuity and staffing needs to ensure safe nursing coverage.
  4. Participate in admission, transfer, discharge, and care coordination activities.
  5. Promote trauma-informed, culturally responsive, and recovery-oriented nursing care.
  6. Assist with implementation of Medication-Assisted Treatment (MAT) protocols under the direction of licensed medical providers.
  7. Monitor patient response to treatment and communicate significant clinical changes to medical providers.
  8. Participate in interdisciplinary treatment team meetings.
  9. When officially assigned and only during the absence of the Director of Nursing, serve as the Director of Nursing Designee by carrying out delegated administrative and operational responsibilities to ensure uninterrupted nursing leadership and regulatory compliance.
Administrative Leadership & Staff Supervision/Oversight
  1. Serve as the Director of Nursing Designee in the absence of the Director of Nursing.
  2. Assist in development and implementation of nursing policies and procedures.
  3. Participate in strategic planning related to nursing services.
  4. Ensure nursing operations support organizational goals and regulatory requirements.
  5. Coordinate nursing schedules to maintain required staffing levels.
  6. Manage daily workflow and assignment of nursing personnel.
  7. Participate in recruitment, interviewing, onboarding, and retention of nursing staff.

When assigned and under the direction of the Director of Nursing, provide supervision of:

  1. Registered Nurses (RN)
  2. Licensed Practical Nurses (LPN)
  3. Other Agency nursing personnel

Responsibilities include:

  1. Orientation
  2. Clinical coaching
  3. Staff education
  4. Clinical mentoring
Quality Improvement & Regulatory Compliance
  1. Monitor nursing quality indicators.
  2. Conduct routine chart audits.
  3. Review medication administration records (MARs).
  4. Review incident reports and adverse events.
  5. Monitor infection prevention activities.
  6. Assist with Quality Assurance Performance Improvement (QAPI) initiatives.
  7. Track nursing performance metrics.

Ensure nursing services comply with:

  1. New Jersey Department of Health regulations
  2. ASAM Criteria
  3. HIPAA
  4. OSHA
  5. CDC infection prevention guidance
  6. DEA medication security requirements
  7. Controlled substance regulations
  8. Organizational policies
  9. Accreditation standards (CARF, Joint Commission, or other applicable accrediting bodies)

Prepare nursing services for:

  1. State inspections
  2. Accreditation surveys
  3. Internal audits
  4. Licensing reviews
Medication Management
  1. Collaborate with:
  2. Medical Director
  3. Advanced Practice Nurses
  4. Physicians
  5. Pharmacy Consultant

To ensure:

  1. Safe medication administration
  2. Controlled substance accountability
  3. Medication reconciliation
  4. Narcotic count accuracy
  5. Medication error reduction
  6. Medication storage compliance
  7. MAT protocol implementation
Infection Prevention
  1. Monitor infection prevention activities.
  2. Ensure compliance with universal precautions.
  3. Conduct infection surveillance.
  4. Review exposure incidents.
  5. Monitor vaccination requirements where applicable.
  6. Coordinate infection prevention education.
  7. Participate in outbreak management.
Patient Safety
  1. Falls
  2. Medication errors
  3. Medical emergencies
  4. Withdrawal complications
  5. Suicide precautions
  6. Patient observation procedures
  7. Emergency response readiness
  8. Participate in emergency preparedness planning and drills.
Documentation Oversight

When assigned and under the direction of the Director of Nursing, ensure nursing documentation is:

  1. Accurate
  2. Timely
  3. Complete
  4. Legible
  5. Consistent with regulatory requirements

Review documentation for:

  1. Nursing assessments
  2. Withdrawal monitoring tools (e.g., CIWA-Ar, COWS)
  3. Medication administration
  4. Progress notes
  5. Physician orders
  6. Treatment coordination
Education and Staff Development
  1. Orientation
  2. Annual competencies
  3. Emergency procedures
  4. MAT education
  5. Withdrawal management
  6. Infection prevention
  7. Medication administration
  8. Documentation standards
  9. Regulatory updates
Collaboration
  1. Medical Director
  2. Director of Nursing
  3. Clinical Director
  4. Executive Director
  5. Coordinator Utilization Management
  6. Recovery Support Services
  7. Pharmacy Consultant
  8. Laboratory Services
  9. Director of Quality Assurance.
KNOWLEDGE, SKILLS, AND ABILITIES
  1. Strong clinical assessment skills.
  2. Knowledge of withdrawal management protocols.
  3. Leadership and staff development skills.
  4. Excellent communication and conflict resolution abilities.
  5. Ability to manage multiple priorities in a fast-paced environment.
  6. Strong organizational and documentation skills.
  7. Knowledge of electronic medical records (EMR).
  8. Understanding of quality improvement methodologies.
  9. Knowledge of New Jersey Administration
  10. Ability to interpret healthcare regulations and accreditation standards.
  11. Commitment to patient-centered, trauma-informed, and culturally responsive care.
PHYSICAL REQUIREMENTS
  1. Ability to stand and walk for extended periods.
  2. Ability to lift up to 50 pounds with assistance when appropriate.
  3. Ability to respond rapidly to medical emergencies.
  4. Frequent bending, reaching, and movement throughout the facility.
  5. Ability to safely perform patient care activities.
REQUIRED EDUCATION
  1. Graduate of an accredited school of nursing.
  2. Current, unrestricted licensure as a Registered Professional Nurse (RN) in the State of New Jersey, in good standing with the New Jersey Board of Nursing.
  3. Bachelor of Science in Nursing (BSN) required.
Preferred Education
  1. Master's degree in Nursing (MSN), Healthcare Administration, Public Health, Business Administration, or a related healthcare field preferred.
  2. Certification in Addiction Nursing (CARN), Psychiatric-Mental Health Nursing, Nurse Executive (NE-BC), or another relevant specialty certification is preferred or expected within an established timeframe following hire.
Required Experience
  • Minimum of five (5) years of progressively responsible nursing experience.
  • Minimum of two (2) years of supervisory or management experience in a healthcare setting.
  • Experience in substance use disorder treatment, behavioral health, psychiatric services, medical detoxification, residential treatment, emergency medicine, or a comparable clinical setting strongly preferred.
  • Demonstrated knowledge of withdrawal management, medication-assisted treatment (MAT), behavioral health nursing, infection prevention, and emergency response.
Required Knowledge
  • Knowledge of New Jersey Department of Health regulations governing Treatment licensed residential substance use disorder treatment programs.
  • Working knowledge of the ASAM Criteria for Levels 3.5 and 3.7-WM.
  • Knowledge of applicable federal and state laws and regulations, including HIPAA, OSHA, DEA controlled substance requirements, and standards established by accrediting organizations such as CARF or The Joint Commission, as applicable.
  • Experience with electronic medical records (EMR), quality improvement processes, medication management, and regulatory survey preparedness.
Required Certifications
  • Current Basic Life Support (BLS) certification.
  • Advanced Cardiovascular Life Support (ACLS) certification preferred or required based on organizational policy.
  • Crisis Prevention Intervention (CPI) or equivalent de-escalation training preferred.
  • Valid New Jersey driver's license
Continuing Education
  • The Nurse Manager/Director of Nursing Designee is expected to maintain all licensure and certifications required by the State of New Jersey and to complete all mandatory continuing education required by the New Jersey Board of Nursing, the organization, and applicable licensing or accrediting agencies.
  • The Nurse Manager/Director of Nursing Designee is also expected to participate in ongoing professional development related to addiction medicine, withdrawal management, behavioral health, leadership, quality improvement, and regulatory compliance.
ADDITIONAL DUTIES Organizational Responsibilities
  1. Align with Renew360’s mission, vision, and values.
  2. Foster a diverse, inclusive, and respectful workplace.
  3. Support departmenta

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