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Director of Nursing

Reserve Health

Gastonia, North Carolina

RN

Posted Aug 20 · Not open to new grads

Shift
Days
Unit
Psych

What the listing says

Role

Schedule
Days
Term
Permanent
On the floor
Precepting expected · On call
Setting
Correctional
Accepts
RN
Experience
3+ years

Ratio not posted. Ask in the interview.

Pay

Against the board
This role$46/hr
nursing in North Carolina$36/hr

The median for nursing in North Carolina is $36/hr, across 460 postings. It covers every nursing role in the state, so it is a bearing, not a like-for-like comparison.

About this role

  • Job Title: Director of Nursing (DON) – Correctional Healthcare
  • Location: Gaston County Jail (Gastonia, NC)
  • Reporting To: Health Services Administrator (HSA)
  • Direct Reports: Registered Nurses (RNs), Licensed Practical Nurses (LPNs)

Position Overview

Reserve Health is seeking a Director of Nursing (DON) to lead nursing operations at the Gaston County Jail. Reporting directly to the Health Services Administrator (HSA), the DON oversees clinical excellence, shift coverage, and staff development across all RN and LPN team members. This role demands strong clinical judgment, proactive leadership, and a commitment to providing compassionate, compliant healthcare within a secure environment.

Key Responsibilities

Read the full posting
  • Operational & Team Leadership: Manage day-to-day nursing operations, including shift scheduling, roster coverage, recruitment, onboarding, training, and performance evaluations for RNs and LPNs.
  • Clinical Management & Crisis Response: Lead emergency medical responses and crisis interventions. Collaborate with facility physicians to develop care plans, conduct health assessments, and oversee inmate treatment.
  • Regulatory Compliance & Policy: Enforce facility protocols to meet federal, state, and local correctional healthcare regulations. Assist with accreditation audits and quality assurance inspections.
  • Interdisciplinary Coordination: Work seamlessly with correctional officers, mental health providers, and external healthcare specialists to coordinate comprehensive inmate care.
  • Quality Improvement: Drive patient safety and healthcare quality initiatives to improve clinical outcomes and operational efficiency.
  • Patient Education & Advocacy: Oversee inmate health management programs (e.g., chronic disease management, substance abuse education) while upholding ethical practices and patient confidentiality.

Qualifications

Education

Bachelor of Science in Nursing (BSN) required.

Licensure

Active, unencumbered RN license in North Carolina required.

Experience

Minimum 3 years of nursing experience, including a leadership/management role. Prior experience in a correctional facility strongly preferred.

Skills

  • Demonstrated ability to lead, schedule, and mentor a nursing team.
  • Strong clinical assessment, critical thinking, and emergency response skills.
  • Knowledge of NC correctional healthcare standards and compliance requirements.
  • Clear communication, conflict resolution, and budget management skills.

Working Conditions

Work is performed inside a secure correctional facility. The role requires physical mobility, adherence to strict security procedures, potential exposure to infectious diseases, and the ability to respond to urgent facility needs outside standard shift hours when necessary.

Sourced from a public job board.

Licensure: Active, unencumbered RN license in North Carolina required. Experience: Minimum 3 years of nursing experience, including a leadership/management role. Prior experience in a correctional facility strongly pref…· from this posting

Requirements

  • Bachelor of Science in Nursing (BSN) required.
  • Active, unencumbered RN license in North Carolina required.
  • Minimum 3 years of nursing experience, including a leadership/management role. Prior experience in a correctional facility strongly preferred.
  • Demonstrated ability to lead, schedule, and mentor a nursing team.
  • Strong clinical assessment, critical thinking, and emergency response skills.
  • Knowledge of NC correctional healthcare standards and compliance requirements.
  • Clear communication, conflict resolution, and budget management skills.

Place

City
Gastonia, North Carolina
Median rent
$1,204/mo

rent and tenant-paid utilities

Local household income
$64,059/yr

all local households, not nurse pay

Metro price level
3% below the national average

Gastonia area index 97.3, where 100 is the national average.

Map showing the location of Gastonia, NC
Approximate location in Gastonia, NC. · © Mapbox © OpenStreetMap· Open the live map

Cost figures from U.S. Bureau of Economic Analysis.

How this role fits you

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About the employer

Reserve Health
Hiring organization

On your path

Psychiatric is open from year one. Behavioral health spans inpatient, emergency, and community settings.

Worth asking

The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.

  • Can you walk me through differentials?
  • What should I expect for weekly hours, weekend, holiday, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
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