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RN Operations Manager - Medical / Behavioral Specialty

Carilion Clinic

Richmond, VA • $89,232 to $142,771 / yr • 9/12/2026

Job Description

Job Description

RN leadership opportunity at Magnet designated, Level 1 Trauma Center in Roanoke, Virginia. The 7M Medical Specialty Unit is a specialized 12-bed inpatient unit dedicated to providing comprehensive care for adult patients with complex medical conditions, co-occurring behavioral health needs, and substance use disorders. Our team delivers evidence-based, compassionate care focused on assessment, stabilization, treatment, and recovery while supporting patients through some of their most challenging healthcare journeys. Staff on 7M work closely with Physicians, Registered Nurses, Therapists, Case Managers, Addiction Specialists, and Behavioral Health Professionals. Together, we address acute medical needs while providing behavioral support, medication management, discharge planning, and recovery-oriented treatment.

The Manager, CMC Nursing Operations provides 24-hour operational leadership for nursing units, ensures alignment with organizational goals, supports staff engagement, and drives execution of departmental objectives.

The CMC Nursing Operations Manager

  • The Operations Manager has rotating 24-hour accountability and responsibility for a direct care nursing unit/area providing a link between daily operations and achievement of organizational goals. The Operations Manager is responsible for creating safe, healthy environments that support the work of the health care team and contribute to patient and employee engagement.
  • Provides day-to-day leadership for successful implementation and execution of goals, action plans, and objectives for the department. Responsibilities include daily throughput of unit, patient experience rounding, employee rounding for engagement, quality monitoring of unit, planning of budget and managing expenses.
  • Communicates, organizes, prioritizes, leads, facilitates, coaches and problem solves with reporting staff to ensure that goals and objectives are met. (Quality, Patient Experience, Employee Engagement, Staff Retention and Throughput)
  • Works with other department leaders to carry out new health care services and performance improvement initiatives. Positively and appropriately represents Carilion Clinic at public and professional meetings.
  • May provide direct patient care or assist employees in overall care of patients.
  • Responsible for overseeing the day to day operations of a department as they relate to goals and objectives. Organizes, manages and controls departmental functions and resources in a collaborative and participative manner for optimal performance of service. These include: throughput of unit, quality, patient experience, and employee engagement.
  • Coordinates resources to provide adequate staffing for department. Demonstrates effective team building and leadership skills. Establishes day-to-day priorities and directs staff task assignments. Facilitates teams in problem solving processes.
  • Responsible for day to day monitoring of department budget, monitoring of expenses, and engaging in cost containment ideas.
  • Responsible for supporting facility and organization mission, goals, values, and scorecard objectives.
  • Creates a safe, comfortable and therapeutic environment for patients and families in accordance with standards and which is respectful of patient's rights. Completes daily leadership rounding with a focus on quality and patient experience. Provides real time staff feedback and service recovery.
  • Participates in the hiring and onboarding of new staff. Manages and maintains unit schedule with a focus on appropriate staffing mix to meet unit needs.
  • Facilitates and coordinates daily Interdisciplinary Rounds to ensure efficient unit throughput.
  • Collaborates with medical staff to ensure effective and quality patient care. Escalates concerns to Nursing Unit Director as appropriate.

What We Require:

Education: Graduate of school of professional nursing. BSN required. For Non-Magnet Facilities - BSN is required within 18 months of hire/transfer.


Experience: At least 2 years in a clinical nursing role.


Licensure, Certification, and/or Registration: Currently licensed as Registered Nurse in the Commonwealth of Virginia. In Psychiatry and Behavioral Health, de-escalation training must be successfully completed within 4 months of hire and then maintained going forward. Life Support: AHA BLS-HCP required. May be required to obtain/maintain BLS, ACLS, PALS, NRP based on specific work unit.


Other Minimum Qualifications: Promotes a respectful, inclusive culture of service excellence.


This job description is intended to be a representative summary of the major responsibilities and accountabilities performed by incumbents in this role. Incumbents may be required to perform job-related tasks other than those specifically presented in this description.

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace.

\nCompany Description

An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

*Carilion Total Rewards*

What matters to you is important to uslike benefits, rewards, and resources to improve your life. Carilion understands the importance of prioritizing your well-being to help you develop and thrive. When you make your tomorrow with us, we’ll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:

Employer Funded Pension Plan, vested after five years (Voluntary 403B)
Comprehensive Medical, Dental, & Vision Benefits
Flexible Work Arrangements/Schedules
Remote Work Options
Paid Time Off (accrued from day one)
Onsite fitness studios and discounts to our Carilion Wellness centers
Access to our health and wellness app, Virgin Pulse
Discounts on childcare
Continued education and training
Find more about Carilion Clinic’s benefits by vising our Total Rewards Page.

Equal Opportunity Employer
Minorities/Females/ProtectedVeterans/Individuals with Disabilities/Sexual Orientation/Gender Identity
Carilion Clinic is a drug-free workplace

Company Description

An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.\r\n\r\nHeadquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.\r\n\r\nCarilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.\r\n\r\n*Carilion Total Rewards*\r\n\r\nWhat matters to you is important to uslike benefits, rewards, and resources to improve your life. Carilion understands the importance of prioritizing your well-being to help you develop and thrive. When you make your tomorrow with us, we’ll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:\r\n\r\nEmployer Funded Pension Plan, vested after five years (Voluntary 403B)\r\nComprehensive Medical, Dental, & Vision Benefits\r\nFlexible Work Arrangements/Schedules\r\nRemote Work Options\r\nPaid Time Off (accrued from day one)\r\nOnsite fitness studios and discounts to our Carilion Wellness centers\r\nAccess to our health and wellness app, Virgin Pulse\r\nDiscounts on childcare\r\nContinued education and training\r\nFind more about Carilion Clinic’s benefits by vising our Total Rewards Page.\r\n\r\nEqual Opportunity Employer\r\nMinorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity\r\nCarilion Clinic is a drug-free workplace