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Pyramid Healthcare
Concord, North Carolina

Nurse Manager – Behavioral Health & Detox

Registered NurseIncludes callNo weekendsFull-Time

Listed compensation

$75k-$80k

The week · per this posting · Monday – Friday

Ask the employer about the work setting, nights and shift pattern and time off.

Posted 45m ago · Verified live

Job Description

Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, mental health recovery and eating disorder treatment modalities.

Pyramid Healthcare offers comprehensive behavioral healthcare defined by supportive environments that offer patients the strength they need to overcome life’s challenges. We offer behavioral healthcare services – psychiatry, addiction recovery, mental disorder treatment, etc. – that allow clients at all stages of recovery or rehabilitation to reclaim health and well-being.

  • Nurse Manager – Behavioral Health & Detox
  • Concord, NC
  • $75,000–$80,000 per year
  • Full-Time | Monday–Friday Daytime Hours | Benefits
  • Lead Nursing Operations in Behavioral Health & Detox

Pyramid Healthcare is seeking an experienced Nurse Manager to join our Concord, NC location. This is an opportunity to take a leadership role in supporting high-quality nursing services within a comprehensive behavioral health and substance use treatment setting.

About the Facility

Our Concord location is a 74-bed behavioral health facility, including 16 dedicated detox beds. The Nurse Manager will play a key role in supporting nursing operations across the facility, ensuring appropriate staffing, quality patient care, clinical documentation, and compliance with nursing, regulatory, and organizational standards.

About the Role

The Nurse Manager provides leadership and oversight of nursing staff and services while working closely with the Executive Director, medical providers, and program leadership.

This role is responsible for nursing staffing and scheduling, clinical and documentation oversight, detoxification protocols, medication management, admissions support, quality assurance, and regulatory compliance.

Key Responsibilities

  • Lead and oversee nursing staff while maintaining appropriate staffing and coverage.
  • Develop and manage nursing schedules based on facility and program needs.

Provide clinical leadership and support to nursing staff and ensure adherence to nursing policies, procedures, and standards of practice.

Oversee detoxification protocols, including accurate and timely completion of vital signs, COWS, CIWA, and other required monitoring.

  • Support efficient nursing admissions, including admissions that occur outside anticipated times.
  • Monitor nursing documentation, including EMRs and medication administration records (MARs).
  • Maintain required DEA logs and narcotic count documentation.
  • Conduct nursing chart audits to monitor quality of care, documentation, and regulatory compliance.
  • Partner with medical and operational leadership to prepare for regulatory and accreditation surveys.
  • Ensure nursing staff practice within the scope of their individual licensure.
  • Address nursing-related client and staff concerns promptly and professionally.
  • Support staff development, accountability, and adherence to clinical standards.
  • Participate in on-call coverage as required and provide RN shift coverage when necessary.

What We're Looking For

Required

  • Current, unencumbered Registered Nurse (RN) license valid for practice in North Carolina.
  • Current CPR/BLS and First Aid certification, as required.
  • Strong clinical judgment, leadership, communication, and organizational skills.
  • Ability to manage competing priorities and coordinate nursing coverage.

Preferred

  • 2–3 years of experience in a behavioral health treatment setting.
  • 2–3 years of experience in substance use disorder and/or co-occurring disorders treatment.

Compensation & Benefits

  • $75,000–$80,000 annually, based on experience and qualifications.
  • This is a full-time position with a comprehensive benefits package.

If you’re an experienced RN leader looking to make an impact in behavioral health and substance use treatment, we’d love to hear from you.

Pyramid CORE Values

We are committed and proud to live our CORE values and use them to inspire those around us. Our employees are expected to align with these values, behaviors, and standards.

We are held accountable for upholding these CORE Values: INTEGRITY is striving to be honest, transparent, and ethical when dealing with clients, staff, and the community. DEDICATION is demonstrating an unwavering commitment to always provide exceptional care and support to those we serve is needed daily.

COLLABORATION is a steadfast, team-focused approach; working together to achieve excellence. PASSION is genuine, compelling, and relentless desire to improve lives and support Pyramid Healthcare’s mission.

Total Rewards for Full-Time Positions

  • Medical, Dental, and Vision Insurance
  • Flexible Spending Accounts
  • Life Insurance
  • Paid Time Off
  • 401(k) with Company Match
  • Tuition Reimbursement
  • Employee Recognition Programs
  • Referral Bonus opportunities
  • And More!

Want to Know More?

To learn more about Pyramid Healthcare, and how you can achieve personal and professional growth, visit us at: bit. ly.

Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.

Requirements

Candidates must hold a current, unencumbered Registered Nurse (RN) license in North Carolina and possess valid CPR/BLS and First Aid certifications. Preferred qualifications include 2-3 years of experience in behavioral health and substance use disorder treatment settings.

Qualifications

Experience
2+ years of experience

Certifications

DEA License

Key Skills

Nursing LeadershipStaff SchedulingCrisis ManagementTeam ManagementClinical SupervisionCommunication Skills

Psychiatry — Registered Nurse Career Context

Of the 40 active Nursing Leadership listings this role was benchmarked against, 30% are remote, 43% have no call, 75% require no weekends.

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$78k midpoint carries the purchasing power of roughly $82k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

How many Nursing Leadership jobs are remote?
MeasureThis jobMarket
Work-life score6.6 / 10 · top 5% in nursing leadershipranked against 1,187 Nursing Leadership listingslisting-based score, 0–10
Listed pay$75k–$80kNursing Leadership median $119k (middle half $100k–$135k)113 comparable listings, Nov 2026
Cost-of-living adjusted pay~$82k in purchasing powerNorth Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024)
All nursing leadership listings in North Carolina193 active5,797 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 30% remote · 43% no call · 75% no weekends40 benchmarked listings
Sign-on & loan repaymentnot statedNorth Carolina registered nurse listings (all specialties): 13% state a sign-on bonus (median $15k) · 3% offer loan repayment193 active listings, Nov 2026
New Psychiatry listings1,292 in the last 30 days1,014 the 30 days before (+27%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index (1,187 Nursing Leadership listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. North Carolina figures use all nursing leaderships: too few North Carolina Psychiatry postings state pay.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Nurse Manager – Behavioral Health & Detox at Pyramid Healthcare a 6.6 out of 10 for work-life balance — classified as good. This places the position in the top 5% in Nursing Leadership — ranked against 1,187 active Nursing Leadership listings on WeekdayDoc. Contributing factors include no weekend requirements.

Top Registered Nurse Jobs

26 matches · ranked by pay

Salary Distribution

26 jobs · 19 employers
7
<$100k
8
$100k-120k
5
$120k-140k
6
$140k-160k

Annual compensation range

Benefits & Perks

21 jobs · 19 employers
401k / retirement match
100% this job
Sign-on bonus
29%
CME allowance
24%
Loan repayment
14%
PSLF eligible
10%

Share of similar jobs offering each benefit

#1

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Vantage Search Group · Twentynine Palms, California

$125k-$156k
#2

Assistant Director of Nursing - Mental Health 616

Telecare · San Leandro, California

$125k-$155k
#3

Registered Nurse (RN) Patient Care Navigator- Antenatal Testing Center (Hybrid)

$93k-$151k
#4

Oncology Nurse Navigator Life With Cancer

$93k-$151k
+ 24 more · ranked by pay

Work-life snapshot

median 1.5this job 6.6
Among the best 10% of Nursing Leadership listings for work-life

Listing-based score, 0–10, across 1,187 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • Includes call
Pyramid Healthcare logo

About Pyramid Healthcare

Hospitals and Health Care
Duncansville, Pennsylvania
1,001-5,000 employees

Benefits & Perks

Medical, Dental, and Vision Insurance
Flexible Spending Accounts
Life Insurance
Paid Time Off
401(k) with Company Match
Tuition Reimbursement
Employee Recognition Programs
Referral Bonus opportunities

Living in Concord

Typical 3-bedroom home value
$335k≈ 4.5× annual pay
Typical market rent
$1,784/mo≈ 29% of gross pay
Residents’ average commute
27 min
Metro price indexU.S. average = 100
97.3
State income tax
Up to 4.8%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Charlotte-Concord-Gastonia, NC-SC metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.