Vice President of Nursing Operations (
- Pay
- $100,000 – $130,000 per year
- Location
- Gastonia, NC · Hybrid
- Job type
- Full-time
- Level
- Executive
- Experience
- 5+ years
- Listed
- 31 days ago
Skills & highlights for this role
- RN license
- BLS
- CPR certification
- First Aid certification
- nursing leadership
- staffing and workforce planning
- regulatory compliance
- performance management
Also useful
- CARF
- Joint Commission
- ASAM
- accreditation surveys
Stated benefits & perks
- Medical
- Dental
- Vision
- 401k match
- Tuition
Vice President of Nursing Operations - Behavioral Health
Hybrid | PA, NC & GA $100,000 - $130,000 per year
Lead Nursing. Strengthen Operations. Make an Impact.
Pyramid Healthcare is seeking an experienced and dynamic Vice President of Nursing Operations to provide strategic leadership and operational oversight for nursing services across our behavioral health and substance use treatment programs.
This is an opportunity for an accomplished RN nursing leader to make a meaningful impact across multiple facilities and programs while partnering with executive and operational leadership to strengthen nursing practice, develop leaders, improve quality, and support organizational growth.
The VP of Nursing Operations will oversee nursing operations across assigned programs in Pennsylvania, North Carolina, and Georgia, with regular travel required between facilities.
If you're an experienced nursing leader who thrives in a multi-site environment and enjoys developing people, improving processes, and building strong clinical teams, this is an opportunity to make a significant organizational impact.
What You'll Do
Executive Nursing & Operational Leadership
- Provide strategic leadership and operational oversight for nursing services across assigned facilities and programs
- Establish and promote consistent nursing practices, standards, and expectations across multiple locations
- Provide leadership, mentorship, and support to Directors of Nursing, Nurse Managers, Charge Nurses, and nursing teams
- Support nursing workforce planning, staffing strategies, retention initiatives, succession planning, and leadership development
- Identify operational challenges and develop solutions that improve nursing performance and client care
- Support the successful launch and expansion of new programs and services
- Partner with leadership to ensure nursing operations support organizational goals and growth
Quality, Compliance & Clinical Excellence
- Ensure nursing services meet applicable federal, state, organizational, and professional standards
- Promote adherence to medication management, infection control, documentation, and nursing practice requirements
- Support facilities through regulatory and accreditation surveys and readiness activities
- Provide leadership related to CARF, DDAP, OMHSAS, Joint Commission, ASAM, and other applicable regulatory standards
- Conduct and support nursing audits, chart reviews, documentation reviews, and operational assessments
- Identify quality and compliance concerns and support the development and implementation of corrective action plans
- Partner with Quality, Compliance, Clinical, and Performance Improvement teams to drive continuous improvement
Leadership Development & Workforce Strategy
- Develop and mentor nursing leaders across assigned programs
- Support recruitment, onboarding, orientation, and retention of nursing professionals
- Identify opportunities to strengthen nursing leadership capabilities and staff development
- Promote accountability, professional growth, collaboration, and nursing excellence
- Assist with succession planning and development of future nursing leaders
- Support organizational initiatives designed to improve employee engagement and retention
Cross-Functional Collaboration
- Partner closely with Operations, Clinical, Quality, Compliance, Human Resources, and Performance Improvement leadership
- Collaborate with interdisciplinary leadership teams to improve clinical outcomes and operational effectiveness
- Analyze nursing and operational performance data and implement improvement strategies
- Support resource planning and utilization across assigned facilities
- Provide leadership during operational challenges, critical incidents, and crisis situations
- Participate in leadership on-call responsibilities as assigned
- Travel regularly to assigned facilities throughout PA, NC, and GA
Required Qualifications
Education & Licensure
- Current, unrestricted Registered Nurse (RN) license in a state of practice or applicable compact/reciprocal state
- Current CPR/BLS and First Aid certification
Experience
- Minimum of 5 years of nursing leadership experience
- Demonstrated experience leading nursing teams and clinical operations
- Strong understanding of nursing practice standards, healthcare regulations, quality, and compliance
- Experience with staffing, workforce planning, performance management, and nursing leadership development
Preferred Experience
- Multi-site, regional, or enterprise-level nursing leadership experience
- Experience overseeing nursing operations across multiple healthcare facilities or programs
- Experience in behavioral health, substance use disorder treatment, addiction treatment, or co-occurring disorders
- Experience with regulatory surveys, accreditation, audits, and corrective action planning
- Familiarity with CARF, DDAP, OMHSAS, Joint Commission, ASAM, or similar regulatory standards
- Experience supporting new program openings, expansions, or organizational growth
The Ideal Leader
The successful candidate will be a confident and collaborative nursing executive who can balance strategic leadership with hands-on operational support.
We're looking for someone who
- Leads with accountability, professionalism, and integrity
- Builds strong relationships with nursing and operational leaders
- Can effectively lead across multiple facilities and geographic locations
- Develops and empowers nursing leaders and teams
- Uses data and performance metrics to drive improvement
- Communicates clearly and effectively with executive and frontline leadership
- Remains calm and solutions-focused in challenging situations
- Is passionate about quality care and improving outcomes for individuals receiving behavioral health and substance use treatment
Ready to Lead at a Higher Level?
If you're an experienced RN leader looking for an opportunity to influence nursing operations across a growing behavioral healthcare organization, we'd love to hear from you.
Apply today to join Pyramid Healthcare as our Vice President of Nursing Operations.:
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!
About Pyramid Healthcare
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.
Why Join Pyramid Healthcare?
Pyramid Healthcare is a growing behavioral healthcare organization committed to providing high-quality mental health and substance use treatment services.
As Vice President of Nursing Operations, you'll have the opportunity to influence nursing strategy across multiple programs, develop the next generation of nursing leaders, support organizational growth, and help create consistent standards of care across the communities we serve.
This is more than an administrative leadership position - your leadership will directly influence the quality of care, strength of our nursing teams, and experience of the individuals we serve.
Equal opportunity and legal notices
Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.
From Pyramid Healthcare's careers page, first listed on Rolev.ai on October 10, 2026. Rolev.ai is not the employer.
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Common questions
What is the salary for the Vice President of Nursing Operations ( role at Pyramid Healthcare?
The Vice President of Nursing Operations ( posting at Pyramid Healthcare states compensation of $100,000 – $130,000 per year. It is listed as a full-time position. Final pay may depend on location, experience, and interview evaluation on Pyramid Healthcare's official career site.
Where is the Vice President of Nursing Operations ( job at Pyramid Healthcare located?
This Vice President of Nursing Operations ( position at Pyramid Healthcare is located in Gastonia, NC (Hybrid). Always check Pyramid Healthcare's application page for specific state eligibility or relocation policies.
What qualifications are required for Vice President of Nursing Operations ( at Pyramid Healthcare?
For the Vice President of Nursing Operations ( role, Pyramid Healthcare highlights 5+ years of relevant experience; experience with nursing leadership, staffing and workforce planning, regulatory compliance, performance management. Rolev.ai can score your existing resume against these requirements and show any skill gaps before you apply.
How do I apply for the Vice President of Nursing Operations ( position at Pyramid Healthcare?
This listing links directly to Pyramid Healthcare's Greenhouse application page. You can apply directly on Pyramid Healthcare's site, or use Rolev.ai to check your resume fit, generate a zero-hallucination tailored resume and cover letter for this posting, and autofill the Greenhouse application form in 1 click with the Rolev.ai Chrome extension. You always review the form and press Submit yourself.