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.
Vice President of Nursing Operations
📍 Hybrid Role | Travel Required
💰 $100,000 – $130,000 per year
🏢 Pyramid Healthcare
🕒 Full-Time | Exempt
Pyramid Healthcare is seeking an experienced and dynamic Vice President of Nursing Operations to provide strategic and operational leadership for nursing services across assigned behavioral health and substance use treatment programs. This executive leadership role is responsible for advancing nursing quality, regulatory compliance, workforce development, and operational consistency while supporting organizational growth and expansion initiatives.
This is a hybrid leadership position with regular travel required between facilities and programs.
Required QualificationsCandidate must live in North Carolina or Virginia
Education & LicensureCurrent unencumbered Registered Nurse (RN) license in state of practice or reciprocal state required
Current CPR/BLS and First Aid certification required
Minimum of five (5) years of nursing leadership experience required
Experience supervising multi-site or multi-program nursing operations preferred
Experience with regulatory surveys, accreditation processes, and quality improvement initiatives preferred
Experience in behavioral health, substance use disorder treatment, and co-occurring disorder programs preferred
Strong leadership and operational management skills within healthcare and behavioral health environments
Knowledge of nursing practice standards, medication management, infection control, and healthcare regulations
Strong understanding of accreditation and regulatory standards including CARF, DDAP, OMHSAS, and Joint Commission
Ability to lead multi-site nursing operations and standardize clinical practices
Strong workforce planning, staffing, and leadership development capabilities
Ability to analyze operational and quality performance data and implement improvement initiatives
Excellent communication, collaboration, and relationship-building skills
Ability to respond effectively to crisis situations and operational challenges
Commitment to professional ethics, confidentiality, and nursing excellence
The Vice President of Nursing Operations provides executive oversight and leadership for nursing services across Pyramid Healthcare programs and facilities. This role partners closely with Operations, Clinical, Quality, and Compliance leadership teams to support safe and effective client care environments while ensuring achievement of organizational and regulatory standards.
The VP of Nursing Operations also plays a key role in program expansion initiatives, nursing workforce development, operational consistency, and clinical quality improvement efforts across the organization.
Key ResponsibilitiesNursing Leadership & OperationsProvide strategic leadership and operational oversight for nursing services across assigned facilities and programs
Lead nursing operations for new program start-ups and expansion initiatives
Provide mentorship and leadership support to Directors of Nursing, Nurse Managers, Charge Nurses, and nursing teams
Support workforce planning, staffing strategies, succession planning, and leadership development initiatives
Ensure compliance with nursing practice standards, medication management regulations, infection control requirements, and accreditation standards
Support facilities in maintaining CARF, DDAP, OMHSAS, Joint Commission, ASAM, and other applicable regulatory standards
Conduct and support chart audits, documentation reviews, and operational assessments
Identify compliance concerns and assist with development and implementation of corrective action plans
Facilitate onboarding, orientation, and mentorship of nursing staff
Support organizational nursing education and training initiatives
Promote a culture of continuous learning, accountability, and nursing excellence
Partner with Operations, Quality, Compliance, and Performance Improvement departments to support positive clinical and operational outcomes
Collaborate with interdisciplinary leadership teams to optimize operations and resource utilization across facilities
Participate in leadership on-call responsibilities as assigned
Support organizational growth and development of new service lines and programs
Pyramid Healthcare is a growing behavioral healthcare organization committed to providing high-quality mental health and substance use treatment services nationwide. This leadership opportunity offers the ability to influence nursing strategy, improve operational outcomes, and support life-changing care across multiple programs and communities.
Apply TodayJoin a mission-driven organization where your leadership can help shape the future of behavioral healthcare 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!
Want to know more?
To learn more about Pyramid Healthcare, and how you can achieve personal and professional growth, visit us at: https://bit.ly/Pyramid-Careers.
Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.
Skills Required
- Candidate must live in North Carolina or Virginia
- Current unencumbered Registered Nurse (RN) license in state of practice or reciprocal state
- Current CPR/BLS and First Aid certification
- Minimum of five (5) years of nursing leadership experience
- Experience supervising multi-site or multi-program nursing operations
- Experience with regulatory surveys, accreditation processes, and quality improvement initiatives
- Experience in behavioral health, substance use disorder treatment, and co-occurring disorder programs
- Strong leadership and operational management skills within healthcare and behavioral health environments
- Knowledge of nursing practice standards, medication management, infection control, and healthcare regulations
- Understanding of accreditation and regulatory standards including CARF, DDAP, OMHSAS, and Joint Commission
- Ability to lead multi-site nursing operations and standardize clinical practices
- Workforce planning, staffing, succession planning, and leadership development capabilities
- Ability to analyze operational and quality performance data and implement improvement initiatives
- Excellent communication, collaboration, and relationship-building skills
- Ability to respond effectively to crisis situations and operational challenges
- Commitment to professional ethics, confidentiality, and nursing excellence
What We Do
Founded in 1999, Pyramid Healthcare is a behavioral healthcare provider specializing in addiction recovery and mental health treatment for adults and teens. They operate over 80 active facilities and six schools across the eastern United States, offering a comprehensive continuum of care that includes medical detoxification, residential treatment, partial hospitalization, and outpatient services.
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