Neighborhood nurse manager

Are you an experienced RN leader who thrives in a complex, mission-driven clinical environment? Home of the Innocents is seeking a Neighborhood Nurse Manager to lead daily nursing operations and provide direct oversight of an assigned Neighborhood at the Kosair for Kids Complex Care Center, our pediatric skilled nursing facility. In this pivotal leadership role, you’ll supervise and develop a nursing team, manage complex pediatric clinical care, and champion a culture of safety, compassion, and excellence for some of Kentucky’s most medically complex children and young adults.

A Day in the Life

The Neighborhood Nurse Manager provides leadership and daily oversight of Neighborhood nursing operations under the direction of the Director of Nursing. You’ll oversee licensed nurses, SRNAs, and Resident Care Attendants; collaborate with physicians and the interdisciplinary team; and ensure care meets or exceeds federal, state, local, and facility standards. From clinical assessments to staff coaching to QAPI participation, no two days look exactly the same.

Schedule: Typically Monday–Friday, 8:30 AM – 5:00 PM, on-site at KCC. This role includes an on-call rotation and candidates must be willing and available to work any hours necessary for the role.

How This Position Contributes to Our Mission

• Lead daily Neighborhood nursing operations, ensuring safe, evidence-based, resident-centered care aligned with physician orders and individualized care plans
• Supervise and develop Assistant Nurse Managers, licensed nurses, SRNAs, and RCAs through coaching, performance evaluation, and competency oversight
• Manage complex pediatric nursing care including airway management, ventilatory support monitoring, central and peripheral line care, wound management, ostomy care, enteral nutrition, and palliative care
• Collaborate with physicians and the interdisciplinary team to keep resident assessments, orders, and care plans current and responsive to each child’s medical, developmental, and psychosocial needs
• Lead quality assurance and performance improvement (QAPI) efforts, monitoring clinical outcomes and implementing corrective actions to reduce infections, injuries, and adverse events
• Maintain visible, accessible leadership across all shifts including on-call coverage, staffing management, and payroll and workforce compliance in collaboration with the Staffing Coordinator

Skills and Qualifications

Required:

• Bachelor of Science in Nursing (BSN); unencumbered RN license in Kentucky
• Five (5) years of direct care RN experience in acute or long-term care
• Two (2) years of nursing management or supervisory experience in acute or long-term care
• Availability for extended hours and on-call coverage as needed
• Current CPR/BLS certification (provided if needed)

Preferred:

• Cardiopulmonary and/or ventilator/tracheostomy care experience
• Pediatric and/or long-term care nursing experience
• Experience with palliative and end-of-life care
• Experience supporting individuals with developmental and intellectual disabilities
• Knowledge of trauma-informed care principles
• Bilingual or multilingual communication skills

What You’ll Receive as a Valued Member of Home of the Innocents

• Comprehensive benefits package (Medical, Dental, Vision, AD&D, and Life)
• Generous leave time to ensure work-life balance
• 401(k) with employer match
• Training and certification opportunities

Who We Are

Home of the Innocents is one of Louisville’s longest-serving non-profit organizations, approaching 150 years of service to children and families. Our mission is simple and clear: to enrich lives with hope, health, and happiness. We are a trauma-informed organization, prioritizing safety, recovery, and strong relationships in everything we do. Our leadership is committed to building a workforce grounded in compassion, excellence, empowerment, and wellness. We are an organization growing to meet the needs of children and young adults in our community — expanding our programs and investing in our campus, including the addition of a new wing at the Kosair for Kids Complex Care Center that will double our capacity to serve medically complex individuals.

Our Impact

• 3,976 children and families served in 2025
• 22-acre campus located near downtown Louisville
• Second largest Residential Treatment Program in Kentucky
• Only dedicated emergency shelter for children in the city
• 10 programs supporting children and families across a range of needs, including:
• Therapeutic and residential treatment for youth with complex behavioral and emotional needs
• Emergency shelter for children in crisis
• Foster care and adoption support
• Community-based behavioral health services
• Kosair for Kids Complex Care Center: Kentucky’s only pediatric skilled nursing facility providing residential and respite care for children and young adults with complex medical needs.

If you are passionate about leading a clinical team that shows up every day for Kentucky’s most medically complex children, apply today to join the dedicated team at Home of the Innocents.