Job Description

Are you an experienced RN who leads naturally, someone who can step into a clinical challenge and lift your whole team in the process? Home of the Innocents is seeking an Assistant Nurse Manager to support daily nursing operations in an assigned Neighborhood at the Kosair for Kids Complex Care Center, our pediatric skilled nursing facility. In this hands-on leadership role, you’ll supervise and develop direct care staff, provide complex clinical oversight, and partner with the Nurse Manager to drive quality, safety, and a culture of compassionate care for some of Kentucky’s most medically complex children and young adults.

A Day in the Life

The Assistant Nurse Manager provides clinical oversight and compassionate leadership of daily Neighborhood operations under the direction of the Nurse Manager. You’ll directly supervise RNs, LPNs, SRNAs, and Resident Care Attendants, guiding care delivery, monitoring outcomes, and ensuring every intervention aligns with each resident’s individualized care plan and physician orders. From complex clinical procedures to staff coaching to quality initiatives, this role keeps the Neighborhood running at its highest level.

Schedule: Full-time, exempt, on-site, Monday – Friday, 8:00 AM 5:00 PM. Required 24/7 on-call availability. Occasional evenings, weekends, and holidays as needed.

How This Position Contributes to Our Mission

• Provide hands-on clinical oversight of daily Neighborhood operations, ensuring safe, high-quality, resident-centered care aligned with individualized care plans and physician orders
• Directly supervise and develop RNs, LPNs, SRNAs, and Resident Care Attendants through guidance, accountability, and ongoing coaching
• Manage complex clinical care including comprehensive assessments, medication administration, ostomy management, wound care, central and peripheral line management, enteral nutrition, airway management, and invasive and non-invasive ventilatory support monitoring
• Collaborate with the interdisciplinary team, physicians, and Director of Nursing to keep resident care plans current, person-centered, and responsive to changing needs
• Lead quality and safety initiatives; respond promptly to complaints, concerns, and reports of suspected abuse, neglect, or maltreatment per regulatory standards
• Support staff education and development, including new hire orientation, competency assessments, and skills validation, in collaboration with the Clinical Education department

Skills and Qualifications

Required:

• Associate Degree in Nursing (ADN); unencumbered RN license in Kentucky
• Minimum three (3) years of direct care RN experience in acute or long-term care
• Minimum one (1) year of nursing management or supervisory experience
• Current CPR/BLS certification (provided if needed)
• Reliable transportation; 24/7 on-call availability

Preferred:

• Bachelor of Science in Nursing (BSN)
• 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 (KCC): 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.