Director of Nursing Operations

About Altior Healthcare:

Our family of services comprises three distinct mental health treatment programs, including a specialized program for US Veterans. With over 15 unique locations, we manage and support 500 dedicated employees serving over 300 residential clients daily located across five states: California, Idaho, Maine, New Hampshire, and Texas.

Paradigm Treatment (West Coast) and Ridge RTC (East Coast) partner together under Altior, united by a shared commitment to providing exceptional mental health care. For over a decade, our core clinical and support teams have worked side-by-side, delivering compassionate, evidence-based treatment that changes lives.

As part of the Altior network, you’ll find the stability of an established organization with the heart of a close-knit treatment community where every role matters.

The Director of Nursing Operations (DNO) is responsible for providing strategic and operational oversight of nursing services across Altior Healthcare. This role ensures the delivery of high-quality, evidence-based, and patient-centered nursing care while driving operational efficiency, regulatory compliance, and clinical excellence. The DNO works collaboratively with nursing leadership, interdisciplinary clinical teams, and executive leadership to optimize staffing, workflows, budget utilization, and overall performance.

Key Qualifications: 

• Provide oversight of day-to-day nursing operations across assigned units and service lines. 
• Develop, implement, and maintain operational policies, procedures, and best practices to support strong clinical outcomes and patient satisfaction.
• Partner with the Chief Nursing Officer and department leaders to align nursing operations with organizational goals and strategic initiatives.
• Lead initiatives focused on workflow optimization, operational efficiency, and clinical performance improvement.
• Ensure ongoing compliance with regulatory and accreditation standards, including CMS, Joint Commission, and state regulations.
• Coach, mentor, and develop nursing leaders, including nurse managers and supervisors, to support leadership growth and performance excellence.
• Oversee recruitment, hiring, onboarding, training, performance management, and engagement of clinical team members.
• Drive quality improvement initiatives and actively participate in accreditation readiness and surveys.
• Foster a culture of accountability, safety, collaboration, and excellence in patient care.
   

Required Qualifications: 

Education

• Bachelor of Science in Nursing (BSN) required
• Master’s degree in Nursing, Healthcare Administration, or a related field preferred

Licensure & Certification

• Active, unrestricted Registered Nurse (RN) license in the state of New Hampshire
• Nursing administration certification (e.g., NE-BC or NEA-BC) preferred

Experience

• Minimum of 4–5 years of progressive nursing experience
• At least 2–3 years in a nursing leadership or management role
• Demonstrated experience in healthcare operations, staffing models, resource management, and clinical process improvement

Benefits:

• Comprehensive benefits package: medical, dental, and vision 
• 401k with 4% match 
• Paid Time Off Programs including vacation, holidays, and illness
• Chef made meals onsite
• Continuing Education Assistance 
• Supportive clinical supervision and professional development

Altior Healthcare is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law.