Job Description

COO - Health Services

Registered Nurse (S)

The NC Department of Adult Correction is one of the largest state agencies with more than 14,000 employees. It is responsible for safeguarding and preserving lives and property through prevention, protection, and preparation as well as the care, custody, and supervision of all adults sentenced for violating North Carolina laws. This department includes state prisons with custody, healthcare, and facility operations staff as well as probation/parole officers who supervised sentenced people in the community. Other divisions include Administration, Health Services, Rehabilitation & Reentry, Special Operations and the Post-Release Supervision & Parole Commission. We have a mission that matters!

The Triage Charge Nurse provides comprehensive clinical care through assessment, intervention, coordination, and education to promote offender health and safety. Key duties include conducting telehealth triage via telephone or video consultations, evaluating medical complaints, and formulating timely nursing responses. The nurse performs accurate clinical assessments by integrating subjective symptoms with objective findings, applying sound nursing judgment, and operating independently within the scope of the Nurse Practice Act. This position supports continuity of care by developing and implementing care plans based on established protocols, provider guidance, and facility policy. It also includes assisting with urgent care, administering medications, coordinating follow-up care, responding to medical and mental health emergencies, and providing education on chronic disease, communicable conditions, treatment compliance, and preventive health measures. The nurse collaborates closely with providers, dental, and behavioral health teams, and follows through on clinical recommendations. The role requires the ability to think critically, make evidence-based decisions, and maintain a compassionate and professional demeanor. The Triage Charge Nurse holds significant administrative and leadership responsibilities to support the delivery of quality care across multiple sites. Core duties include documenting and reviewing triage encounters and clinical actions, maintaining accurate and up-to-date nursing records, and generating routine reports related to clinical volume, case types, and performance metrics. The Triage Charge Nurse will provide education and training for the triage team, report clinical concerns to the appropriate clinical chains of command and provide updates and guidance to custody personnel. As a clinical leader, the Triage Nurse assists in orienting and mentoring nursing staff, delivering on-the-job training, and supporting quality assurance initiatives. The nurse serves as a resource for clinical decision-making, delegates appropriately, and communicates effectively with staff, management, and custody and medical personnel. This role requires strong organizational skills, a systematic approach to service delivery, and the ability to prioritize under pressure. The nurse must model professionalism, provide compassionate support to patients and families, and contribute meaningfully to staff development and interdisciplinary care planning. Position will be required to work any shift, weekends, or holidays as needed with limited supervision. This role is primarily remote; however, occasional onsite work, mandatory facility orientation, and travel to correctional facilities may be required based on orientation needs, program, and operational needs.

Salary Pay Range: $ 61,177 - $ 91,767

The Knowledge, Skills, and Abilities (KSAs)/ Management Preferences are not required. Applicants who possess the following skills are preferred:

• Strong knowledge of professional nursing practices, pharmacology, physical assessment, and patient safety.
• Documented ability to interpret and convey complex clinical information clearly and confidently both orally and in writing is critical.

The State of North Carolina offers a comprehensive benefits package including:

• Health Insurance options
• Retirement Plans
• NCFlex Supplemental Benefits
• Paid Vacation, Sick, and Community Service Leave
• Paid Parental Leave

Visit the State Benefits website for additional information.

Comprehensive Health Services (CHS) delivers health services to individuals incarcerated in North Carolina state prisons. Our mission is to provide constitutionally appropriate medical, mental health, dental, and pharmaceutical care that meets professional standards. CHS health professionals ensure access to timely, essential, and comprehensive services and programs that support the wellbeing of incarcerated individuals. This care is delivered by licensed staff and through partnerships with private providers and the University of North Carolina system.

Applicants must complete the application in full. Resumes will not be accepted in lieu of completing the State application.

Applications must include:

• Complete education history (including high school)
• Full work experience details
• Certificates and licenses, if applicable

• Education must be from appropriately accredited institutions.

• Information provided must support responses to supplemental questions. Incomplete applications may impact screening and salary determination.
• Applicants may be subject to a criminal background check and drug screen.

Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone. To check the status of your application, please log in to your account. The hiring process may take several weeks.

The State of North Carolina/Office of State Human Resources (OSHR) uses the National Association of Credential Evaluation Services (NACES) as a referral resource for applicants who need to have their credentials certified as equivalent. For a list of organizations that perform this specialized service, please visit the NACES membership website at

Applicants seeking Veteran's Preference must attach a DD-214 Member-4 Form (Certificate of Release or Discharge from Active Duty) to their applications. Applicants seeking National Guard Preference must attach an NGB 23A (RPAS), along with the state application, if they are a current member of the NC National Guard in good standing. Applicants who are former members of either the NC Army National Guard or the NC Air National Guard, with honorable discharge and six years of creditable service, must attach a copy of the DD 256 or NGB 22, along with the state application.

The NC Dept. of Adult Correction must adhere to the US Dept. of Justice Final Rule on the "National Standards to Prevent, Detect, and Respond to Prison Rape." Click this link for information on hiring and promotion prohibition requirements for all positions in the NC Dept. of Adult Correction: PREA Hiring and Promotion Prohibition

Consistent with the Americans with Disabilities Act (ADA) and the Pregnant Workers Fairness Act (PWFA), DHHS is committed to the full inclusion of all qualified individuals. As part of this commitment, NCDAC will ensure that people with disabilities, or known limitations covered by the PWFA, are provided with reasonable accommodation. If reasonable accommodation is needed to participate in the job application or interview process, please contact the person indicated below.

Licensed to practice as a Registered Nurse in the State of North Carolina.

T he State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination, harassment, or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and practices.

Recruiter: Monique Williams Cowan

Email: DACWorkday@dac.nc.gov

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