Director of Nursing – Brand New SUD Treatment Program

Location: Agawam, MA
Salary: $90,000–$110,000 annually (based on experience)
Schedule: Full-Time, Monday–Friday (on-call as needed)

Be Part of Something New. Build Something Meaningful.

Pyramid Healthcare is excited to announce an outstanding opportunity to join our newest program in Agawam, MA — a state-of-the-art facility specializing in Substance Use Disorder (SUD) treatment for adults.

As we prepare to open our doors, we are seeking a visionary Director of Nursing to lead, develop, and shape our nursing operations from the ground up. If you are a strategic, compassionate, and motivated nursing leader who thrives in a dynamic, startup-style environment, this is your opportunity to make a lasting impact on both a growing program and the lives of those we serve.

Position Summary

The Director of Nursing provides overall leadership for the nursing department, ensuring the delivery of safe, high-quality, and compliant patient care. This individual will oversee nursing staff, establish clinical practices, guide policy development, and collaborate closely with executive and medical leadership to support operational excellence across the program.

Essential Duties and Responsibilities

• Develop, implement, and oversee nursing policies, procedures, and clinical protocols in accordance with regulatory and agency standards
• Lead, mentor, and support the nursing team, including Nurse Managers, RNs, LPNs, and PRN staff
• Collaborate with executive leadership to manage nursing budgets, staffing, and resource allocation
• Ensure all admissions, assessments, and ongoing care documentation are completed accurately and in compliance with agency and regulatory standards
• Oversee completion of vitals, COWS/CIWA assessments, EMRs, MARs, and DEA/narcotic logs
• Conduct routine audits of clinical documentation and patient care to maintain quality and compliance
• Represent the nursing department during surveys and interactions with state and accrediting agencies
• Promote a culture of teamwork, accountability, clinical excellence, and compassionate care
• Address and resolve complex client and staff concerns professionally and effectively
• Support staff development initiatives, ongoing training, and professional growth opportunities within the nursing team

Supervisory Responsibilities

The Director of Nursing provides direct supervision to all nursing staff, including managers and clinical personnel, ensuring adherence to clinical standards, scope of practice, and regulatory expectations. This role also supports leadership development and fosters a collaborative, high-performing work environment.

Qualifications

Education, Licensure, & Experience

• Current, unencumbered RN license in Massachusetts
• Current CPR/BLS and First Aid certifications
• Minimum of 5 years of progressive nursing leadership experience in behavioral health or substance use treatment
• Previous experience managing multi-level nursing teams strongly preferred

Skills & Competencies

• Strong clinical judgment, strategic thinking, and problem-solving abilities
• Excellent communication, organizational, and interpersonal skills
• Knowledge of federal and state regulatory standards within behavioral healthcare
• Ability to lead through change and support team development in a new program environment

Physical Demands & Work Environment

This role requires standing, walking, and occasional lifting. The work environment is primarily indoors with moderate noise levels. Local travel may occasionally be required. Exposure to healthcare environments may include contact with infectious agents or emotionally charged situations.