Assertive Community Treatment (ACT) Registered Nurse

About Us

Appalachian Community Services provides Mental Health, Behavioral Health, Substance Use, and Developmental Disability services to individuals, families, and communities within the seven western counties of North Carolina. We provide a wide range of walk-in, psychiatric, substance abuse, and crisis services to adults and children.

About the Role

Are you a compassionate nurse who is passionate about making a difference beyond traditional healthcare settings? As an Assertive Community Treatment (ACT) Registered Nurse, you will work alongside a multidisciplinary team to provide comprehensive, community-based care to adults living with severe and persistent mental illness. You will help individuals manage their physical and behavioral health needs, support medication adherence, coordinate care across providers, and serve as a key member of a team dedicated to promoting recovery, independence, and improved quality of life.

• The ACT Nurse will be in charge of monitoring all medical/clinical aspects of the services delivered.
• Overall monitoring of all medical/clinical aspects of the services delivered.
• Identify appropriate evidence-based or emerging best practices therapies to be employed by staff in delivering services.
• Consult with primary healthcare providers/other providers on the clinical aspects of the clients being served and the implications for those clients' physical healthcare needs.
• Coordinate with medical staff of other providers, e.g., state and community inpatient facilities.
• Assist in identifying, planning, scheduling, and implementing services for the client.
• Assist in the development of transition plans when clients move in and out of services.
• Provide any written documentation as required. This will include treatment and goal plans and activity notes for the medical record (e.g., service notes, etc.)

This description outlines the general scope and level of work for this role. It is not intended to include every duty or responsibility that may be required of employees in this position.

Compensation

This role is compensated on a salaried basis, providing consistent earnings aligned with the responsibilities and expectations of the position.

• Compensation: $72,665 - $93,309

Placement within the range is based on licensure level, education, and experience .

What You Can Expect

• Consistent referral volume and established patient base
• Administrative and scheduling support
• Flexible scheduling options
• Supportive clinical and operational leadership
• Opportunities to build your preferred clinical focus areas
• Streamlined onboarding and credentialing support

Responsibilities

• Monitor and oversee all medical/clinical aspects of services delivered.
• Provide medication monitoring and documentation.
• Deliver psychopharmacologic and medical services within your scope of practice.
• Collaborate with ACT team members to monitor clinical status and response to treatment.
• Conduct crisis assessments, symptom management, and intervention planning.
• Provide individual counseling, substance abuse treatment, and psycho-educational support.
• Assist in creating transition plans when clients move in and out of services.

Qualifications

• Nursing Degree from an accredited school
• Current Registered Nurse license in North Carolina with no
• Valid driver’s license, auto insurance and reliable transportation
• Two years experience working with Behavioral Health Clients preferred.

Why Join Us

We are focused on creating a model where clinicians are supported, not overloaded. You’ll have the flexibility to shape your schedule, the support to maintain a steady caseload, and the opportunity to grow within a stable, mission-driven organization.

Beyond the engaging work, you'll also benefit from our competitive benefits package to support you and your loved ones, provide work/life balance, and invest in your future. The list below is for informational purposes only.

• Consumer-driven health plan coverage provided by Anthem
• Wellness: When you enroll in a medical plan, you get complete care support on your time through Sydney app (Anthem), with exclusive access to 24/7 access to licensed doctors, therapists, and psychiatrists.
• Health Savings Account (HSA) or Flex Spending Account (FSA)
• Two dental plan options available through Delta Dental, so you can choose the level of coverage that fits your needs and budget.
• Affordable vision plan available through EyeMed to keep your eyes healthy and your vision sharp.
• An optional Dependent Care Flexible Spending Account to reimburse yourself on a pre-tax basis for childcare.
• Generous paid time off
• 401k or Roth IRA Retirement Programs administered by Empower
• Financial planning and education services at no cost to you
• Voluntary supplemental benefits (Accident, Critical Illness, Short-Term Disability)
• Educational Assistance (your position, date of hire and years of service determine your eligibility)
• Licensure Residency Program for Full-time Clinical Staff
• Advancement and Career Development Opportunities

Legal Notice:

We are an equal opportunity employer. Employment is at-will and contingent upon successful completion of background checks and credential verification. We participate in E-Verify to confirm employment eligibility in the United States. Reasonable accommodations are available upon request in accordance with the Americans with Disabilities Act (ADA). Must be authorized to work in the United States. Compensation varies based on licensure, experience, and caseload. ncgCARE and all partner affiliates maintain a drug-free workplace.