Registered Nurse - Central Regional Hospital

Registered Nurse (S)

The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence.

We are currently recruiting for multiple Registered Nurses on all units at Central Regional Hospital (CRH). The registered nurse position manages the delivery of nursing care through the on-going supervision, teaching, and evaluation of nursing personnel (as specified in the legal definition of the practice of nursing) [NCBON-NCAC 6.0224i]. The Professional Nurse provides psychiatric-mental health and medical nursing care (utilizing the Nursing Process) and direct supervision of other licensed and non-licensed staff on the patient care unit (during their assigned shift). Supervision includes rotating in the charge nurse role and appropriately assessing the capabilities of staff and delegating task and responsibilities. The Professional Nurse provides direct observation of patients and evaluation of nursing care given. The role functions under the direct report of a Nurse Supervisor II (Clinical Nurse Manager).

Salary Range: $61,177.00 - $91,767.00

Recruitment Range: $70,000.00 - $88,348.00

A Sign-on bonus of $10,000 for work units AAU, CTU, FSU, and MPU or a $12,000 sign-on bonus for work units CAU and GSU may be offered to the successful applicant(s) of this posting, contingent on the 2025-2026 Budget Approval.

Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement.

Preferred Skills

• Ability to independently plan, implement and evaluate patient care plans.
• Knowledge of medications and the physiological effect of those medications.
• Ability to communicate information in a concise and descriptive manner, verbally, written, or by demonstration.
• Ability to appropriately respond to emergency situations.

Conditional Requirements:

• Advanced Physical Skills (APS) certification through the Crisis Prevention Institute (CPI) and CPR certification within 60 days.
• Valid driver's license.

This position is Exempt from certain provisions of The State Human Resources Act (GS 126)

This position is designated as mandatory and must report or stay over during adverse weather events.

We will be recruiting for multiple positions with this post. Your application will be considered for all noted open positions.

Shift Premiums for 8-Hour Shifts:

• Day: 10% weekend shift premium
• Evening: 20% shift premium plus an additional 10% weekend shift premium
• Night: 20% shift premium plus an additional 10% weekend shift premium

Shift Premiums for 12-Hour Shifts:

• Day (7:00 am-7:30 pm): 10% weekend shift premium
• Evenings/ Night (7:00 pm-7:30 am): 20% shift premium plus an additional 10% weekend shift premium

*Eligibility for Sign-on Bonus

To qualify for the Sign-on Bonus, a newly hired permanent full-time or permanent part-time employee must work 30 to 40 hours per week to be eligible. Those who are eligible and working less than 40 hours a week will receive a prorated rate.

An employee is not eligible for a sign-on bonus if:

• The employee has held a position in the North Carolina State government, including the judicial system, or the University of North Carolina system, within the last 12 months (the employee shall remain ineligible for 12 months from the separation date)
• The employee has previously received a sign-on bonus from any State agency
• DHHS has paid any contract placement or recruitment fees.

All Sign-on Bonuses are contingent upon budget and final eligibility determination as of the effective date of hire. Additional information regarding the Sign-on Policy can be found here.

About Central Regional Hospital (CRH):

CRH is a State-of-the Art psychiatric hospital located in Butner, NC. Our location is ideal with four seasons, mild temperatures and provides an easy commute to the N.C. mountains or beaches. Butner possesses small town charm but is within 30 minutes of a major metropolitan area including Research Triangle Park, Raleigh, Chapel Hill, and Durham, NC. The people we serve are at the heart of our facility. Our team is critical to the mission of the hospital. We strive to create an environment in which every team member contributes to the overall success of the hospital to positively impact the lives of those around them and the individuals we serve.

Nursing unit descriptions

Adult Admissions Unit (AAU). AAU serves patients ages 18-64 presenting with multiple diagnoses including primary psychiatric as well as substance abuse and medical diagnoses.

Child & Adolescent Unit (CAU). CAU evaluates and treats children ages 5 to 17 using the philosophy that children do well if they can. Our CAU has two divisions: Children's Services : Provide intensive inpatient treatment and emergency diagnostic and treatment services for children between the ages of 5 and 11 years old. Adolescent Services : Provide intensive evaluation and treatment for adolescents between the ages of 12 and 17 years old on an emergency and short-term basis.

Community Transition Unit (CTU). Patient population consists of adults ages 18-64, diagnosed with a severe mental illness. Patients are not normally admitted directly into CTU. Patients are transferred from Adult Admission Unit for long term treatment of their mental illness after repeated admissions.

Forensic Services Unit (FSU). Males and females, 18 years and over: Provides mental health treatment and other services for individuals who are involuntary committed for psychiatric hospitalization after being found Not Guilty by Reason of Insanity or found incapable to proceed.

Geriatric Services Unit (GSU). GSU serves patients 65 and older with primary psychiatric diagnoses which may include Alzheimer's/Dementia who exhibit behaviors such as agitation, aggression, and confusion in addition to medical diagnoses.

Medical Psychiatric Unit (MPU). Provide Medical Surgical care for acute illnesses, chronic conditions unable to be treated by the psych unit, and functions as the Emergency Response Team (CODE Blue).

Application Process

• Information should be provided in the appropriate areas, to include the following: Education, including high school and all degrees obtained, Work Experience, and Certificates & Licenses. It is critical to our screening and salary determination process that applications contain comprehensive candidate information.
• Answers to Supplemental Questions are not a substitute for providing all relevant information within the body of your application. To receive credit for the supplemental questions, you must provide supporting information within the "Work Experience" section of the application, to support your answers.
• 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. Upon the closing date, applications are "Under Review" and will be screened by Human Resources for the qualified applicants. The hiring process may take several weeks.
• Degrees must be received from appropriately accredited institutions. Transcripts and degree evaluations may be uploaded with your application. The State of North Carolina/Office of State Human Resources 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

Veteran's and National Guard Preference

• 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