Registered Nurse

$60,000- $70,000 - We are seeking a compassionate, skilled Registered Nurse to join our Assertive Community Treatment Team (ACTT). The ACTT RN plays a vital role in delivering in-home and community-based nursing services to individuals living with serious mental illness. This position focuses on integrated physical and mental health care, medication management, health education, and care coordination to promote client recovery, safety, and independence. Qualifications: Active North Carolina RN license (BSN preferred) or APRN Preferred minimum 1 year of experience working with adults with serious mental illness Working knowledge of psychotropic medications and psychiatric care Strong communication, organization, and team collaboration skills Valid driver’s license, reliable transportation, and up-to-date auto insurance Key Responsibilities: Medication Management: Administer and document medications (oral and intramuscular psychotropic and medical medications) Maintain and manage a secure medication room Health Monitoring & Nursing Assessments: Perform regular nursing assessments and monitor for medical conditions and medication side effects Conduct mental status and risk assessments (SI/HI) Monitor and manage chronic conditions such as diabetes and hypertension Health Promotion & Education: Provide psychoeducation on diagnoses, medications, and symptom management Engage in preventive care and health promotion activities, including lifestyle and wellness coaching Support adherence to medication regimens through client-centered strategies (e.g., environmental cues, simplifying regimens) Care Coordination & Collaboration: Coordinate care and communicate with primary care and specialty medical providers Educate ACT team members on psychiatric symptoms, medication effects, and physical health concerns Advocate for clients' medical and psychological needs in both health and social service systems Community-Based Nursing: Deliver nursing care in diverse community settings, including client homes, homeless shelters, assisted living facilities, hospitals, and other non-traditional environments Help prevent unnecessary institutionalization (e.g., hospitalization, incarceration) through early intervention and proactive support Work Structure: This is a hybrid position with a consistent weekly schedule: In-person (Mon / Wed / Thu): Team meetings, 8:45–10:30 AM Virtual (Tue / Fri): Morning meetings, 8:45–10:30 AM Daily caseload is 5–7 clients, seen in the community. Core In-Home Nursing Skills: Medical Care: Vital signs, blood glucose, and weight monitoring Medication administration (oral, IM) Basic health assessments Chronic disease support Psychiatric Support: Risk and mental status assessments Monitoring symptoms and side effects Long-acting injectable antipsychotic administration Crisis intervention Health Education: Medication and diagnosis education Lifestyle coaching (hygiene, smoking cessation, nutrition) Medication adherence support Care Coordination: Interdisciplinary collaboration Assistance with appointments, transportation, and benefits Home safety assessments and referrals Benefits: $60,000-$70,000 salary (depending on experience) Flexible schedule All Purpose Leave with additional Self Care time off Medical, Dental, Vision, and Life Insurance Comprehensive Employee Assistance Program Short-Term and Long-Term Disability Whole household telehealth services (including mental health) Cell Phone, Mileage & Supervision Reimbursement CEU & Training stipend Top of the line tech, including company laptop 401k Check out our website at to learn more about us. #J-18808-Ljbffr Ottawa Riverkeeper | Sentinelle de la rivière des Outaouais