Registered Nurse, Ambulatory Psychiatry - Department of Psychiatry, 40 Hours (Days)

Position Summary The Registered Nurse adheres to the rules and regulations of the Massachusetts Board of Registration in Nursing and is primarily responsible for professional performance and direct patient care. The role encompasses comprehensive nursing assessment, diagnosis, planning, intervention, evaluation, and coordination of care for patients and families across the health care continuum. The RN serves as a bridge between psychiatry, primary care, and community resources to ensure holistic, coordinated care. This role is instrumental in ensuring that all patients are connected with a primary care provider (PCP), and that medical and psychiatric needs are managed collaboratively. The RN coordinates with psychiatrists, resource specialists, and PCPs to facilitate safe transition of psychiatric medication management when the patient is stable, and the PCP is comfortable continuing prescribing. In addition to care coordination, the RN provides preventive health screenings, patient education, administers long-acting injectable (LAI) medications as part of ongoing psychiatric treatment, oversees the discharge clinic for patients recently discharged from inpatient psychiatric units, and participates in additional nurse visits as needed to meet evolving clinic needs. Essential Responsibilities / Duties Identify patients without a primary care provider and collaborate with resource specialists to establish a PCP connection. Communicate and coordinate with PCPs and psychiatric prescribers to support smooth transitions of care. Facilitate transfer of psychiatric prescribing responsibilities to PCPs when clinically appropriate. Ensure continuity of care through follow-up coordination and patient education. Collaborate with providers and pharmacy to administer long‑acting injectable (LAI) antipsychotic medications safely and accurately. Monitor and document patient response, including side effects and adherence. Provide education regarding LAI medications and possible side effects. Maintain accurate documentation of all injections, assessments, and patient interactions. Perform health screenings such as tobacco use, HIV risk, TB history, and substance use assessments. Offer Narcan and harm reduction education. Promote wellness, safety, and health literacy in all patient interactions. Oversee the Discharge Clinic for patients recently discharged from inpatient psychiatric units. Review all incoming referrals for the Discharge Clinic to ensure that appropriate documentation (discharge summaries, medication lists, and clinical notes) has been received prior to scheduling an appointment. Coordinate with the Medical Director, Clinical Supervisor, and Medical Assistant to confirm discharge readiness and ensure appropriate provider follow‑up is scheduled. Ensure discharge planner/patients are contacted promptly and scheduled to be seen by a behavioral health provider within 7 days of discharge, per CBHC standards. Review and clarify hospital discharge instructions, including medications, safety plans, and follow‑up expectations. Document all nursing encounters, screenings, education, and coordination efforts in the electronic health record. Participate in interdisciplinary team meetings. Communicate changes in patient condition or treatment plan to the appropriate providers. Support WRAP and APTP programs as needed. Perform other duties as specified by supervisor. Adhere to all of BMC’s RESPECT behavioral standards. Job Requirements Education Nursing degree: Diploma, ASN or BSN (preferred). Ability to obtain BSN within 4 years. Certificates, Licenses, and Registrations Massachusetts licensure as a registered nurse. Annual maintenance of RN staff competencies. Current Basic Life Support (BLS) certification. Experience Minimum 2 years of clinical experience in behavioral health, community health, or psychiatric nursing (preferred). Prior experience administering LAI medications in an inpatient or outpatient psychiatric setting (preferred). Familiarity with integrated behavioral health models and care transitions (preferred). Experience with motivational interviewing, harm reduction, or trauma‑informed care (preferred). Knowledge and Skills Computer skills required, preferably with Word, Excel and Access. Strong interpersonal skills. Strong patient communication and patient education skills. Ability to be highly organized, detail‑oriented, and timely. Ability to work productively across academic clinical departments. Ability to effectively delegate appropriate patient care activities. Knowledge of Epic (preferred). Compensation Range Compensation Range: $38.05 – $75.33. This range offers an estimate based on the minimum job qualifications. The base pay is determined by a comprehensive evaluation of education, experience, and licensure/certifications directly related to position requirements. Additional compensation includes benefits (medical, dental, vision, pharmacy), contract increases, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing. Equal Opportunity Employer/Disabled/Veterans Boston Medical Center is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression, or any other non‑job‑related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e‑mail to View email address on click.appcast.io or call View phone number on click.appcast.io to let us know the nature of your request. #J-18808-Ljbffr