Crisis Center Nurse (RN or LPN)

About Paragon Behavioral Health Connections Paragon Behavioral Health Connections is a comprehensive behavioral health organization on a mission to positively impact individuals and families through compassionate, and client-centered care. Our mission is to deliver personalized care that uplifts our clients and builds supportive connections in communities. Through community based or in-home services, and digital solutions as needed, we meet clients where they are—both physically and emotionally—to provide the right support at the right time. Serving communities across Colorado, we deliver equitable and creative “one-stop” behavioral health services—providing in-home mental health and substance use treatment, crisis stabilization, early childhood support, intensive outpatient programs, assertive community treatment, medication management, wrap around support and more. We believe care should meet people where they are, both physically and emotionally. Our approach is rooted in understanding, respect, innovation, and community collaboration. Why Work With Paragon Statewide Reach – Deliver care where it’s needed most. We’re not region-limited—serve communities across Colorado, including rural and frontier areas with limited access to care. Flexibility & Work–Life Balance – Own your schedule. Partner with families to set visit times that work for them (and you), so you can enjoy Colorado’s trails, slopes, and sunshine during off-peak hours. Clinical Leadership & Support – Clinicians lead here. Our executive team includes licensed providers who shape business decisions with a care-first lens. We provide licensure supervision and regular consultation to support your growth as a clinician. Comprehensive, Company-Paid Benefits – We cover health, dental, vision, short- and long-term disability, and life insurance—company-paid—so there are no premium deductions from your paycheck. Keep your full salary and your peace of mind. Career Growth Opportunities – Grow with us. Explore new modalities and specializations and advance into leadership as we expand statewide. Position Overview Paragon is seeking a compassionate and skilled Registered Nurse (RN) or Licensed Practical Nurse (LPN) to serve as a frontline crisis care provider at our 24/7 Walk-In Crisis Center (WIC). This position plays a central role in our mission to function as a 'no wrong door' access point for individuals experiencing behavioral health crises. You will deliver immediate triage, medical screening, stabilization, and coordinated care to adults, youth, and families presenting in crisis — including those with mental health, substance use, and co-occurring conditions. You will work as part of a multidisciplinary team operating across three 12-hour shifts per week, with one shift falling on a weekend day. This role is primarily in-person to ensure the highest quality of direct client care, though remote/telehealth options are available for a portion of your workweek. When scheduled for after-hours on-call, you must be reachable and ready to provide telehealth consultation or evaluation within 5–10 minutes of contact. Key Responsibilities Crisis Assessment & Triage Provide immediate walk-in access triage for individuals experiencing self-defined behavioral health crises Complete crisis screening and assessment within required timeframes per Colorado BHA Chapter 6 standards Conduct suicide and homicide risk assessments and administer validated tools (PHQ-9, GAD-7, PCL-5, Columbia Protocol) Facilitate crisis intervention, de-escalation, and brief stabilization services Develop and document safety plans; provide lethal means counseling and restriction planning Engage family members and caregivers as appropriate to support stabilization After completing required Colorado training, initiate M-1/27-65 emergency mental health holds when clinically necessary to ensure client safety Medical Services & Nursing Care Conduct comprehensive health assessments and ongoing monitoring for individuals receiving crisis services Monitor and document vital signs, perform basic health screenings, and administer point-of-care testing (urine drug screens, pregnancy tests, glucose monitoring) Administer medications including those used in Medication-Assisted Treatment (MAT/MOUD); monitor for side effects and treatment effectiveness Administer and track long-acting injectable medications as directed by prescribing provider Perform withdrawal assessment and monitoring using validated tools (CIWA, COWS); elevate appropriately Administer naloxone; support harm reduction interventions and naloxone distribution Under provider direction, enter laboratory and toxicology orders; track completion and follow up on results Coordinate with pharmacies; complete prior authorizations and support PDMP compliance Initiate emergency medical response and facilitate transfer when acute medical needs exceed WIC capacity Substance Use Crisis Services Screen and assess individuals for substance use disorders using evidence-based tools Conduct intoxication assessment and management per clinical protocols Evaluate for MAT/MOUD initiation and continuation; coordinate bridge prescriptions when clinically indicated Support Emergency Commitment (EC) evaluations and processing Coordinate warm handoffs to detoxification, withdrawal management, and substance use treatment providers Care Coordination & Disposition Determine appropriate level of care in collaboration with the multidisciplinary team Provide warm handoffs and referrals to outpatient behavioral health, community stabilization, Crisis Stabilization Units (CSUs), Behavioral Health Crisis Centers (BHCCs), inpatient psychiatric services and, via Provider support, to ER Coordinate transportation to appropriate levels of care Connect individuals to housing, food, case management, peer recovery, and social service resources Coordinate with school systems, criminal justice, and law enforcement as appropriate Follow-Up & Ongoing Coordination Conduct or support follow-up contact within 24 hours of crisis service delivery Confirm successful linkage to ongoing services; support appointment scheduling and referral follow-through Provide MAT continuity support and bridge services as needed Documentation & Team Participation Maintain accurate, timely, and compliant documentation in the electronic health record per agency and regulatory standards Participate in daily team meetings and contribute to individualized crisis and treatment planning Facilitate or co-facilitate psychoeducational groups focused on wellness, recovery, and harm reduction Triage client needs to appropriate team members; support provider scheduling Promote trauma-informed, recovery-oriented, and culturally responsive practices in all interactions Qualifications Required Active Registered Nurse (RN) or Licensed Practical Nurse (LPN) license in the State of Colorado Valid Colorado driver's license and access to reliable transportation Current CPR/BLS certification Up-to-date vaccinations in accordance with agency and public health guidelines Minimum one to two years of experience working with individuals with serious mental illness, substance use disorders, or in crisis/emergency settings Ability to respond within 5–10 minutes when scheduled for after-hours on-call telehealth duty Preferred Bachelor of Science in Nursing (BSN) — for RN applicants Experience in community-based, psychiatric, crisis, emergency, or integrated care settings Familiarity with the Assertive Community Treatment (ACT) model, trauma-informed care, and harm reduction principles Experience with MAT/MOUD administration and monitoring Familiarity with Colorado 27-65 emergency mental health hold procedures National certification such as Psychiatric-Mental Health Nursing (PMH-BC) or Certified Addictions Registered Nurse (CARN) Core Competencies Strong clinical assessment, decision-making, and critical thinking skills in high-acuity environments Compassionate, nonjudgmental, and client-centered approach — particularly with individuals in acute distress Ability to de-escalate and stabilize individuals experiencing psychiatric and/or substance use crises Comfortable working both independently and as part of a fast-paced multidisciplinary team Excellent verbal, written, and interpersonal communication skills Strong organizational skills and attention to detail in clinical documentation Cultural humility and demonstrated commitment to equity, inclusion, and social justice Ability to navigate ambiguous or rapidly evolving situations with composure Reliable availability during scheduled on-call periods; professional response time standards Schedule & Work Structure Three 12-hour shifts per week (days/evenings/nights as assigned by team lead) One scheduled shift must include Saturday or Sunday After-hours on-call availability via phone and telehealth when scheduled — must be accessible within 5–10 minutes for telehealth consultation and evaluation (Two or three 12-hour on call overnight shifts per week) Preferred: in-person at the Walk-In Crisis Center for all or most shifts Remote/telehealth work available for a portion of the workweek, per operational guidelines Part of a rotating team supporting 24/7/365 coverage Benefits Paid health, dental, vision, life, short- and long-term disability insurance. Flexible work hours Discretionary Time Off (DTO) 401(k) retirement plan Employee Assistance Program (EAP) Professional development support Referral bonuses Salary Range RN: $88,000–$115,000/year LPN: $68,000–$82,000/year Commensurate with experience and licensure Diversity & Inclusion Paragon Behavioral Health Connections is committed to creating a diverse, inclusive, and equitable workplace. We strongly encourage applications from candidates of all backgrounds, identities, and lived experiences. #J-18808-Ljbffr