REGISTERED NURSE

Registered Nurse (RN) Assertive Community Treatment (ACT) Team

The Registered Nurse (RN) Assertive Community Treatment (ACT) Team plays a vital role in delivering comprehensive, recovery-oriented nursing services to individuals living with severe and persistent mental illness and co-occurring disorders. Working as part of a multidisciplinary ACT team, the RN provides clinical assessments, medication management, health education, crisis intervention, and care coordination services that promote stability, wellness, independence, and successful community living.

This position combines psychiatric nursing, physical health care, and community-based support to address the unique and complex needs of clients in their homes and throughout the community. The RN serves as both a clinical resource and advocate, ensuring clients receive integrated, person-centered care that supports their recovery journey.

Key Responsibilities

Direct Clinical Care

• Administer and monitor prescribed medications, treatments, and injections.
• Conduct psychiatric, nursing, and physical health assessments.
• Monitor client health status and identify changes requiring intervention.
• Complete vital signs, metabolic screenings, and other ordered clinical procedures.
• Provide direct nursing care in community and home-based settings.
• Deliver in-home support services, including:
  • Activities of Daily Living (ADL) training
  • Medication education and management
  • Home management and wellness support
• Educate clients regarding symptoms, medications, treatment plans, and disease prevention strategies.
• Provide supportive counseling and health coaching to promote recovery and self-management.
• Support medication adherence and wellness-focused treatment goals.

Care Coordination and Treatment Planning

• Participate actively in interdisciplinary treatment planning and case conferences.
• Coordinate medical, psychiatric, and behavioral healthcare services.
• Ensure follow-through with medical appointments, treatment recommendations, and prescribed care.
• Communicate significant changes in client conditions to treatment team members and healthcare providers.
• Refer and connect clients to community-based services and external providers.
• Coordinate access to housing, employment supports, and other community resources.
• Maintain collaborative relationships with pharmacies, physicians, hospitals, and ancillary service providers.
• Provide consultation and support to families, caregivers, and natural support systems.

Crisis Intervention and Advocacy

• Respond to psychiatric, medical, and behavioral health crises.
• Coordinate emergency services and crisis intervention efforts as needed.
• Participate in on-call responsibilities as assigned.
• Advocate for clients' rights, needs, and access to resources within the community.
• Support clients in overcoming barriers to treatment and community integration.

Compliance, Documentation, and Quality Assurance

• Maintain accurate, timely, and comprehensive clinical documentation.
• Ensure compliance with nursing standards of practice, licensing requirements, and medication regulations.
• Monitor medication inventory, storage, administration records, and documentation.
• Ensure compliance with infectious disease control protocols and related requirements.
• Train and supervise unlicensed staff in medication administration procedures, health monitoring, and care standards.
• Participate in agency meetings, trainings, quality improvement initiatives, and professional development activities.
• Protect client confidentiality and maintain HIPAA compliance at all times.

Required Qualifications

Education

• Graduate of an accredited School of Nursing.
• Bachelor of Science in Nursing (BSN) preferred.

Licensure and Certifications

• Current and unrestricted Registered Nurse (RN) license in the State of Delaware.
• Current CPR certification.
• Successful completion of a pre-employment Tuberculin Skin Test.

Additional Requirements

• Ability to obtain and maintain security clearance through the Delaware Department of Correction.
• Successful completion of all required background investigations.
• Valid driver's license, current vehicle registration, and access to a reliable vehicle.

Preferred Experience

• Minimum one (1) year of clinical nursing experience preferred.
• Experience working in community mental health, behavioral health, psychiatric nursing, ACT programs, crisis services, or integrated healthcare settings preferred.

Core Competencies

Communication

Communicates effectively with clients, families, healthcare providers, and team members. Presents complex clinical information clearly, professionally, and appropriately for various audiences.

Clinical Knowledge

Demonstrates strong nursing assessment skills and evidence-based intervention techniques while maintaining high standards of professional practice.

Critical Reasoning

Analyzes clinical information, identifies patterns and concerns, and makes sound nursing judgments to support quality care and positive outcomes.

Problem Solving

Recognizes actual and potential issues, gathers relevant information, and develops practical solutions in a timely and effective manner.

Adaptability

Thrives in a dynamic community-based environment, effectively managing changing priorities and unexpected situations.

Stress Tolerance

Maintains professionalism and composure while responding to crises, emergencies, and other high-pressure situations.

Collaboration

Works effectively as a member of a multidisciplinary treatment team while fostering positive relationships with clients, families, and community partners.

Physical Requirements

The physical demands described below are representative of those required to successfully perform the essential functions of this position.

Candidates must be able to:

• Sit, stand, and walk for extended periods.
• Lift and carry up to 50 pounds or more when necessary.
• Reach, bend, stoop, twist, and climb stairs.
• Drive regularly throughout the community and between service locations.
• Respond quickly to emergencies and crisis situations.
• Utilize computer systems, documentation platforms, and communication devices effectively.

Equipment and Technology

This position routinely utilizes:

• Cellular and multi-line telephones
• Computers and electronic health record systems
• Microsoft Office applications
• Copiers, printers, calculators, and fax machines
• Agency-specific clinical and documentation software

Working Environment

Work is performed in a combination of:

• Community settings
• Client homes
• Healthcare facilities
• Multiple office locations
• Residential treatment environments

Facilities may include multiple floors and stair access, with elevators available when applicable.

The position may involve exposure to:

• Bloodborne pathogens
• Infectious diseases
• Community and environmental hazards
• Behavioral health crises
• Other healthcare-related risks requiring adherence to safety protocols

Professional Standards

All employees are expected to:

• Adhere to OSHA requirements and workplace safety standards.
• Follow all HIPAA, confidentiality, and privacy regulations.
• Comply with organizational, fiscal, human resources, and operational policies.
• Observe all Fire and Safety procedures.
• Attend required trainings, meetings, and team activities.
• Demonstrate professionalism, integrity, and sound judgment in all work-related activities.
• Contribute positively to a collaborative, team-centered work environment.

Why Join Our ACT Team?

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