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:
Manage the medication system in collaboration with the psychiatrist and psychiatric nurse practitioner
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 www.sparcprograms.net to learn more about us.

Employment type
Full-Time

Work arrangement
No