Job Description

Job Title: RN - Assertive Community Treatment (ACT)/Outpatient Nursing Services

Job Classification: Non-Exempt

Supervisor: Nurse Manager / ACT Supervisor

Status: Full Time

Location: ACT (Community-Based) / RMHC Outpatient locations (primarily Virginia)

Shifts: M-F Days

Pay Band/Wage Range: $30.00 - $43.62 (Pay band 8) BOE

Benefits: Including but not limited to: Medical, Dental, Life, 401k, PTO, MN PFML

About Our Workplace:

Range Mental Health Center is proud to be a Certified Community Behavioral Health Clinic (CCBHC). The goals of the Certified Community Behavioral Health Clinics program in MN are to 1) increase access to community-based mental health and substance use disorder services (particularly to under-served communities), 2) advance integration of behavioral health with physical health care, and 3) improve utilization of evidence-based practices on a more consistent basis.

As part of our commitment to supporting employees in their professional development, we offer 100% employer provided clinical supervision at no cost to staff in therapy positions or any role requiring clinical licensure. This includes weekly supervision in accordance with all licensing board requirements. Our structure also includes weekly multidisciplinary team meetings and monthly staff meetings. This reflects our broader philosophy of integrated treatment coordination and robust clinical support. Join a team where collaboration, professional development, and integrated care are built into the way we work, every single week.

The Assertive Community Treatment (ACT) program provides intensive, team-based, community-delivered services to adults with serious and persistent mental illness, with services available seven days per week.

This position is part time spent in the ACT team, in a job share with another RN, and part time spent in our RMHC outpatient nursing services. For ACT: your work is direct patient care and administrative nature and is designed to meet the needs of individuals served by the ACT program in alignment with CCBHC standards. The Registered Nurse works as part of a multidisciplinary ACT team to provide nursing services, medication management, health education, and crisis intervention in community settings. The RN collaborates closely with psychiatric providers, case managers, and other team members to ensure coordinated, recovery-oriented care. For outpatient nursing services at RMHC: it outpatient psychiatry, ARMHS (Adult Rehabilitative Mental Health Services), and Wellstone Crisis and IRTS (Intensive Residential Treatment Services). Working in ARMHS means providing mental health, physical health, medication education and other education and support services directly to patients in their homes and in our service locations. Outpatient psychiatry is a traditional clinic but also includes CCBHC clinical standards such as assuring patients are meeting their physical health needs and following up after a hospital or ED visit. At Wellstone, you are assuring the practitioners are safely providing care given they are not nurses and are checking in with patients on their physical and mental health to support them and the staff.

Duties/Responsibilities:

• Triage patient needs via phone and in-person, prioritizing clinical urgency and coordinating timely care
• Administer medications, including oral, intramuscular, and subcutaneous injections (e.g., long-acting injectables), and monitor for therapeutic response and adverse effects
• Provide patient and family education on psychiatric diagnoses, medications, treatment plans, and symptom management
• Monitor ongoing patient status, including side effects, adherence, and clinical progress; communicate changes to prescribing providers
• Collaborate with psychiatrists, nurse practitioners, therapists, case managers, and other team members to support integrated care planning
• Coordinate care with external providers, pharmacies, hospitals, and community resources to ensure continuity of care
• Respond to psychiatric crises, including de-escalation, safety planning, and facilitation of higher levels of care when indicated
• Manage refill requests, prior authorizations, and medication-related follow-up in accordance with clinic protocols
• Maintain accurate, timely, and compliant documentation in the electronic health record (EHR)
• Support clinic operations, including scheduling coordination, patient flow, and quality improvement initiatives
• Ensure compliance with organizational policies, state/federal regulations, and best practice standards in psychiatric nursing care
• Participate in staff meetings, case consultations, and ongoing education to maintain clinical competency
• Provide clinical oversight and delegation to unlicensed assistive personnel (e.g., medical assistants, technicians) involved in medication administration and patient screening, ensuring tasks are performed safely, appropriately, and within scope of practice
• Supervise and support unlicensed staff through training, competency validation, and real-time guidance; intervene as needed to ensure patient safety and quality of care
• Completion of required continuing education and participation in annual performance review processes.
• Adherence to organizational code of conduct and maintenance of appropriate professional boundaries with clients, staff, and community partners.
• Other duties assigned within the RN scope of practice to meet program and organizational needs.

ACT Program-Specific Duties / Responsibilities:

• Provide community-based nursing services to adults enrolled in the ACT program.
• Oversee medication administration systems in compliance with Minnesota regulations, including preparation, storage, distribution, and monitoring of medications.
• Train ACT staff on medication administration procedures, side-effect monitoring, and best practices.
• Provide individual and group medication education, including facilitation of a weekly medication education group.
• Support self-medication programs as clinically appropriate.
• Assist clients with medical appointments, coordination of care, and follow-up with external health providers.
• Participate in crisis assessment and intervention, following established ACT and organizational procedures.
• Respond to crisis situations immediately when on-site or within one hour when on call.
• Document all significant client contacts, nursing interventions, and crisis events in accordance with ACT, CCBHC, and regulatory requirements.
• Attend ACT clinical, treatment team, and program meetings.
• Maintain required documentation and participate in required training courses, including a minimum of 16 hours annually as specified by ACT/IRT/CS standards.

Required Skills/Abilities:

• Strong clinical assessment, judgment, and crisis management skills.
• Excellent verbal and written communication skills.
• Ability to work independently and collaboratively within a multidisciplinary team.
• Non-judgmental, recovery-oriented approach to individuals with serious mental illness.
• Strong time management, organization, and adaptability in a community-based environment.
• Proficiency with electronic health records and basic computer applications.
• Ability to maintain confidentiality and professional boundaries.
• Regular and reliable attendance is a requirement to this position

Education and Experience:

• Current Registered Nurse license in the State of Minnesota (required).
• CPR certification required.
• Must be able to pass a Minnesota Department of Human Services background study.
• Preference for experience in community mental health, ACT, or adult mental health services.
• Preference for BSN-prepared nurses due to the community health component of the role.

Physical Requirements:

• 18 years of age.
• Ability to sit, stand, bend, reach, and lift up to 50 pounds.
• Ability to navigate community environments, including stairs.
• Ability to physically perform nursing procedures, including injections.
• Vision sufficient to utilize a computer monitor, monitor clients, and prepare and administer medications.
• Hearing sufficiently to communicate in person and by telephone, individually and in groups.
• Maintain acceptable standards of hygiene and professional appearance.
• Must maintain a valid Minnesota driver’s license and auto insurance.

AA/EOE