About The Position

The Behavioral Health Crisis Nurse provides calm, compassionate nursing care to people experiencing urgent mental health, psychiatric, substance use, or other clinical needs at Columbia’s 24/7 Behavioral Crisis Center. The center is a rapid-access clinic and an alternative to the hospital Emergency Department for people whose primary needs involve mental health or substance use, including opioid use. The nurse helps individuals find safety and stabilization and connects them with appropriate behavioral health and recovery services. During overnight hours, the nurse provides direct care, completes physical and mental health assessments, administers medications, monitors treatment responses, and collaborates with medical and behavioral health professionals in a trauma-informed, recovery-oriented environment. Available schedules are full-time Wednesday through Friday, 7:00 PM–7:00 AM (36 hours per week), or part-time Saturday, 7:00 PM–7:00 AM (approximately 12.5 hours per week), subject to position availability. Compensation is $22–$36 per hour based on nursing credentials and experience. Qualifying overnight hours receive a shift differential of $2.50 per hour on weekdays and $5.00 per hour on weekends. A $1,000 sign-on bonus is offered. Full-time associates are eligible for benefits.

Requirements

  • Current Registered Nurse or Licensed Practical Nurse license in good standing in Missouri.
  • Graduation from an accredited registered nursing or practical nursing program.
  • Knowledge of nursing assessment, medication administration, clinical documentation, infection control, and patient-safety practices.
  • Ability to work at least one of the available overnight schedules.
  • Current driver’s license, acceptable driving record, and current auto insurance.
  • Strong verbal and written communication skills and ability to document clearly and professionally.
  • Sound clinical judgment, adaptability, critical-thinking, and problem-solving skills.
  • Ability to remain calm and responsive during behavioral health crises, medical concerns, and changing clinical situations.
  • Ability to work independently during overnight hours and collaborate effectively with a multidisciplinary crisis-care team.
  • Ability to protect confidential medical and behavioral health information.
  • Commitment to trauma-informed, recovery-oriented, and person-centered care.

Nice To Haves

  • Experience in behavioral health, mental health, psychiatric nursing, crisis stabilization, addiction treatment, substance use recovery, emergency care, or a related healthcare setting.
  • Experience supporting individuals experiencing acute psychiatric, mental health, or substance use concerns.
  • Experience with therapeutic injections, Medication Administration Records, laboratory draws, specimen collection, medication monitoring, or crisis assessment.
  • Experience working within a multidisciplinary behavioral health, psychiatric, or crisis-response team.

Responsibilities

  • Provide compassionate nursing care to individuals experiencing behavioral health crises, psychiatric concerns, substance use needs, and other urgent clinical conditions.
  • Assess physical and mental health needs through nursing evaluations, medical and medication histories, vital signs, behavioral health screenings, and ongoing observation.
  • Develop nursing action plans based on each individual’s physical health, behavioral health, safety, and treatment needs.
  • Safely administer prescribed oral, subcutaneous, and intramuscular medications according to provider orders and nursing standards.
  • Monitor Medication Administration Records, medication counts, treatment responses, side effects, laboratory results, refill needs, and emerging health or safety concerns.
  • Coordinate medications, laboratory services, medical appointments, pharmacy communication, provider orders, and other healthcare needs.
  • Educate individuals and available support systems about medications, disease prevention, risk reduction, treatment recommendations, and health-management strategies.
  • Collaborate with physicians, advanced practice providers, behavioral health professionals, pharmacies, and crisis-response team members to promote stabilization and continuity of care.
  • Respond to behavioral health crises, medical emergencies, accidental injuries, adverse medication reactions, and changing clinical conditions with sound judgment and timely intervention.
  • Support infection-control practices, client hygiene, examinations, specimen collection, laboratory draws, and special procedures as needed.
  • Document nursing assessments, medication services, interventions, education, safety planning, provider communication, and clinical decisions accurately and on time.
  • Serve as a nursing resource for medical, medication, infection-control, hygiene, and behavioral health concerns during overnight hours.

Benefits

  • $1,000 sign-on bonus.
  • Overnight shift differential: additional $2.50 per hour for weekday overnight hours and $5.00 per hour for weekend overnight hours.
  • Full-time associates receive health, dental, vision, retirement, disability, and life insurance, wellness programs, and more.
  • Telemedicine access for medical, behavioral health, and dermatology needs by phone, web, or mobile app, 24/7.
  • Employee Assistance Program with 24/7 counseling, legal assistance, and financial consultation for employees and their household at no cost.
  • Paid time off for full-time associates: 29 days per year, including vacation and holiday pay.
  • Employee discounts for hotels, theme parks, attractions, and college tuition.
  • Initial, ongoing, comprehensive, and supportive training.
  • Career mobility and advancement opportunities, including promotion from within.
  • Supportive workplace culture focused on employee wellbeing.
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