About The Position

The Behavioral Health Crisis Nurse provides calm, compassionate nursing care to people experiencing urgent mental health, psychiatric, substance use, and 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 individuals whose primary needs involve mental health or substance use, including opioid use. Nurses help individuals find safety and stabilization and connect them with behavioral health and recovery services in a trauma-informed crisis environment. The role provides direct nursing care, including assessments, medication administration, treatment monitoring, coordination of healthcare services, patient education, documentation, and response to crises or changing clinical conditions. Nurses work with medical and behavioral health professionals to support stabilization and continuity of care, and serve as an overnight nursing resource. Available overnight 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 credentials and experience, with an additional $5.00 per hour for weekend overnight hours and $2.50 per hour for weekday overnight hours. A $1,000 sign-on bonus is offered. Full-time associates are eligible for benefits including health, dental, vision, retirement, disability, and life insurance, wellness programs, telemedicine, an Employee Assistance Program, paid time off, and employee discounts. Other stated offerings include training, career mobility, and a supportive workplace culture.

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 while collaborating 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.
  • Ability to perform the essential functions of the position with or without reasonable accommodation.

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 individuals’ physical health, behavioral health, safety, and treatment needs.
  • Administer prescribed oral, subcutaneous, and intramuscular medications safely and accurately according to provider orders and nursing standards.
  • Monitor Medication Administration Records, medication counts, treatment response, 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 trusted nursing resource for medical, medication, infection-control, hygiene, and behavioral health concerns during overnight hours.

Benefits

  • $1,000 sign-on bonus.
  • Additional overnight shift differential: $5.00 per hour for weekend overnight hours and $2.50 per hour for weekday overnight hours.
  • Full-time benefits including health, dental, vision, retirement, disability, and life insurance, and wellness programs.
  • 24/7 telemedicine visits for medical, behavioral health, and dermatology needs.
  • Employee Assistance Program with 24/7 counseling, legal assistance, and financial consultation for the employee and household at no cost.
  • Paid time off; full-time associates receive 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 promoting from within.
  • Supportive workplace culture focused on employee wellbeing and engagement.
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