CERTIFIED NURSING ASSISTANT II BUTNER, NC
About The Position
New Hope Treatment Centers is seeking a Certified Nursing Assistant II (CNA II / NA II) to provide direct patient care and enhanced nursing support to adolescents in the PIVOT Program, a secure, high-acuity behavioral health program operated in collaboration with the North Carolina Division of Juvenile Justice and Delinquency Prevention. The CNA II works under the supervision and delegation of the Lead Registered Nurse and nursing staff, promoting youths’ physical health, safety, dignity, and recovery through trauma-informed, least restrictive care. The CNA II performs Nurse Aide II activities only when they are within the employee’s authorized scope, competency has been validated, and the activity has been appropriately delegated by licensed nursing staff. Nursing assessment, diagnosis, clinical judgment, development of nursing plans of care, and independent decisions about treatment or suicide precautions remain the responsibility of appropriately licensed or credentialed staff. The work takes place in a secure behavioral health environment serving emotionally distressed adolescents. The role may involve exposure to verbal aggression and behavioral crises, and requires the ability to sit, stand, walk, bend, lift, and respond quickly during emergencies. Reasonable accommodations may be made for qualified individuals with disabilities.
Requirements
- High school diploma or equivalent.
- Current North Carolina Nurse Aide I Registry listing in good standing and current Nurse Aide II listing or eligibility as required for the role.
- Current CPR/First Aid certification, or ability to obtain it upon hire.
- Ability to pass required background checks, drug screening, and state-mandated employment clearances.
- Ability to successfully complete New Hope and DJJ required orientation and training.
- Strong interpersonal and communication skills.
- Ability to remain calm in high-stress situations.
- Ability to work independently and as part of a multidisciplinary team.
- Professional judgment, discretion, and ethical conduct.
- Proficiency with electronic health records and standard office technology.
- Ability to sit, stand, walk, bend, lift, and respond quickly during emergencies.
Nice To Haves
- One year of experience in behavioral health, psychiatric care, residential treatment, juvenile justice, hospital, or crisis services.
- Experience working with adolescents with significant mental health or behavioral challenges.
- Knowledge of trauma-informed care, crisis intervention, adolescent behavioral health, and delegated nursing practice.
Responsibilities
- Provide personal care, hygiene assistance, nutrition support, mobility assistance, and assistance with activities of daily living as needed.
- Obtain and document vital signs, height, weight, intake and output, and other delegated clinical observations.
- Observe youth for changes in physical condition, mental status, level of consciousness, or behavior and promptly report concerns to nursing staff.
- Support individualized nursing care plans, behavioral health interventions, and interdisciplinary treatment plans.
- Continuously observe youth assigned to suicide precautions or other enhanced supervision protocols, document required observations accurately, and immediately report changes in mental status, behavior, or safety concerns to the supervising nurse and clinical team.
- Perform Nurse Aide II activities only within authorized scope, validated competency, agency policy, and appropriate delegation by a licensed nurse.
- Perform applicable and authorized delegated NA II activities, which may include oxygen-related assistive activities, suctioning, tracheostomy care, urinary catheterization, qualifying sterile wound care, ostomy care, permitted enteral nutrition activities, and permitted peripheral IV assistive activities.
- Maintain youth safety using trauma-informed communication, therapeutic engagement, and approved de-escalation techniques.
- Assist with admissions, transfers, and discharges as directed.
- Maintain accurate and timely documentation in the electronic health record.
- Maintain confidentiality in accordance with HIPAA, organizational policies, and applicable DJJ requirements.
- Participate in treatment team meetings and communicate effectively with nursing, clinical, behavioral health, and DJJ staff.
- Maintain flexibility to work evenings, weekends, holidays, and emergency staffing assignments.
- Perform other duties consistent with the scope of the CNA II / NA II role.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
