Facility Based Crisis Nurse

Easterseals PORT Health • Jacksonville, NC

2d • Onsite

About The Position

Easterseals PORT Health is seeking a Facility Based Crisis (FBC) Nurse for its Behavioral Health team in Jacksonville, North Carolina. The nurse provides direct nursing care, administers medication, and monitors the health of adults experiencing behavioral health or substance use crises in a 24/7 facility-based crisis program. Working under the direction of the FBC Program Supervisor and within the NC Nurse Practice Act, the nurse implements provider-ordered protocols, supports crisis stabilization and withdrawal monitoring, and helps maintain a safe, therapeutic environment. The nurse also assists with training and supporting facility staff in nursing-related tasks and clinical expectations.

The position is onsite and part-time, scheduled Monday through Friday from 3 p.m. to 7 p.m. The listed pay is $27–$30 per hour for LPNs and $32–$37 per hour for RNs.

The role involves clinical assessment and monitoring, medication management, crisis response and team support, documentation and compliance, and staff training. The posting also describes personal-care service duties, including developing and documenting initial assessments, conducting monthly and as-needed home visits, reviewing care plans, and supervising direct service providers.

Requirements

• Active, unencumbered North Carolina RN or LPN license, or a valid multistate/compact RN or LPN license.
• Strong oral and written communication skills.
• Sound clinical judgment within scope of practice and ability to maintain confidentiality and professional ethics.
• Ability to manage multiple priorities and work effectively in a fast-paced crisis environment.
• Valid unrestricted North Carolina driver’s license, reliable transportation, and current vehicle insurance.
• Proficiency with EHR systems or technical aptitude.
• Ability to work respectfully and considerately with diverse staff and participants.
• Ability to communicate effectively and positively with staff and participants to support a safe and healthy environment.
• Ability to enforce safety regulations and emergency policies and procedures.
• Professionalism, enthusiasm, creativity, and a sense of humor.
• Ability to stand, walk, or remain mobile for extended periods during a shift.
• Ability to occasionally lift, push, pull, or carry up to 25–35 pounds.
• Ability to safely support an unsteady patient, assist with transfers, or respond to emergencies.
• Ability to hear and respond to alarms, client needs, and emergency communications.
• Ability to work amid potential exposure to people in crisis, unpredictable behaviors, bodily fluids, sharps, and other common clinical hazards, and to use PPE as required.
• Ability to develop written communications and review work for accuracy.
• Must be able to perform the essential duties satisfactorily; reasonable accommodation may be made for individuals with disabilities.

Nice To Haves

• One year of experience in behavioral health or substance use treatment is preferred.
• Two years of RN experience with home health care experience is preferred.

Responsibilities

• Collaborate with clients, families, and team members to align care plans with each consumer’s personal outcomes.
• Develop and document initial assessments of consumers’ personal care needs.
• Conduct monthly and as-needed home visits to assess and re-evaluate needs, modify plans of care, and conduct direct service provider supervisory visits.
• Monitor and train direct service providers who provide personal care services or services to medically fragile consumers.
• Perform nursing screenings, collect vital signs, and complete withdrawal risk assessments using CIWA/COWS.
• Monitor medical, emotional, and psychiatric stability, including behavioral health safety concerns.
• Assess and document acute psychiatric symptoms, safety risks, and changes in condition.
• Participate in crisis stabilization interventions and support a safe, therapeutic environment.
• Administer medications, including PRN and emergency medications.
• Monitor medication effectiveness and adverse reactions; ensure medical safety, accurate documentation, and controlled substance accountability.
• Implement provider-ordered treatment protocols, including detoxification and symptom-management orders, and consult providers as needed about patient status or treatment concerns.
• Lead de-escalation efforts and coach staff in trauma-informed crisis response.
• Serve as the clinical liaison for the shift team and promote consistent communication and care.
• Provide clinical guidance to non-licensed personnel and support the FBC Program Supervisor in reinforcing clinical expectations and standards.
• Maintain timely and accurate documentation of screenings, assessments, interventions, incident reports, and medication administration.
• Participate in audits, quality-improvement activities, drills, and incident reviews.
• Uphold infection-control standards, patient rights, and emergency-preparedness requirements, and comply with organizational policies, accrediting standards, and applicable regulations.
• Assist the FBC Program Supervisor in training and supporting non-licensed personnel in vital-sign collection, medication-related tasks and safety, observation and reporting, and documentation accuracy.
• For RNs, validate task readiness within RN delegation rules when applicable.
• Complete required training within prescribed timeframes and perform other duties as assigned.

Benefits

• Generous paid time off and holidays for benefits-eligible positions.
• Medical, dental, and vision coverage, plus a flexible spending account (FSA), for benefits-eligible positions.
• Life and disability insurance for benefits-eligible positions.
• 403(b) retirement plan for benefits-eligible positions.
• Employee Assistance Program and legal services for benefits-eligible positions.
• Professional development and training opportunities, including AHEC where applicable, for benefits-eligible positions.
• Public Service Loan Forgiveness (PSLF) eligibility where applicable.

What This Job Offers

• Job Type: Part-time
• Education Level: No Education Listed