Night Charge Nurse (RN)

RHA Health Services, LLC•Burlington, NC

About The Position

The Behavioral Health Nursing Team Lead provides clinical oversight and day-to-day leadership of nursing services within a behavioral health program or site. The role coordinates nursing operations, supports safe and effective medication management, promotes regulatory compliance, and delivers high-quality behavioral health care. As the clinical lead nurse at an assigned location, the Team Lead liaises between frontline nursing staff and Behavioral Health leadership and uses professional judgment, clinical expertise, and leadership skills to support program operations with limited direction. The role promotes person-centered, recovery-oriented care and interdisciplinary collaboration. The schedule is either four 10-hour shifts per week or five 8-hour shifts per week, with rotating weekend on-call responsibilities. The Team Lead provides day-to-day supervision and clinical guidance to RNs and LPNs at the program or site and supports non-licensed staff performing delegated health-related tasks as permitted by state scope of practice.

Requirements

  • Graduate of an accredited school of nursing.
  • Minimum Associate Degree in Nursing required.
  • Active, unencumbered Registered Nurse (RN) license in North Carolina.
  • Minimum one year of nursing experience required.
  • Knowledge of psychiatric medications and common behavioral health diagnoses.
  • Understanding of crisis intervention principles and trauma-informed care.
  • Familiarity with behavioral health documentation standards and regulatory requirements.
  • Ability to communicate effectively with multidisciplinary teams, individuals served, families, and regulatory bodies.
  • Ability to prepare reports and maintain accurate clinical records.
  • Ability to assess clinical situations, identify problems, and implement appropriate interventions.
  • Ability to interpret policies, procedures, and regulatory guidelines.
  • Ability to supervise and mentor nursing staff.
  • Strong organizational and problem-solving skills.
  • Ability to meet the listed physical demands, including lifting, pulling, squatting, kneeling, crawling, crouching, climbing, stooping, standing, walking, and demonstrating CPR proficiency from floor level.

Nice To Haves

  • Bachelor of Science in Nursing (BSN).
  • Experience in behavioral health settings, including mental health, substance use treatment, crisis services, inpatient or community-based psychiatric care.
  • Prior charge nurse or leadership experience.

Responsibilities

  • Provide oversight of nursing services at an assigned Behavioral Health location or program.
  • Administer prescribed medications and treatments in accordance with nursing standards, behavioral health best practices, and organizational policy.
  • Monitor safe medication administration practices, including documentation accuracy and medication error reporting.
  • Assess and monitor the physical and psychiatric health status of individuals served.
  • Obtain and document vital signs and clinical observations to identify changes in condition.
  • Collaborate with psychiatrists, medical providers, therapists, and interdisciplinary team members to coordinate care.
  • Support crisis stabilization efforts and respond appropriately to behavioral health emergencies.
  • Educate individuals served about medications, side effects, and general health management.
  • Communicate with families, guardians when applicable, and care partners regarding health status and treatment updates consistent with privacy regulations.
  • Conduct health-related quality assurance reviews and infection control monitoring as applicable.
  • Ensure nursing documentation meets clinical, regulatory, and payer standards.
  • Support implementation of evidence-based behavioral health nursing practices.
  • Assist with onboarding, mentoring, and skill development of nursing staff.
  • Participate in audits, licensing reviews, and accreditation activities.
  • Promote a safe, therapeutic, and recovery-focused treatment environment.
  • Monitor staffing coverage and communicate needs to Behavioral Health leadership.
  • Support performance management, coaching, and corrective action as needed.
  • Model professional nursing practice and uphold organizational standards.
  • Serve as a clinical resource for behavioral health nursing questions and escalation concerns.
  • Provide day-to-day supervision and clinical guidance to RNs and LPNs assigned to the program or site.
  • Provide oversight and support to non-licensed staff performing delegated health-related tasks, as permitted by state scope of practice.
  • Perform other duties as assigned.

Benefits

  • Payactiv early access to earned wages before payday.
  • Employee perks and discount program.
  • Paid Time Off for full-time employees only.
  • Health/Insurance for full-time employees only.
  • 401(k) retirement savings program.
  • Wellbeing programs covering physical, emotional, and financial wellbeing.
  • Chronic disease management programs for hypertension and diabetes for qualifying employees.
  • Free CPR, first aid, and job-specific training opportunities.
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