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Nurses

Registered Nurse (RN)-ACT

Elwyn logoElwyn~$40–$50/hrtypicalRaleigh, NCPer diemPosted 1mo ago
  • Driver's license

How this pay compares

This posting does not state an hourly rate. Open registered nurse jobs in North Carolina post a median of $47.75 an hour, the middle half $39–$47.75, across 537 jobs that state their pay. Registered nurses employed in North Carolina earn a median of $40.56 an hour, according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics, opens in a new tab).

Registered nurses in North Carolina: pay by town and employer

The Registered Nurses & LPNs job market: pay, applicant demand and hiring, researched nightly

About the job

Overview

Join a Team That Changes Lives

For more than 170 years, Elwyn has been leading the way in supporting children, teens, and adults with autism, intellectual and developmental disabilities, and behavioral health challenges. As a mission-driven nonprofit, we’re here to create real change – helping people lead meaningful, fulfilling lives.

Now, we’re looking for passionate team members to join us. Here, your work will change lives – including your own. You’ll make an impact every day, find purpose in what you do, and grow in a career that truly matters.

At Elwyn, we take care of you while you care for others. We offer:

  • Generous Paid Time Off
  • Comprehensive Medical/Dental/Vision Benefit Packages
  • Earned Wage Access/On-Demand Pay
  • Paid On-the-Job Training
  • Tuition Reimbursement
  • Career Advancement Opportunities and Growth
  • Flexible Schedules
  • Retirement Savings Plan

Join us and be a part of something bigger. Apply today.

Job Description

Elwyn seeks a Registered Nurse (RN) to join a multidisciplinary team for the Program for Assertive Community Treatment (PACT). As a Registered Nurse, you will utilize your nursing skill and experience to assess, plan, develop, coordinate, and provide treatment, rehabilitation, and support services to (PACT) clients under the clinical supervision of the team leader and the prescriber. A team member equally shares the responsibility to perform various activities and interventions that support (PACT) clients in the community.

ESSENTIAL FUNCTIONS

  • Integrates the Prism Model for effective treatment of serious and persistent mental illness into everyday practice and intervention.
  • Provides person-centered, strength-based, trauma-informed care
  • Ensures that clients receive effective, understandable, and respectful care that is provided in a manner compatible with client's cultural beliefs and practices and preferred language
  • Carries out medical functions, including essential health and medical assessment and education; coordination of health care providing clients in the community; psychiatric medical assessment, treatment, and education; and psychotropic medication administration
  • Acts as a lead nurse, when designated by the team leader, provides nursing supervision to the team.
  • As assigned, designated as the assigned 'medication nurse' for the day.
  • Being available to administer medication
  • Updating medication orders and handling tasks related to medication distribution
  • Assessing and triaging, in consultation with the team prescriber, any emergent medical problems or needs
  • Provides medication administration and medical services:
  • Under the direction of the team prescriber, and in collaboration with other registered nurses on the team, develop, revise, maintain, and supervise team psychopharmacologic and medical treatment and medication policies and procedures, including transcribing, administering, evaluating, and recording medications prescribed by the team prescriber; assess and document medication effectiveness, complications, and side effects; and arrange for required labs according to protocol.
  • Organizes and manages the system of getting medications to clients, administering and tracking the medication supply, and ordering and offering education to clients to gain knowledge and independence.
  • Maintains the PACT headquarters medical supplies
  • Preventative medical care: tracks, educates, links assessed medical/dental needs with a community provider, collaborates with providers, accompanying to appointments, providing support and advocacy.
  • Along with the team, on an ongoing basis, reviews the required outcomes to evaluate community tenure and independence.
  • Works with the team to complete the Tool for Measurement of Assertive Community Treatment (TMACT)
  • Provides service coordination for an assigned group of clients, including coordination and monitoring the activities of the individual treatment team (ITT); assumes primary responsibility for developing, writing, implementing, evaluating, and revising the overall Community Service Plan in collaboration with the client and ITT; provides therapy utilizing evidence-based practices (i.e., CBT-P, CBT, DBT, CAMS, MI), symptom management, ensuring immediate changes are made in the Community Service Plan as clients' needs change; educate and support clients' families, and advocate for clients rights and preferences.
  • Works with the team to complete a Comprehensive Assessment as an engagement tool and to understand and respect the client's views of the ways mental illness impacts their life and how they want to be supported in their process of recovery
  • Utilizes evidence-based assessment tools that support matching a client's needs to their services
  • In partnership with the client and ITT, develops the Community Service Plan within seven days of the team finalizing the comprehensive assessment.
  • Provides de-escalation techniques to aid the client(s) in managing a crisis, providing intervention to decrease risk, manage symptoms, and maintain safety
  • Maintains the electronic card-ex
  • Performs shift management in coordination with other ACT shifts managers
  • Participates in the Daily Organizational Meeting
  • Provides on-call crisis intervention covering nighttime and weekend hours
  • Documents client progress, activities, and outreaches in the Electronic Health Record
  • Practices a Housing First approach
  • Practices engagement skills across the adult lifespan
  • Support:?provides practical help and support, advocacy, coordination, problem-solving, training, and supervision to help clients obtain the necessities of daily living; assist clients in finding and maintaining safe housing, coaches clients to learn and carry out ADLs, assist and support clients to perform household activities, including house cleaning and laundry, teach money-management skills, nutrition education, meal planning, grocery shopping, access transportation, help clients to have and efficiently use primary care, dentist, and other medical specialist, support clients with structuring their time (community resources, social and leisure activities, hobbies, etc.)
  • Ongoing assessment, symptom education, direct clinical services
  • Awareness of and offers a range of valuable community activities and linkages that support the client's Community Service Plan.
  • Performs other duties as assigned

QUALIFICATIONS, EDUCATION AND EXPERIENCE:

Pre-Employment Education/Experience

  • Associate's degree in nursing, bachelor's degree, preferred
  • 3+ years in leadership, management role, experience in behavioral healthcare, and working with individuals with mental health conditions preferred
  • Licensed in the State of Massachusetts as a Registered Nurse
  • Preference will be given to candidates that meet the cultural and linguistic needs of the geographic area

Relevant Post-job Offer Testing/Conditions

  • Knowledge and practice of FHR, DPH, and DMH policies, regulations, and standards
  • Must complete PACT Module Training within 30 days of hire
  • Participate in other FHR required/ recommended training according to the training calendar
  • Maintain required clinical license
  • Meet or exceed professional development goals
  • Demonstrates fidelity to the PACT model
  • Ability to make contacts and establish relationships with internal and external supports that allow for the program to function within the more extensive system?
  • Ongoing education and training in culturally and linguistically appropriate service delivery
  • Must possess a current, valid driver's license in state of residence, have a minimum of two (2) years of driving experience within the United States, and have an acceptable driving record

#SHA123!

Equal Opportunity Employer

Elwyn is an Equal Opportunity Employer. Elwyn does not discriminate on the basis of race, color, religion, creed, ancestry, pregnancy status, medical condition, gender, gender identity or expression, genetic information, sexual orientation or identity, age, national origin, citizenship, handicap status, marital or family status, mental or physical disability, perceived disability, military or veteran status, political activities or affiliations, or any other characteristic protected under applicable federal, state or local law, ordinance, or regulation.

If you need a reasonable accommodation for any part of the employment process, please contact us by email at ADArequest@elwyn.org and let us know the nature of your request and your contact information.

Know Your Rights: Workplace discrimination is illegal

From Elwyn's job posting, checked Oct 29, 2026. The employer's own page is the final word on requirements and availability.

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About Elwyn

Elwyn supports children and adults with autism, intellectual and developmental disabilities and behavioral health needs, from Media, Pennsylvania.

Based in Media, PAHires in California, Pennsylvania, Massachusetts, Rhode Island, New Jersey, Maine, North CarolinaPay on its listings: 65.7% of its open jobs state an hourly rate

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