Behavioral Health Nurse - Assertive Community Treatment

Marion County Health and Human Services is seeking a Behavioral Health Nurse to join our Assertive Community Treatment (ACT) team—high‑fidelity, person‑centered, recovery‑oriented mental health service delivery model that provides intensive, community‑based support to adults living with serious mental illness and co‑occurring disorders. In this role, you’ll help individuals navigate both routine and complex medical needs while supporting their overall recovery and wellness.

Most services are delivered in the community, allowing you to engage people where they are and to increase their access to services. We’re looking for a nurse who is positive, flexible, has a can‑do attitude, values teamwork, and is motivated by the opportunity to make a genuine impact in people’s lives.

Provides nursing services in behavioral health programs; including assessment and care of clients as a part of the treatment plan; evaluates medication effectiveness and other health care needs.

Works under the supervision of a Health Clinical Supervisor or Medical Director; may work under the lead direction of a Behavioral Health Nurse Senior who assigns duties, establishes goals and reviews results.

Supervision of other employees is not a responsibility of positions in this classification.

• Identify psychiatric and medical needs. Provide treatment plan directed case management to assist individuals in accessing necessary medical care, including making referrals; coordination with other agencies to obtain medical care, services, and resources for individuals; advocacy and brokerage on behalf of client to access medical care, services, and resources; and monitoring medical care.
• Participate as a member of the ACT team in the evaluation of consumers’ behavioral health needs, the development of treatment plans, and the delivery of behavioral health services.
• Evaluate the results of treatment interventions based on feedback from consumer and/or family members, reports from treatment team members, behavioral observations, or reports from other providers.

• Accompany individuals to medical appointments and provide skills training to obtain medical care, support with communication and advocacy with medical professionals, help individuals understand information from medical providers, and support individuals with following through on medical recommendations, treatment, additional medical appointments, etc.
• Provide education to individuals regarding psychiatric conditions, medical conditions, medication information, and health/wellness.
• Provide education to individuals, team members, and licensed care staff on health matters, both psychiatric and medical.
• Facilitate and/or co‑facilitate groups for individuals regarding health and wellness.

• Complete nursing assessments, including taking vitals and use of the Abnormal Involuntary Movement Scale.
• Administer psychiatric medications under the direction of a licensed medical practitioner, performing according to Nursing Policy and Procedures, DEA regulations and Oregon Administrative Rules.
• Evaluate the effectiveness of the medications, side effects and any other medication related concerns.
• Assist with management of a patient’s medication regime; education of a patient regarding compliance with the prescribed regime; filling pill boxes; locating pharmacy services; and assisting in managing symptoms that do not require a prescriber’s immediate attention.
• Support individuals with adherence to medication regimens, including providing reminders to individuals, providing assertive outreach to individuals in the community when necessary, administering medication, problem‑solving barriers to accessing and taking medications, use of motivational interviewing, etc.
• Maintain records of drugs administered and consumer responses to the medication.

• Participate fully as a member of the Marion County Assertive Community Treatment (ACT) team as a supportive, reliable, positive, collaborative, and professional team member during the development of individual…