Registered Nurse

CNS Healthcare is seeking a highly skilled Registered Nurse to join our Assertive Community Treatment (ACT) team. As a Registered Nurse, you will play a vital role in providing integrated behavioral and physical healthcare to individuals experiencing serious mental illness.

The ACT Registered Nurse serves as a member of a community-based mental health team that provides services for individuals experiencing serious mental illness. You will provide integrated behavioral and physical healthcare, including medication management, assessment and coordination of physical/medical care, and direct services to beneficiaries in the community.

• Provide integrated behavioral and physical healthcare, including medication management, assessment and coordination of physical/medical care, and direct services to beneficiaries in the community.
• Complete thorough and accurate nursing assessments to evaluate current medical/physical symptoms and conditions, including substance use, and provide recommendations to applicable care providers as appropriate.
• Contribute to the person-centered planning process for individuals served as a member of the team-based service model and identify and use effective advocacy strategies to address and overcome diverse challenges facing individuals served.
• Routinely collect accurate vital signs, including blood pressure, pulse, height, weight, body mass index (BMI), waist circumference, pulse, oxygen, glucose, pulse oximetry, and carbon monoxide testing.
• Perform Point of Service testing, including HGBA1C, Drug Screening, Lipids, Glucose, and pregnancy testing as appropriate.
• Assess and recommend lab work based on the individual's medications and health conditions, collecting samples as required. Communicate with the individual, care team, and lab to ensure that lab work is successfully completed.
• Coordinate, order, administer, and document injections to individuals served as requested by the prescriber. Ensure compliance with injection treatment by notifying the interdisciplinary care team when injections are missed.
• Coordinate integrated care with internal and external providers of mental health, physical health, and substance use disorders, including facilitating weekly prescriber appointments.
• Act as a triage nurse to assist in responding to medical emergencies, triage emergent situations, and assist in problem-solving regarding medications, medical issues, or access to prescriber services as needed.
• Provide education regarding chronic health conditions, disease process, healthy lifestyle management, vaccinations, and medication management, including risks, benefits, and side effects.
• Routinely review current medications with persons served and provide medication continuity until the individual is seen by an agency provider.
• Recommend and encourage the use of increased prescriptions for Medication Assisted Treatment (MAT) for tobacco, alcohol, and opioid use disorders when clinically appropriate.
• As a team-based service, perform a minimum of 80% of ACT contacts in the beneficiary's home or other agreed-upon community location, with at least 70% of the nursing contacts being performed in the beneficiary's home or other agreed-upon community location.
• Provide transportation assistance to individuals served as needed.
• Attend ACT team meetings at least weekly, or more frequently at the discretion of the ACT Team Supervisor, to review status of all beneficiaries, updates from on-call, clinical and case/care management needs, crisis management, schedule organization, and finalized plans for ACT staff deployment in the community.
• Participate in on-call rotation as assigned, which includes completing pre-hospital admission assessments as needed.
• Adhere to and maintain compliance with proper guidelines and procedures to maintain a safe, hygienic environment, including infection control, medical waste, pharmaceutical waste, and sharps disposal.
• Assist in the management of medication supplies as needed.
• Complete all required documentation completely, accurately, and in accordance with agency policy.
• Meet direct service productivity and documentation standards per agency and service expectations.
• Encourage the utilization of the patient portal system by creating a patient portal account for each individual served as needed.
• Use motivational interviewing strategies to engage and provide service to individuals.
• Utilize a trauma-informed approach to deliver services.
• Attend and conduct meetings in-person in the office or the community, virtually through video (audiovisual), and by phone (voice only) as required.
• Travel off-site as needed for various opportunities, including meetings, conferences, activities, and events.
• Ensure that the CNS Healthcare standards of service are applied to interactions with individuals served, guests, and staff.
• Participate in and promote departmental and agency quality improvement initiatives.
• Assume responsibility for professional growth by current reading and attendance at educational programs and conferences.
• Maintain knowledge and compliance with established policies and procedures, corporate compliance program, code of ethics, applicable federal, state, and local laws and regulations, HIPAA standards, and other regulatory programs.

• Associate degree in Nursing from an accredited school of nursing.
• Current, unrestricted, State of Michigan Registered Nurse (RN) licensure.
• Obtain and maintain Cardiopulmonary Resuscitation (CPR) and Basic Life Saving (BLS) certification within 60 days of hire.
• Valid and unrestricted Michigan Driver's License.
• Reliable transportation and current proof of auto insurance.
• Prior clinical experience and demonstrated proficiency in providing clinical and nursing services, including collecting vitals, performing injections, and point of care testing.
• Prior clinical experience and demonstrated proficiency in medical management, crisis, and behavior management techniques.
• Working knowledge of medical terminology used in a mental health setting.
• Ability to share and teach on the continuum of drug and substance use.
• Must participate in MDHHS-approved, ACT-specific initial training within 6 months of hire, and subsequently participate in at least one MDHHS-approved, ACT-specific training annually thereafter.
• Ability to work as a member of a multi-disciplinary team.
• Experience with the application of the Health Insurance Portability and Accountability Act (HIPAA) in health care organizations.
• Proficient with computers and Microsoft office products.
• Proficient in the use of electronic health records (EHRs).

CNS Healthcare is a non-profit, Certified Community Behavioral Health Clinic (CCBHC) with seven clinics and two clubhouses in Southeastern Michigan. CNS employs approximately 400 employees, paraprofessionals, and support staff, delivering services to more than 7,000 people annually. CNS provides comprehensive integrated health services in partnership with several community organizations, and uses a patient-centered approach to identify, support, and promote the overall health of children, adolescents, adults, and older adults.

Visit our website to learn more about our mission, vision, and values.

CNS Healthcare complies with federal, state, and local laws in regard to COVID-19 vaccination. Candidates will be required to provide proof of being fully vaccinated against COVID-19 upon commencing employment. Reasonable accommodations will be considered on a case-by-case basis for medical or religious exemptions to these requirements in accordance with applicable law.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities