ACT Lead Psychiatric Nurse

Envision Unlimited; Chicago (IL); Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health insurance

Dental & Vision

Life and LTD insurance

Paid holidays

Paid time off

403B plan

Training & CEUs

Licensure support

Career growth

Job summary

Envision Unlimited in Chicago, IL seeks an ACT Lead Psychiatric Nurse to oversee nursing care for members with mental illness within the Assertive Community Treatment (ACT) team. Under supervision of the Director of Crisis Services, you will lead clinical operations, coordinate medical appointments, administer injections, review labs, and mentor staff.

The role emphasizes adherence to Medicaid rules, crisis response, home visits, and collaboration with pharmacists and external providers to

Qualifications

• Must have a BSN and Illinois RN license.
• Minimum two years of related experience with individuals with chronic mental illnesses.
• Ability to complete mandatory annual trainings and pass background checks.

Responsibilities

• Complete annual nursing evaluations for clients with medically complex needs.
• Coordinate medical appointments and ensure exams follow state regulations.
• Administer injectable psychotropic medications as ordered by psychiatrist.
• Review lab results and communicate with physicians.
• Take vital signs and organize lab work for medical visits.
• Serve as liaison between pharmacies, medical providers, and internal teams.

Skills

Nursing leadership

Medication administration

Interdisciplinary collaboration

Education

BSN

Tools

Quantum EHR

Job description

Description

Summary

The ACT Lead Psychiatric Nurse is a member of the Assertive Community Treatment (ACT) team, responsible for overseeing and ensuring efficient nursing related care for members with mental illness. The ACT Lead Psychiatric Nurse is directly responsible for, and under the immediate supervision of the Director of Crisis Services and is expected to collaborate with, and work alongside, ACT Assistant Director.

Essential Responsibilities

• Complete annual nursing evaluations for clients with medically complex needs, including record reviews, client interviews, and coordination with collateral contacts.
• Monitor and coordinate client medical appointments, ensuring all required exams and follow-up care are compliant with state regulations.
• Administer injectable psychotropic medications as ordered by the psychiatrist.
• Review and communicate lab results to the psychiatrist and/or medical doctor, and ensure follow-up as indicated.
• Take vital signs, prepare Physician Order Sheets, and organize lab work for medical visits.
• Serve as a liaison between pharmacies, external medical providers, and internal teams regarding clients’ medical needs.
• Manage medication logistics, including communicating needs to the pharmacy, processing medication orders, and securing prior authorizations or supporting appeals when needed.
• Participate in interdisciplinary team meetings to support client-centered service planning, implementation, and evaluation.
• Provide clinical input on living arrangements, assistive devices, and other medical resources in collaboration with program staff.
• Act as Lead Medication Trainer for program staff, delivering onboarding and ongoing training, and ensuring quality documentation and procedures.
• Provide clinical guidance to other nursing staff across programs by offering support, mentorship, and consultation on medication management, documentation standards, and clinical protocols. Collaborate with program leadership to promote consistency in nursing practices and help ensure adherence to agency and regulatory guidelines. Offer consultation and support to program staff and fellow nurses regarding clinical matters and care coordination.
• Respond to medical emergencies promptly, completing incident reports within 24 hours.
• Conduct home visits following hospital discharges or as medically necessary to ensure continuity of care and client well-being.
• Maintain compliance with Medicaid Rule 132/140 documentation standards and meet assigned productivity targets.

SUPERVISORY RESPONSIBILITIES

None

CLINICAL EXPECTATIONS

• Manage referrals, admissions, and discharges.
• Provide oversite to staff engaging in discharge planning.
• Assist staff with managing clients at times of high volume.
• Will provide and document crisis interventions and additional risk assessments, as needed, and will complete incident reports when appropriate within a 24hr period.
• Ensure all services provided are in accordance with the client’s individual goals and needs.
• Enter, maintain, and update client information in Envision Unlimited’s Electronic Health Record (Quantum). i.e. face sheet, treatment plan, and diagnoses.
• Attending scheduled clinical meetings including group supervisions, clinical and other staff team meetings.
• Arrive to work, meetings, and all work-related functions on time; Report any absence, tardiness, or schedule change to supervisor as soon as possible. Maintain appropriate attendance record using Paylocity.
• Other duties as assigned.

OTHER EXPECTATIONS

Employees shall respect the diversity of all individuals (e.g., clients, co-workers, stakeholders) and refrain from any form of discrimination and/or based upon a person’s legally protected characteristics or conduct, including but not limited to race, color, religion, sex, national origin, age, disability, sexual orientation, and gender identity or expression.

Requirements

QUALIFICATIONS

• Must have a BSN, current state of Illinois RN License.
• Must have at least two years of related experience working with individuals with chronic mental illnesses within the past five years.
• Able to complete mandatory annual trainings.
• Must have a valid driver’s license.
• Must have the ability to walk, bend, stoop, sit, stand, reach, and lift 50 pounds. Must possess a valid DL, as well as pass a background check.
• Be comfortable working within an agency setting serving clients with MI/DD

Envision Unlimited offers competitive salaries and a generous benefit package to our professionals:

• Blue Cross/Blue Shield Medical Coverage: HMO, PPO
• Dental and Vision Insurance Options
• Company paid Life and LTD Insurance
• Voluntary plans (Pet insurance, AD&D, Life, Critical Illness, Short Term Disability)
• 11 Paid Holidays
• Paid vacation, sick time and personal days
• 403B plan
• In house training and CEU's
• Employee Assistance Network
• Support for pursuing clinical licensure (financial and time off)
• Opportunity for career growth & development