ACT Nurse

The Well NE; Norfolk (NE); On-site; USD 60,000 - 80,000; Full time

Job summary

The Well NE in Norfolk, NE is seeking an ACT Nurse to join our Assertive Community Treatment team. You will manage the medication system, administer treatments, monitor health conditions, and coordinate with providers to support adults with serious mental illness.

This full-time role allows occasional part-time consideration, in-person work, and frequent community travel to meet clients where they are. You will train teammates on medications and participate in daily team meetings to improve care

Qualifications

• Licensed RN in Nebraska; LPNs considered case by case.
• At least one year working with adults with SMI.
• Proficient in psychiatric nursing, medication administration and side-effect monitoring.
• Familiar with screening tools and metabolic syndrome protocols.
• Knowledge of co-occurring conditions and trauma-informed, recovery-oriented care.
• Accurate in eMAR and EHR documentation.
• Knowledge of HIPAA, 42 CFR Part 2, and ethical nursing standards.

Responsibilities

• Manage all medication processes (ordering, refilling, packaging, storing, distributing).
• Administer oral and injectable medications; maintain injection schedules.
• Document services accurately and monitor for side effects.
• Perform assessments, vital signs, and lab tracking for metabolic syndrome.
• Develop individualized medication adherence strategies; provide health education and support self-management.
• Accompany clients to appointments and participate in daily team meetings; train staff on medications and psychiatric symptoms.
• Coordinate care with internal and external providers; maintain program quality and licensure.

Skills

Psychiatric nursing

Medication administration

Side-effect monitoring

Screening tools

Metabolic syndrome protocols

Co-occurring conditions knowledge

Trauma-informed care

Communication

Teamwork

Problem solving

Flexibility

Education

Nebraska RN license

LPN considered case by case

1 year with adults with SMI

Tools

eMAR

EHR systems

Job description

The ACT Nurse is a core member of The Well’s Assertive Community Treatment (ACT) team, providing nursing care and integrated support to adults with serious mental illness (SMI). This role manages the medication system, administers and documents treatment, monitors health conditions and side effects, coordinates with outside providers, and promotes health education and prevention. The ACT Nurse also provides training to teammates on psychiatric symptoms and medications, and partners with clients to develop creative strategies for medication adherence.

Because ACT is an interdisciplinary model, the Nurse must be highly collaborative, enjoying work alongside counselors, peer specialists, case managers, prescribers, and other staff. The ACT Nurse values the strengths of each discipline and sees the team itself as the treatment, ensuring that clients benefit from the full range of expertise the model offers.

Until the ACT caseload grows to full fidelity, the Nurse may also assist with medication management for clients seeing The Well’s psychiatric provider and support medication-related needs in residential programs.

While this is primarily a full time position, part time will be considered on a case by case basis. This role is in-person position based in Norfolk, NE, with frequent community travel to meet clients where they are.

Core Values:

• Show Up with Generosity: You are generous with your knowledge, sharing health education with the team and clients alike, and you approach each interaction with patience, empathy, and consistency.
• Check the Ego: You embrace collaboration, welcome feedback, and share your expertise to support the whole team.
• Embrace Diversity: You adapt your nursing care to respect each client’s culture, identity, and lived experience and you value the diversity of your teammates’ skills, recognizing that ACT works best when all voices contribute.
• Grounded in Hope: You believe recovery is possible for every person, even in the face of serious challenges

Qualifications

Education & Credentials

Licensed RN in Nebraska.

LPNs will be considered on a case by case situation

At least one year working with adults with SMI.

Clinical Skills

Proficient in psychiatric nursing, medication administration, and side-effect monitoring.

Familiar with screening tools and metabolic syndrome protocols.

Knowledge of co-occurring conditions and trauma-informed, recovery-oriented care.

Administrative Skills

Accurate in eMAR and EHR documentation.

Knowledge of HIPAA, 42 CFR Part 2, and ethical nursing standards.

Professional Attributes

Strong communication, teamwork, and problem-solving skills.

Flexible, client-centered, and creative.

Willing to adjust schedule for client needs.

Key Responsibilities

1. Medication Management

Manage all medication processes (ordering, refilling, packaging, storing, distributing).

Administer oral and injectable medications; maintain injection schedules.

Document services accurately and monitor for side effects.

2. Health Screening & Monitoring

Perform assessments, vital signs, and lab tracking for metabolic syndrome.

Monitor chronic conditions and preventive care needs.

3. Client Support & Education

Develop individualized medication adherence strategies.

Provide health education and support self-management.

Accompany clients to appointments as needed.

Participate in daily meetings; share nursing insights.

Train staff on medications and psychiatric symptoms.

Coordinate care with internal and external providers.

5. Program Compliance & Quality

Ensure documentation meets standards.

Engage in quality improvement, maintain licensure, and complete required training.

Support medication needs in other programs as assigned.

Physical Requirements

Frequent community-based work.

Regular sitting, standing, walking, and computer use.

Occasionally lift up to 25 lbs.

Must be adaptable to various environments.