Stand out for this role — generate a tailored resume and cover letter in about a minute.
Coastal Horizons Center in Wilmington, NC seeks a Behavioral Health Urgent Care Coordinator (RN) to provide direct nursing care and coordinate fast-paced crisis services from admission to disposition. You will lead shifts, supervise staff, ensure documentation, and collaborate with prescribers and EMS during emergencies.
Requires an associate degree in nursing and NC RN license with at least two years in behavioral health or high-acuity settings.
The BHUC RN Coordinator provides direct nursing care clinical and operational coordination within a fast paced adult behavioral health crisis setting This position supports the safe efficient and high quality delivery of assessment stabilization observation medication management and disposition services while promoting trauma informed person centered and culturally responsive care Position serves as the designated shift leader and primary onsite escalation point during assigned after hours operations Responsibilities include staffing coordination delegated supervisory authority competency oversight quality monitoring and operational decision making Direct care assignments are based on census acuity staffing and program needs Direct Nursing Care Conduct comprehensive nursing assessments medical screenings and ongoing reassessments from admission through disposition including evaluation of vital signs physical health concerns withdrawal symptoms medication and allergy history and overall medical stability Identify clinical deterioration or needs beyond the BHUCs capabilities initiate the appropriate emergency response and coordinate timely provider evaluation or transfer to emergency medical services or an emergency department Provide behavioral health crisis intervention short term stabilization observation safety planning discharge education and continuity of care support Administer medications in accordance with authorized orders and nursing standards including medication reconciliation monitoring for therapeutic and adverse effects and education for individuals and families Support involuntary commitment custody and transfer processes while recognizing functions that require separate examiner clinician or practitioner authority Serve as a clinical resource for nursing support and interdisciplinary staff while ensuring timely electronic health record documentation shift reports and clinical handoffs Shift Leadership and Operations Serve as the designated onsite operational supervisor when routine BHUC leadership is not present escalating significant clinical staffing safety or operational concerns to the BHUC Director or administrator on call according to established protocols Coordinate patient flow clinical priorities staff assignments observation coverage breaks and workload based on census acuity and staff competency Support staffing operations by maintaining schedules addressing callouts and coverage gaps and monitoring staffing trends in collaboration with the BHUC Director Coordinate operational communication with prescribers licensed clinicians emergency medical services emergency departments law enforcement pharmacies and community partners Direct the interdisciplinary shift in response to medical or behavioral emergencies medication events safety concerns and other incidents ensuring required notifications incident documentation and leadership handoffs are completed Support approved workflows process improvement initiatives emergency preparedness activities and overall program goals Documentation Quality and Compliance Promote timely and complete nursing documentation and adherence to applicable payer service regulatory accreditation and organizational requirements Conduct or support chart audits medication reviews quality assurance activities incident reviews and corrective action follow through Track nursing and operational quality indicators including assessment of timeliness medication events transfers documentation completion and identified follow up needs Support readiness for audits credentialing privileging inspections and accreditation reviews in collaboration with program nursing medical and quality leaders Review medication storage controlled substance processes emergency medications and equipment clinical supplies infection prevention practices and environment of care readiness Participate in committees interdisciplinary team meetings emergency drills and organizational improvement initiatives as assigned Required Education and Experience Associate Degree in Nursing from an accredited nursing program Current unrestricted Registered Nurse license or multistate licensure privilege authorizing practice in North Carolina Current Basic Life Support certification before independent assignment At least two years of nursing experience including at least one year in behavioral health psychiatric nursing crisis services emergency care urgent care substance use treatment or a comparable high acuity setting Demonstrated clinical judgment medication safety skills de escalation ability and readiness to lead during rapidly changing situations Ability to work on the assigned nontraditional schedule including evenings nights weekends holidays and designated on call or administrative escalation coverage Preferred Qualifications At least one year of charge nurse lead nurse supervisory or management experience Experience working in Behavioral Health Urgent Care facility based crisis mobile crisis or another crisis stabilization program preferred Experience with North Carolina behavioral health services Medicaid documentation requirements and accreditation or regulatory readiness Experience with staff scheduling workforce management systems chart audits competency validation and quality improvement activities Salary & Benefits Competitive salary based on experienceComprehensive medical dental and vision insuranceEducational loan repayment programs & Career growthRetirement savings plan401KPaid time off programs rollover hours 14 paid holidaysEmployee engagement activities resource groups and diversity events
Coastal Horizons is an Equal Employment Opportunity EEO employer All qualified applicants will receive consideration for employment without regard to race color religion sexual orientation gender gender identity and expression national origin age disability or protected veteran status We celebrate diversity and are committed to creating an inclusive environment for all of our associates