Facility Based Crisis (FBC) Nurse

Easterseals PORT Health; Ahoskie (NC); On-site; USD 67,000 - 77,000; Full time

Benefits offered by this job

Medical, dental, and vision benefits

403(b) retirement plan

Paid time off and holidays

Job summary

Easterseals PORT Health in Ahoskie, NC is seeking a compassionate full-time RN or LPN to provide direct nursing care in the Facility Based Crisis Center, including medication administration, withdrawal monitoring, and crisis stabilization.

You will train and support staff, maintain documentation in EHR, and ensure safety while coordinating with the program supervisor in a fast-paced 24/7 environment.

Qualifications

• Active NC RN or LPN license (or compact) required.
• One year in behavioral health or substance use preferred.
• Strong oral and written communication and confidentiality.

Responsibilities

• Provide direct nursing care, medication administration, and ongoing health monitoring in a 24/7 Facility‑Based Crisis program.
• Administer medications, monitor effectiveness and adverse reactions, and ensure accurate documentation.
• Lead crisis de-escalation, serve as clinical liaison for shift team, and coach non‑licensed staff.
• Maintain thorough documentation of screenings, assessments, interventions, and incidents; support audits and quality improvement.
• Assist with training staff on medication tasks, vital signs, and documentation; ensure adherence to RN delegation rules.

Skills

Communication skills

Clinical judgement

Multitasking in crisis

EHR proficiency

Driver's license

Education

RN or LPN license (NC or compact)

Job description

At Easterseals PORT Health (ESPH), our mission is rooted in empowering individuals and strengthening communities. We are seeking a compassionate and dedicated full-time Nurse to join our team at the Facility Based Crisis Center in Ahoskie, NC. This isn’t just a job — you will be influencing change and shaping futures as a leader in our shared mission of helping people reach their full potential.

Position Summary

The FBC Nurse provides direct nursing care, medication administration, and ongoing health monitoring for adults experiencing behavioral health or substance use crises in a 24/7 Facility‑Based Crisis (FBC) program. Working under the direction of the FBC Program Supervisor and within the NC Nurse Practice Act, the FBC Nurse implements provider-ordered treatment protocols, supports crisis stabilization and withdrawal monitoring, and promotes a safe, therapeutic environment. The FBC Nurse also assists with training and supporting facility staff in nursing-related tasks and clinical expectations.

Schedule

• First Shift: 8am to 4pm during the week and every other weekend.

Your Role In Our Mission

Clinical Assessment & Monitoring

• Perform nursing screenings, collect vital signs, complete withdrawal risk assessments (CIWA/COWS).
• Monitor medical, emotional, and psychiatric stability, including behavioral health safety concerns.
• Assess and document acute psychiatric symptoms, safety risks, and changes in condition.
• Participate in crisis stabilization interventions and support a safe, therapeutic environment.

Medication Management

• Administer medication, including PRN and emergency medications.
• Monitor for medication effectiveness and adverse reactions.
• Ensure medical safety, accurate documentation, and controlled substance accountability.
• Implement provider-ordered treatment protocols, including detoxification and symptom‑management orders.
• Consult with the provider as needed regarding patient status or treatment concerns.

Crisis Response & Team Support

• Lead de‑escalation efforts and coach staff in trauma‑informed crisis response.
• Serve as the clinical liaison for the shift team, promoting consistent communication and care.
• Provide clinical guidance to non‑licensed personnel.
• Support the FBC Program Supervisor by reinforcing clinical expectations and standards.
• Documentation, Compliance & Quality:
• Maintain accurate and timely documentation of screenings, assessments, interventions, incident reports, and medication administration.
• Participate in audits, quality improvement activities, drills, and incident reviews.Uphold infection control standards, patient rights, and emergency preparedness requirements.
• Comply with Easterseals PORT Health policies and procedures, accrediting body standards, and applicable regulatory requirements.

Training & Development

• Assist the FBC Program Supervisor in training and supporting non‑licensed personnel in medication‑related tasks, including vital sign collection, medication administration, medication safety, observation and reporting, and documentation accuracy.
• RN only: May validate task readiness within RN delegation rules.
• Complete required training within prescribed timeframes.
• Other duties as assigned.

What We’re Looking For

• Active, unencumbered North Carolina RN or LPN license, or a valid Multistate/Compact RN or LPN license.
• One year of experience in behavioral health or substance use treatment preferred.
• Strong oral and written communication skills.
• Demonstrated sound clinical judgement within scope of practices; ability to maintain confidentiality and professional ethics at all times.
• Ability to manage multiple priorities and work effectively in a fast‑paced crisis environment.
• Valid unrestricted North Carolina driver’s license, reliable transportation, and current vehicle insurance.
• Proficiency with EHR systems or technically savvy.

Equipment Used

• Office & Communication Equipment: computer, printer, copier, phone, Microsoft Office, Electronic Health Record (EHR).
• Medical Equipment: Automated external defibrillator (AED), breathalyzer, thermometer, sphygmomanometer, pulse oximeter, stethoscope, centrifuge.

Essential Physical Requirements

• Ability to stand, walk, or remain mobile for extended periods during a shift.
• Ability to lift, push, pull or carry up to 25-35 pounds occasionally (e.g., supplies, equipment, assisting patients).
• Ability to safely perform physical interventions such as supporting an unsteady patient, assisting with transfers or responding to emergencies.
• Ability to hear and respond to alarms, client needs and emergency communications.
• Ability to work in a fast‑paced environment with potential exposure to individuals in crisis, unpredictable behaviors, and common clinical hazards (e.g., bodily fluids, sharps).
• Ability to use personal protective equipment (PPE) as required.
• Must possess the necessary abilities to perform tasks such as develop written communication as well as review work to determine accuracy.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Environment

• Work is performed in a fast‑paced 24/7 crisis‑care setting serving adults with behavioral health and substance use needs.
• Frequent interaction with individuals experiencing acute psychiatric symptoms, withdrawal, or unpredictable behaviors.
• Exposure to clinical hazards such as bodily fluids and infectious conditions; PPE is required.

Why Join Us?

As a part of our mission, we help our team members embrace their potential, build resilience, and thrive! You will benefit from ongoing professional growth and development as you work alongside leaders of clinical excellence in mental health and substance use services that care about your success.

Compensation & Benefits

• Competitive salary: $27-$30/hr. for LPN's and RN's: $32-$37/hr. for this full‑time position.
• Generous paid time off and paid holidays.
• Full benefits package including Medical, Dental, and Vision benefits.
• Life and Disability Insurance (company paid).
• 403(b) Retirement Plan.
• Employee Assistance Program and legal services support.
• Public Service Loan Forgiveness (PSLF) qualifying employer.

About Easterseals PORT Health

Easterseals PORT Health is a trustworthy and compassionate partner, providing exceptional services in disability, mental health, and substance use to help our neighbors live their best lives. Purpose, dedication, and empathy drive our in‑person and telehealth service delivery. Our 2,600-member team provides more than 10.2 million hours of meaningful support to 40,200 kids, adults, and families in 11,000 home, facility, and community locations across North Carolina and Virginia.

Easterseals PORT Health is an Inclusive Culture, Different Voices, Embracing Potential, Authentic Self, and Learning and Growing (IDEAL) organization.

Applicants of all abilities are encouraged to apply!