Lead RN Behavioral Health Urgent Care & Crisis Coordination

Coastal Horizons; Wilmington (NC); On-site; USD 85,000 - 105,000; Full time

Benefits offered by this job

Competitive salary

Medical, dental, and vision insurance

Educational loan repayment programs

401K retirement plan

Paid time off and holidays

Diversity and engagement events

Job summary

Coastal Horizons in Wilmington, NC seeks a Behavioral Health Urgent Care (BHUC) RN Coordinator to deliver direct nursing care and coordinate clinical operations in a fast-paced crisis setting.

The role serves as shift leader, overseeing staffing, escalation, and care delivery while promoting trauma-informed, person-centered approaches. Requires RN license in NC, BLS, and 2+ years in behavioral health or related high-acuity settings.

Qualifications

• Associate Degree in Nursing from an accredited program.
• Current, unrestricted Registered Nurse license in North Carolina.
• Current Basic Life Support certification.
• At least two years of nursing experience, including behavioral health or crisis services.
• Demonstrated clinical judgment and medication-safety skills.
• Ability to work non-traditional schedule including evenings, nights, weekends, and on-call.

Responsibilities

• Perform comprehensive nursing assessments, medical screenings, and ongoing reassessments from admission through disposition.
• Identify clinical deterioration and coordinate emergency responses as needed.
• Provide behavioral health crisis intervention, stabilization, safety planning, and discharge education.
• Administer medications per orders and monitor effects.
• Support involuntary commitment, custody, and transfer processes while respecting authority boundaries.
• Lead shift, coordinate staffing, and ensure timely handoffs and documentation.
• Maintain timely electronic health record documentation and quality monitoring.
• Collaborate with prescribers, licensed clinicians, EMS, and community partners.
• Support quality improvement and readiness for audits and regulatory reviews.

Skills

Nursing

Crisis intervention

Leadership

Clinical assessment

Medication administration

Documentation

Team coordination

Education

Associate Degree in Nursing

Tools

EHR systems

Nursing software

Job description

Coastal Horizons in Wilmington, NC seeks a Behavioral Health Urgent Care (BHUC) RN Coordinator to deliver direct nursing care and coordinate clinical operations in a fast-paced crisis setting.

The role serves as shift leader, overseeing staffing, escalation, and care delivery while promoting trauma-informed, person-centered approaches. Requires RN license in NC, BLS, and 2+ years in behavioral health or related high-acuity settings.