Registered Nurse - Behavioral Health

Marion County, Oregon; Salem (OR); On-site; USD 80,000 - 110,000; Full time

Job summary

Marion County Adult Behavioral Health is seeking a skilled RN to join our fast-paced outpatient team, delivering direct nursing care to adults living with serious mental illness. You will perform assessments, monitor vitals, administer injections, and coordinate medications within a collaborative psychiatry group.

This on-site, Monday–Friday schedule emphasizes patient-centered, trauma-informed care in a supportive treatment setting.

Responsibilities

• Completing nursing assessments, monitoring vital signs, and administering intramuscular injections.
• Coordinating medications and supporting psychiatrists and psychiatric nurse practitioners.
• Delivering person-centered care with confidentiality, de-escalation, and trauma-informed practices.

Job description

Marion County requires on-site work. Remote work is not available.

Marion County Adult Behavioral Health is seeking a skilled and compassionate RN to join our fast‑paced outpatient team. This position is perfect for someone who is passionate about psychiatric nursing and wants to make a meaningful difference in their community. In this role, you’ll provide direct nursing care to adults living with serious mental illness, some of whom also experience co‑occurring substance use disorders. Key responsibilities include completing nursing assessments, monitoring vital signs, administering injections, coordinating medications, and supporting our team of psychiatrists and psychiatric nurse practitioners. We’re looking for a dependable, detail‑oriented team player who thrives in a collaborative environment and is committed to providing person‑centered care. This position is Monday–Friday, 8:00 a.m. to 5:00 p.m. Come join our talented treatment team!

GENERAL STATEMENT OF DUTIES

Provides nursing services in behavioral health programs; including assessment and care of clients as a part of the treatment plan; evaluates medication effectiveness and other health care needs.

SUPERVISION RECEIVED

Works under the supervision of a Health Clinical Supervisor or Medical Director; may work under the lead direction of a Behavioral Health Nurse Senior who assigns duties, establishes goals and reviews results.

SUPERVISION EXERCISED

Supervision of other employees is not a responsibility of positions in this classification.

TYPICAL DUTIES

The incumbent in this position upholds confidentiality rules/regulations including HIPAA. The incumbent performs all of the following using a person‑centered, strengths‑based, recovery‑oriented, trauma‑informed, culturally‑sensitive, and ethically‑guided approach. Population served includes adults with serious mental illness (SMI) and children/adolescents with serious emotional disturbances (SED).

PROVIDER LEVEL 3 COMPREHENSIVE MEDICATION SERVICES

Completing nursing assessments (using the Abnormal Involuntary Movement Scale), taking vitals, and administration of intramuscular medications. Assisting with day‑to‑day management of a patient's medication regime; education of a patient regarding compliance with the prescribed regime; filling pill boxes; locating pharmacy services; and assisting in managing symptoms that do not require a prescriber's immediate attention. RN‑delivered comprehensive medication services are separate and distinct from the medication performed by physicians, physician assistants, and advanced practitioners of nursing who have prescriptive authority. Provides emotional support, compassion, and de‑scalation (when necessary) to patients/guardians/relatives.

TELEPHONIC TRIAGE (ADVICE NURSE)

Establish a working relationship; collect/confirm brief demographic information; obtain brief past medical history; document brief description of the patient’s illness; identify the chief complaint and most serious symptom; select the correct protocol; triage the patient into an appropriate disposition; provide care advice based on their symptoms; give call‑back instructions; reassure the patient that you are there to help. Perform telephonic triage and respond appropriately to callers who