Facility-Based Crisis (FBC) Nurse
About the role
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.
Responsibilities
Perform nursing screenings, collect vital signs, complete withdrawal risk assessments (CIWA/COWS).
Maintain accurate and timely documentation of screenings, assessments, interventions, incident reports, and medication administration.
Participate in crisis stabilization interventions and support a safe, therapeutic environment.
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.
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.
Support the FBC Program Supervisor by reinforcing clinical expectations and standards.
Documentation, Compliance & Quality
Training & Development
Requirements
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.
Qualifications
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.
Skills
Effective communication skills.
Strong organizational and time management skills.
Ability to work independently and as part of a team.
Knowledge of NC Nurse Practice Act and state regulations.
Experience with crisis intervention and de-escalation techniques.
Ability to handle stressful situations and provide emotional support.
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.
Pay
$27-$30/hr. for LPN’s and RN’s: $32-$37/hr. for this full-time position.
Schedule
2nd Shift: 4pm to 12am during the week and every other weekend.