Registered Nurse; RN ACTT​/Community Mental Health

Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, mental health recovery and eating disorder treatment modalities.

Pyramid Healthcare offers comprehensive behavioral healthcare defined by supportive environments that offer patients the strength they need to overcome life’s challenges. We offer behavioral healthcare services – psychiatry, addiction recovery, mental disorder treatment, etc. – that allow clients at all stages of recovery or rehabilitation to reclaim health and well-being.

Charlotte, NC

$60,000 – $70,000 annually (based on experience)

Full-Time | Monday – Friday | 8-Hour Shifts

Pyramid Healthcare’s Charlotte Assertive Community Treatment Team (ACTT) is seeking a compassionate and motivated Registered Nurse (RN) to provide high-intensity behavioral health nursing services directly within the community.

This position is ideal for nurses looking to step away from traditional bedside settings and into a rewarding, field-based role where they can build meaningful relationships, promote recovery, and make a lasting impact in the lives of individuals living with severe mental illness.

Our ACTT program operates as a “hospital without walls,” delivering comprehensive, community-based mental health services to individuals who need intensive support and may otherwise struggle to access care.

• Company vehicle, cell phone, and mileage reimbursement provided
• ACTT-specific onboarding and ongoing professional development
• Predictable Monday–Friday schedule with flexible field-based structure
• Collaborative, mission-driven multidisciplinary team environment
• Opportunity to make a direct impact in community mental health
• Rotating on-call schedule: 1 weekday evening and rotating weekends

• Coordinate client care and collaborate with physicians, providers, and treatment team members
• Monitor medication compliance and administer IM injections as prescribed
• Manage medication inventory, refills, and nursing supplies
• Record vital signs and assist providers during client appointments
• Complete AIMS assessments upon admission and every six months thereafter
• Provide medication education to clients, families, and ACTT staff
• Transport clients to medical appointments and community resources as needed
• Deliver nursing services directly in community settings throughout the Charlotte area
• Participate in rotating crisis response and on-call coverage, including
• After-hours assessments
• Hospital diversion support
• Commitment procedures
• Maintain accurate documentation and compliance with program standards
• Perform additional duties as assigned

• Active Registered Nurse (RN) license in North Carolina
• Valid driver’s license with the ability to travel locally throughout the community
• Ability to work independently while collaborating within a multidisciplinary team
• Strong communication, organization, and critical thinking skills
• Behavioral health, psychiatric, or community nursing experience preferred, but not required

• Nurses who value autonomy and variety in their workday
• Clinicians passionate about community mental health and recovery-focused care
• RNs seeking meaningful patient relationships without hospital burnout
• Professionals who enjoy flexible, community-based work while maintaining a weekday schedule

Pyramid Healthcare is a national leader in behavioral healthcare, providing treatment for mental health and substance use disorders across…