RN or LPN Days- Part Time

4024 Stirrup Creek Drive, Suite 200 Durham, NC 27703

The RN provides holistic and compassionate nursing care as part of a multidisciplinary team supporting clients in an inpatient or residential higher level of care (HLOC) setting or in an outpatient setting with primary focus on clients in day programming (PHP/IDP).

• 12‑hour shifts (7:00 am‑7:30 pm)

• Conduct comprehensive patient assessments to identify nursing care needs, potential risks, and psychological challenges.
• Provides medication management including education, assessing adherence, administration in the inpatient and residential setting only, and monitoring for side effects in collaboration with provider.
• Assists and supports medical and psychiatric providers with medical care coordination.
• Provides medical care coordination between patient, provider, staff, family, and outside care agencies as needed.
• Serves as a staff resource for client medical needs and information.
• Recognizes and appropriately responds to medical and psychiatric emergencies.
• Responsible for accurate and timely documentation in the client medical record
• Able to follow through with directives provided by a Nurse Manager or Lead Nurse when applicable.
• Partners with team effectively to maximize performance through use of communication skills, knowledge of team dynamics, and adaptation to change to ensure high quality of care.
• Drive clients, staff, and supplies in the company vehicle in emergencies as needed (Inpatient or Residential only)
• Process refills, laboratory procedures, EKGs, vitals, supply ordering and stocking, and triaging of calls.
• Assists staff to provide a safe environment for patient care.
• Adheres to policies and procedures as defined by the various programs including maintaining client confidentiality and client rights.
• Able to take initiative, utilize critical thinking skills, and resource to work autonomously when needed.
• Provides direction and support to LPNs, CNA, and Medical Assistant.
• Performs nursing assessments and tasks (e.g. Patient Assessments, Venipuncture/Phlebotomy, EKG placement and capture, Nasogastric Tube Feeds, implementation of provider orders)
• Partners with medical and psychiatric providers to ensure client safety during treatment at Accanto facilities, including appropriate management of medication regimen.
• Partners with nutrition and medical to monitor meal compliance, possible impacts on clients’ health, and actions needed.
• Operates as the Person in Charge during after hours and owns escalation to on‑call leadership / providers during after hour periods.
• Partners with the treatment team to create the appropriate treatment plan for each client.
• Partners with BHTs to help with client de‑escalations.
• Collaborates with site staff on incident reports.
• Responds to medical concerns in the milieu.
• Performs safety assessments after hours.
• Initiate emergency response/protocols after business hours
• Initiate nursing interventions to protect client safety.
• Make appropriate client accommodations for group attendance based on medical concerns.

• Associate or bachelor’s degree in nursing required.
• Current licensure in state practicing or compact as a Registered Nurse required.

• Must have valid driver's license and be authorized to drive.
• Current Basic Life Support certification required (American Heart Association) within 15 days from date of hire.
• Employees at Residential or Inpatient sites in North Carolina or Georgia are required to have a current CPI certification within 30 days of hire.
• Employees at Residential site in Washington are required to have a Washington State Department of Health Food Handler permit within 30 days of hire.
• Physically able to stand for long periods and respond quickly in emergencies.
• Bending, twisting, kneeling, stooping, or crouching when appropriate, and handling objects with hands and/or fingers, talking and/or hearing, and seeing
• Lift, carry, push, or pull up to approximately 40 pounds (supplies, etc.)
• Fast‑paced, multidisciplinary setting.
• Must be able to work flexible hours including nights and weekends as needed.
• Competence with Information Technology…