Behavioral Health Homes Registered Nurse

Behavioral Health Homes Registered Nurse

Job Category
:
Nursing Services

Requisition Number
: BEHAV
002533

• Posted :
  August 21, 2026
• Full-Time

Showing 1 location

1619 Portland Ave
Minneapolis, MN 55404, USA

Be the backbone of hope and healing.
At Minnesota Adult & Teen Challenge, every role matters in helping people overcome addiction and find a new path forward. Whether you’re working directly with clients or supporting behind the scenes, your contributions make recovery possible. In return, we offer a values-driven workplace, supportive managers, and opportunities to grow. That commitment has earned us recognition from Newsweek as a Best Addiction Treatment Centerand
eight straight
Star Tribune Top Workplace awards.

Job Summary

The Systems Navigator (Behavioral Health Homes Registered Nurse) takes the lead in conducting assessment and planning for Behavioral Health Home Services, meeting with each member as necessary to assess needs, review progress, make and assist with referrals, and provide health and wellness education, direct support and advocacy for individuals served.

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. The essential functions include the following:

• Conduct an Intake Interview and Brief Needs Assessment for each person referred.
• Ensure that the person enrolled in BHH services receives information about the purpose of BHH services and the person’s rights and responsibilities
• Providing coaching to members and their identified supports regarding BHH services
• Notify the Managed Care Organization (if appropriate) the patient is being enrolled in a BHH using the form provided by the Department of Human Services.
• Coordinate a meeting for each person referred with the Integration Specialist.
• Meet with the client, gather information and complete the Health and Wellness Assessment.
• Using a person-centered interview, and information gathered in assessments, develop measurable goals and objectives for the Health Action Plan. Submit to the Integration Specialist when complete, for review and approval, and obtain the individual's signature.
• Update the health action plan at least once every six months, or more frequently if there are significant changes to a person’s needs or goals.
• Conduct regular Progress Reviews on the Health Action Plans for each individual at the intervals required in the Behavioral Health Home Services policy and procedure guide and update the plan every six months for individuals who are continuing services.
• Attend regular (no less often than monthly) meetings with the Integration Specialist and Qualified Health Home Specialists to consult and collaborate, identifying priority cases for discussion based on member needs.
• Help individuals prepare for and attend recommended health care, behavioral health, social services, vocational supports, and other appointments. With members, identify potential needs and barriers to accessing necessary services and arrange for necessary supports (arranging transportation, attending with, advocating on behalf of individuals, or teaching self-advocacy skills).
• Develop competency in providing member Health and Wellness Education using resources approved by the Integration Specialist.
• Develop and demonstrate competency in using Motivational Interviewing skills to help individuals overcome ambivalence or resistance in pursuing positive health and wellness goals.
• Refer people to resources appropriate to their screening results. Know processes for referrals related to substance use disorder and ensure follow-through with referrals. Demonstrate capacity to integrate a treatment plan for substance use disorder into comprehensive care planning.
• Have capacity to assess a person’s readiness for change and his or her capacity to integrate new health care or community supports into his or her life.
• Develop an articulate health and wellness vocabulary that will engender confidence in providers of health care and social services to the individuals we serve in common. Nurture positive and productive partnerships with providers with proactive communication and by providing information and…