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Behavioral Health RN Case Manager - ACTT

Blue Ridge Community Health Services
Sylva, NC Full Time
POSTED ON 10/11/2026
AVAILABLE BEFORE 12/11/2026


Blue Ridge Health is currently seeking a Behavioral Health RN Case Manager to be part of our Assertive Community Treatment Team (ACTT).

$1000 Sign-On Bonus after 90 Days of Employment!

What We Offer You:

  • A competitive benefits plan, including Medical, Dental and Vision
  • Company sponsored life insurance and short and long-term disability coverage
  • 403(b) retirement account with company matching
  • Supplemental accident insurance available
  • 9 paid holidays per year
  • PTO and Personal Day accrual, starting day 1 - (We value a work-life balance!)
  • Flexible Work Schedules Considered
  • Needs Accommodations Programs
  • Mental Health Resources
  • Telework Opportunities Considered
  • Tuition Reimbursement Program

What You'll Do:

The ACTT Nurse Case Manager is an integral member of the Assertive Community Treatment Team and provides nursing, medication, physical health, care coordination, rehabilitation, and support services in community-based settings. The position supports individuals in advancing their self-identified goals related to recovery and wellness. Nursing services are delivered in collaboration with the psychiatric care provider, ACTT team, primary care providers, pharmacies, hospitals, community partners, and each individual’s identified supports, when authorized. Responsibilities include:

  • Complete nursing assessments and ongoing health monitoring 
  • Collect and document relevant physical, behavioral, medication, social, cultural, and functional health information using established guidelines, tools, and workflows.
  • Administer medications and implement medical orders as permitted by licensure and consistent with prescriber orders, the established plan of care, and organizational procedures.
  • Monitor, document, and report medication effectiveness, adherence, side effects, adverse reactions, complications, and individual-reported concerns to the psychiatric care provider and ACTT team.
  • Participate in assessment of current and historical medical concerns, engagement with primary care, preventive care needs, and barriers to accessing health services.
  • Assist individuals in establishing and maintaining connection with a primary care provider, dentist, specialists, preventive services, and community health resources.
  • Assist individuals with movement across levels of care and connection to recovery education, self-help, substance use treatment, residential, vocational, and community resources based on identified goals and preferences.
  • Complete service notes, nursing documentation, medication records, care coordination records, incident reports, and other required documentation accurately and within established timeframes.

Disclaimer:

This role requires flexibility to transport clients/patients to organization-sponsored services or resources that address their basic and clinical needs. Drivers transporting clients/patients or driving company vehicles are to be age 21 or greater. For those using their personal vehicles to transport clients/patients, a certificate of insurance is required demonstrating at least the minimum required NC auto liability insurance.


What We're Looking For:

  • Graduation from an accredited school of nursing required.
  • Current, unrestricted North Carolina license as a Registered Nurse or Licensed Practical Nurse, or a multistate/compact license authorizing nursing practice in North Carolina, required.
  • One year of psychiatric, behavioral health, community health, or related nursing experience required. 
  • Knowledge of nursing theory and practice, psychotropic and other commonly used medications, medication administration and monitoring, physical health conditions, care coordination, recovery-oriented practice, and community resources.
  • Ability to use the electronic health record, medication administration records, Microsoft Office applications, and other systems required for the role.
  • Ability to work a flexible schedule, participate in assigned on-call or after-hours coverage, provide services in community settings, and respond to changing service needs.
  • Valid driver’s license and driving record acceptable under BRH policy required.


About Blue Ridge Health:

At Blue Ridge Health our mission is to improve Health, inspire Hope, and advance Healing through access to Compassionate, Affordable, and Quality Care. We are seeking individuals with a passion for creating an exceptional patient and client care experience to join our team! We are a nonprofit system of Federally Qualified Health Centers (FQHCs) that works closely with communities to meet the ever-changing medical and behavioral healthcare needs of individuals throughout WNC.

Blue Ridge Health Services promotes a supportive and inclusive culture, sensitive to the diversity of the individuals we serve and our workforce. Challenging unconscious bias, inviting a culture of individual expression, and ongoing sensitivity to organizational practices are fundamental of staff expectations. This focus contributes to the importance of Blue Ridge Health’s investment to advance as a culturally competent organization.

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training




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$73,074 to $88,085
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