RN/LPN for ACTT Adult MH Services

A Caring Alternative
Hickory, NC

Job Location: Morganton, NC
Position Type:
Full time
Licensure: Registered Nurse (RN, Licensed Practical Nurse (LPN)

A Caring Alternative, LLC (ACA) is a well-established comprehensive care agency providing behavioral health and substance use disorder services to adults, adolescents, and children in Western North Carolina. The agency was founded on the belief that when people truly care and are willing to go the extra mile, we will not only improve lives, but we will also create success in the lives of the people we support.

To more about us, visit our website at .

Why apply at A Caring Alternative?

  • We celebrate diversity, so bring YOU! We want you to be proud and comfortable to bring your true self and we strive to enhance the value of our work through respectful curiosity of one another’s culture.
  • Competitive Payrates! We offer a competitive rate of pay.
  • Work related mileage is paid tax free .
  • Be a Team Member! As a member of our team, we are dedicated to promoting your talents, skillset, and energies to improve the environment and quality for those we serve. We are in the business of caring and committed to building an organization where our team can grow together by helping others.
  • Strong Core Values! Join our values-based, family-owned company with a culture that we care.
  • Flexibility! We work in a team environment and promote flexibility. One of our core values is that our employees have a healthy work-life balance.
  • Training! Solid training is provided & paid for by the company. Free CPR, First Aid and NPI training. CEUs are available and external training is also paid for by the company.

An Assertive Community Treatment (ACT) team consists of a community-based group of medical, behavioral health and rehabilitation professionals who use a team approach to meet the needs of an individual with severe and persistent mental illness. The role of the ACTT Nurse is to work as a team member responsible for conducting assessments, addressing physical health needs, making appropriate referrals to community physicians, providing management and administration of medication in conjunction with the psychiatrist, providing a range of treatment, rehabilitation, and support services.

Role and Responsibilities:

  • Provide service coordination (case management) for an assigned group of clients including coordinating and monitoring the activities of the individual treatment team
  • Provide individual supportive therapy and symptom management, ensuring immediate changes are made in the treatment plans as clients need as well as advocating on behalf of client rights and preferences
  • Organize and manage the system of getting medication to clients and integrating medication administration tightly into clients individual treatment plan
  • In collaboration with the team psychiatrist, coordinate, schedule, and administer medical assessments of client physical health, making appropriate referrals to community physicians for further assessment and treatment and coordinate psychiatric treatment with medical treatment

Basic Requirements:

  • Ability to perform tasks on the computer including working with Microsoft 360, Excel, Word and other basic programs.
  • Valid driver’s license, auto insurance coverage and reliable transportation
  • Pass criminal background check and other regulatory checks
  • Provide proof of your education

Education and Experience Required:

  • Registered Nurse License (RN), Licensed Practical Nurse (LPN)
  • Minimum of one (1) year experience working with adults with serious mental illness and a working knowledge of psychiatric medications, regardless of team size.

Licensure/Certification Requirements: RN or LPN
Resume must include degree earned (major & minor), graduation month & year, relevant employment dates including month and year, and populations served.

Benefits! We offer a comprehensive benefits package for full time employees.

  • Company laptop provided for most positions
  • 401(k) & Roth retirement plans
  • Company matching 401(k) & Roth
  • 11 paid holidays
  • Direct deposit
  • Paid Time Off accrual begins upon hire, 100 hours first year
  • Major medical, dental & vision insurance plus 16 hours paid sick time after 60 days
  • Company paid Life Insurance policy
  • Short term & long-term insurance available
  • Employee Assistance Program for free financial, emotional & legal help


A Caring Alternative, LLC is a CARF accredited service provider with facilities in Asheville, Hickory, Marion, Statesville and Morganton, NC. A Caring Alternative, LLC is CABHA certified and a Trauma Informed Agency. We provide an array of services to Alexander, Buncombe, Burke, Catawba, Caldwell, Iredell, McDowell, and Mitchell counties which consist of Assertive Community Treatment Team, Community Support Team, Day Treatment, Integrated Care, Intensive In-Home, Medication Management, Outpatient Therapy, and Therapeutic Foster Care.

We are an equal opportunity employer.

About A Caring Alternative:

AboutEstablished in 2006.A Caring Alternative, LLC (ACA) is a well-established comprehensive care agency providing behavioral health and substance use disorder services to adults, adolescents, and children in Western North Carolina. Proudly serving the community since 2006.

Posted 2025-07-24

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