Registered Nurse - Assertive Community Treatment (ACT) Program

As part of our total benefit package, Macomb County proudly offers medical, dental, and vision coverage, with no monthly premium to employees for single, two (2) person or family coverage. Health care, dental and vision benefits are effective the first day of employment.

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CLASSIFICATION TITLE:

Registered Nurse - Assertive Community Treatment (ACT) Program

SALARY:

$66,559.45 - $86,089.08

DEPARTMENT:

Community Mental Health

Opening Date:

06/02/2026

Closing Date:

06/16/2026 12:00 a.m.

Please note: This position may involve periodic transportation of consumers, based on individual needs, using an agency-owned vehicle.

FLSA STATUS: Non-exempt. Overtime pursuant to Collective Bargaining Agreement or Human Resources and Labor Relations Policy

EMPLOYMENT RELATIONSHIP: Just cause subject to probationary period

CURRENT HOURS AND STARTING TIME: Full-time (37.5 hours per week) position. The starting time for this position is currently 8:00 a.m.

GENERAL SUMMARY:

Under direction, facilitates prompt and effective coordination of services regarding the health of our persons served, including, but not limited to, their medical, case management, and medication needs within Macomb County Community Mental Health (MCCMH) programs. Provides direct services to persons served and their families. Provides specialized health care assessments and screenings. Implements program activities. Participates in research and program evaluation to improve coordination of health and medication programming.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

Promotes the integration of care through the coordination of physical and mental health needs for people served within outpatient and case management programs.

Implements, coordinates, monitors, and evaluates services required to meet the mental and physical health needs of persons served in conjunction with goals established with a Person-Centered Plan.

Ensures coordination of health care services across a variety of disciplines with other service providers.

Provides direct clinical nursing services to persons served including, but not limited to, administering injections and dispensing medication, monitoring ongoing health care needs, case management, patient care coordination, and transportation of persons served as needed.

Completes initial and ongoing assessments, which include emergency and routine health care assessments.

Provides crisis intervention techniques to stabilize situations as needed.

Establishes and implements treatment plans, utilizing a Person-Centered Plan or a Family-Centered Practice approach.

Completes and maintains record keeping requirements, including case documentation.

Participates in case consultation to confirm diagnosis, makes clinical recommendations, provide appropriate form of treatment, and link the person served and/or family to the appropriate program.

Maintains inventory of agency medications at assigned site(s).

Requests appropriate authorizations for services provided, monitors utilization of services, and requests re-authorization of continuation of service as medically necessary.

Supports MCCMH integrated health interventions by interacting with managed care providers, insurance providers, private physicians, hospital services, and other entities pertinent to the health of MCCMH people served.

Maintains ongoing communication with members of agency staff and contract psychiatric staff.

Develops and shares current information about appropriate resources for people served.

Provides training and educational activities to staff, clients, families, and MCCMH service providers.

Attends and participates in clinic and committee meetings, conferences, and in-service training.

Participates in staff development, planning, agency goal setting, and quality improvement.

Maintains and updates clinical knowledge through readings, in-service training, and other related activities.

Operates an automobile to perform assigned job functions.

Performs related duties as assigned.

QUALIFICATIONS:

Required Education and Experience

• Associate's degree from an accredited college or university in Nursing

Preferred Education and Experience

• Bachelor's Degree from an accredited college or university in Nursing

• A minimum of six (6) months experience working with the mentally ill population

Required Licenses or Certifications

• Current State of Michigan Registered Nurse license

• Possession of a valid Michigan driver's license and operable, insured automobile for authorized travel

• If hired within the Assertive Community Treatment (ACT) program, must possess and maintain a current Michigan Chauffeur's license within two (2) weeks from date of hire

COMPETENCIES FOR SUCCESSFUL PERFORMANCE OF JOB DUTIES:

Knowledge of:

• Applicable computer applications

• Michigan Mental Health Code

• MCCMH polices, rules, regulations, codes and procedures

• Medicaid Provider Manual

• Modern office procedures, methods and computer equipment

Skill in:

• Using good professional judgment for the welfare and safety of our people served

• Interpersonal skills necessary to develop and maintain effective and appropriate working relationships

• Performing a variety of duties, often changing from one task to another of a different nature

• Providing excellent and timely customer service

• Managing timelines and project deadlines

Ability to:

• Collaborative: Approaches all situations with a teamwork and solution focused mindset demonstrated through active participation in meetings, volunteering to assist teammates and other departments as appropriate. Examples include participation in internal and external committees, subcommittees, process improvement groups or other multi-organizational initiatives

• Accountable: Takes ownership and empowers others to do the same as evidenced by identifying solutions and acting on job responsibilities and organizational objectives, daily

• Respectful: Treats people with dignity while honoring individual differences demonstrated through use of positive and encouraging statements and/or interactions to, about and/or with colleagues and persons served; evidenced by supervisor observation, feedback from other department staff and leadership

• Engage effectively with diverse communities; interact with people in an inclusive manner that respects cultural and socio-economic differences

• Work in an environment which embraces the county's Dignity Campaign

• Effectively speak, write, and understand the English

• Effectively speak, write, and understand a language other than English is preferred

• Understand and carry out oral and/or written instructions

• Accurately organize and maintain paper documents and electronic files

• Maintain the confidentiality of information

• Work independently

WORK ENVIRONMENT/CONDITIONS:

The work environment and exposures described here are representative of those an employee encounters while performing the essential functions of this job.

N/S=Never/Seldom O=Occasionally F/C= Frequently/Continuously

Work Environment

Office or similar indoor environment: F/C

Outdoor environment: N/S

Street environment (near moving traffic): N/S

Construction site: N/S

Confined space: N/S

Exposures

Individuals who are hostile or irate: O

Individuals with known violent backgrounds: O

Extreme cold (below 32 degrees): N/S

Extreme heat (above 100 degrees): N/S

Communicable diseases: O

Moving mechanical parts: N/S

Fumes or airborne particles: N/S

Toxic or caustic chemicals, substances, or waste: N/S

Loud noises (85+ decibels): N/S

Blood Borne Pathogens: O

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

N/S=Never/Seldom O=Occasionally F/C= Frequently/Continuously

Demand:

Balancing on even or uneven surfaces/ground: F/C

Bending (forward or backward bending at the waist): F/C

Climbing up or down stairs, ladders, scaffolding and platforms: N/S

Crawling (moving about on hands and knees). Inspecting in confined spaces: N/S

Digging: N/S

Driving on sealed and unsealed roads: O

Grasping, gripping, holding, clasping with fingers or hands: F/C

Kneeling to work at low levels: O

Manual Dexterity (fine finger movements i.e., keyboard operating, writing): F/C

Lift/Carry/Move objects from one level/position to another up to 34 pounds: O

Push/Pull objects away from or towards the body: O

Reaching overhead (arms raised above the shoulder) or forward reaching (arms extended): O

Sitting in a seated position during the task performance: F/C

Standing in an upright position without movement: F/C

Walking considerable distances in the facility on multiple surfaces: F/C

Running considerable distances in the facility on multiple surfaces: N/S

GENERAL REQUIREMENTS AND DISCLAIMERS:

Complies with P.A. 390, as amended, known as the State's Emergency Management Act and the County's Emergency Management resolution as well as all related plans, policies and procedures covered by those statutes.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by employees in this job. Employees may be requested to perform job-related tasks other than those specifically presented in this description.

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment amongst other possible accommodations.

The American Federation of State, County and Municipal Employees (AFSCME) Local 411 bargaining unit represents this position. Therefore, there may be contract language which could require consideration in the selection process.

GRANT OR EXTERNALLY FUNDED POSITION - This position will continue only if sufficient grant or external funds are provided.