Lead Registered Nurse / RN – Community Support | ACT

Join a team driven by purpose. 

At Monarch, we strive to provide hope, promote wellness, and empower individuals with mental health needs, substance use disorders, and intellectual and developmental disabilities to live their best lives.

Make an Impact Every Day

Do you thrive on supporting others as they work toward their goals?
Are you passionate about guiding teams and ensuring high-quality, person-centered care?

Monarch NC is seeking a Lead Registered Nurse to support our Assertive Community Treatment (ACT) teams across several North Carolina communities. This position includes travel between Charlotte, Gastonia, Greensboro, Lexington, and Winston‑Salem, and candidates may reside in any of these areas.

What You’ll Do

As the Lead RN, you’ll play a key role in strengthening the quality and consistency of ACT services statewide. In this leadership and clinical support role, you will:

• Provide guidance and support to ACT Team nursing staff.
• Collaborate with ACT teams to enhance service delivery and promote best practices.
• Complete comprehensive intake assessments, including:
  • Medical history and physical condition
  • Psychiatric and substance use history
  • Educational, vocational, and legal background
  • Family systems and social supports
• Monitor the quality of medical services through chart audits, direct staff observation, and compliance checks with agency policies, Medicaid standards, and regulatory requirements.
• Support policy and procedure development and identify opportunities to improve efficiency, safety, and overall service quality.
• Contribute to staff training, professional development, and continuous improvement initiatives.

What You Bring

To be considered, candidates must meet the following requirements:

• Associate Degree in Nursing (ADN) required
• Active North Carolina Registered Nurse (RN) license
• Minimum 2 years of experience working with adults with mental illness
• Working knowledge of psychiatric medications
• Experience in ACT services – preferred
• Supervisory or management experience – preferred

What We Offer

At Monarch, we care for our employees just as we care for the people we support. Full-time employees enjoy a robust benefits package, including:

• Employee Care Fund for unexpected financial hardship
• Medical, Dental & Vision Insurance
• Paid Time Off plus 10 paid holidays
• Eligibility for the Public Service Loan Forgiveness (PSLF) Program
• Employee Development & Training Programs
• Retirement Plan
• Employee Assistance Program (EAP)
• Employee Referral Program
• …and much more!

Be Part of Meaningful Work

Join us as we support individuals in shaping their futures—choosing where they live, learn, work, play, and worship, and working toward their personal goals.

We look forward to welcoming the next passionate and dedicated Lead RN to our Monarch team.