Behavioral Health Crisis Nurse (RN or LPN) | FT/PT Overnights + Shift Differential

Job Description:

• Job Title: Behavioral Health Crisis Nurse (RN or LPN)
• Location: Columbia, Missouri
• Department: Behavioral Crisis Center
• Employment Type: Full-Time or Part-Time, subject to position availability

• Available Overnight Opportunities:
• Full-Time: Wednesday, Thursday, and Friday, 7:00 PM-7:00 AM
• 36 hours per week with four days off each week
• Part-Time: Saturday, 7:00 PM-7:00 AM
• Approximately 12.5 hours per week

Compensation Highlights:

• $1,000 Sign-On Bonus
• $22-$36 per hour , based on nursing credentials and experience
• Additional overnight shift differential - Extra $5.00 per hour for weekend overnight hours / Extra $2.50 per hour for weekday overnight hours

Join a Recognized Top Workplace

Centerstone is a nationally recognized behavioral health organization and has been named a Top Workplace in consecutive years, including 2025 and 2026 . Top Workplaces recognition is based entirely on confidential employee feedback and reflects the workplace culture, engagement, and employee experience created by the people who work here.

Learn more about working at Centerstone

Qualification Overview:

• Required: Current Missouri RN or LPN license
• Preferred: Behavioral health, psychiatric nursing, crisis care, or substance use treatment experience

Job Summary:

Use your nursing skills to provide calm, compassionate care when individuals need it most. As a Behavioral Health Crisis Nurse , you’ll support people experiencing urgent mental health, psychiatric, or substance use needs within Columbia’s 24/7 Behavioral Crisis Center. You’ll help individuals find safety and stabilization while connecting them with appropriate behavioral health and recovery services.

The Behavioral Crisis Center is a rapid-access clinic and an alternative to the hospital Emergency Department for individuals whose primary needs involve mental health or substance use, including opioid use. During the overnight shift, you’ll provide direct nursing care, complete assessments, administer medications, monitor treatment response, and work alongside medical and behavioral health professionals in a trauma-informed crisis environment.

This position offers…

• •Sign On Bonus! - $1,000
• •Competitive Pay - $22-$36 per hour, based on nursing credentials and experience
• •Overnight Shift Differential - Additional compensation for qualifying overnight hours, based on the available schedule
• •Full-Time Benefits - Eligible full-time associates receive health, dental, vision, retirement, disability, life insurance, wellness programs, and more
• •Telemedicine - 24/7 phone, web, or mobile app visits for medical, behavioral health, and dermatology needs
• •Employee Assistance Program - 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost
• •Paid Time Off - Full-time associates receive 29 days per year, including vacation and holiday pay
• •Employee Discounts - Hotels, Theme Parks & Attractions, College Tuition
• •Workplace Culture - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting healthy, joyful workforce engagement
• •Additional Perks & Benefits - Scroll down to the bottom of this post to learn more

Key Responsibilities:

• •Provide compassionate nursing care to individuals experiencing behavioral health crises, psychiatric concerns, substance use needs, and other urgent clinical conditions
• •Assess physical and mental health needs through nursing evaluations, medical and medication histories, vital signs, behavioral health screenings, and ongoing observation
• •Develop nursing action plans based on each individual’s physical health, behavioral health, safety, and treatment needs
• •Administer prescribed oral, subcutaneous, and intramuscular medications safely and accurately according to provider orders and nursing standards
• •Monitor Medication Administration Records, medication counts, treatment response, side effects, laboratory results, refill needs, and emerging health or safety concerns
• •Coordinate medications, laboratory services, medical appointments, pharmacy communication, provider orders, and other healthcare needs
• •Educate individuals and available support systems about medications, disease prevention, risk reduction, treatment recommendations, and health-management strategies
• •Collaborate with physicians, advanced practice providers, behavioral health professionals, pharmacies, and crisis-response team members to promote stabilization and continuity of care
• •Respond to behavioral health crises, medical emergencies, accidental injuries, adverse medication reactions, and changing clinical conditions with sound judgment and timely intervention
• •Support infection-control practices, client hygiene, examinations, specimen collection, laboratory draws, and special procedures as needed
• •Document nursing assessments, medication services, interventions, education, safety planning, provider communication, and clinical decisions accurately and on time
• •Serve as a trusted nursing resource for medical, medication, infection-control, hygiene, and behavioral health concerns during overnight hours

Education, Experience, and/or Credential Qualifications:

Required

• •Current Registered Nurse or Licensed Practical Nurse license in good standing in Missouri
• •Graduation from an accredited registered nursing or practical nursing program
• •Knowledge of nursing assessment, medication administration, clinical documentation, infection control, and patient-safety practices
• •Ability to work at least one of the available overnight schedules

Preferred

• •Experience in behavioral health, mental health, psychiatric nursing, crisis stabilization, addiction treatment, substance use recovery, emergency care, or a related healthcare setting
• •Experience supporting individuals experiencing acute psychiatric, mental health, or substance use concerns
• •Experience with therapeutic injections, Medication Administration Records, laboratory draws, specimen collection, medication monitoring, or crisis assessment
• •Experience working within a multidisciplinary behavioral health, psychiatric, or crisis-response team

Additional Qualifications:

• •Current driver’s license, acceptable driving record, and current auto insurance
• •Strong verbal and written communication skills with the ability to document clearly and professionally
• •Sound clinical judgment, adaptability, critical-thinking, and problem-solving skills
• •Ability to remain calm and responsive during behavioral health crises, medical concerns, and changing clinical situations
• •Ability to work independently during overnight hours while collaborating effectively with a multidisciplinary crisis-care team
• •Ability to protect confidential medical and behavioral health information
• •Commitment to trauma-informed, recovery-oriented, and person-centered care

Physical Requirements:

• •Perform primarily sedentary work with periodic walking and standing to complete assessments, medication services, and other nursing responsibilities
• •Occasionally lift, carry, push, or pull up to 10 pounds
• •Frequently use hands, fingers, and arms for typing, writing, medication preparation, specimen collection, and clinical documentation
• •Perform the essential functions of the position with or without reasonable accommodation

Provide Care When It Matters Most

A behavioral health crisis can be a critical turning point in someone’s life. As a Behavioral Health Crisis Nurse, you’ll help individuals find safety, dignity, stabilization, and a path toward continued care. Whether you’re seeking a consistent three-night full-time schedule or meaningful Saturday overnight work, we encourage you to apply and explore the opportunity that best fits your availability.



 Position Perks & Benefits:

Paid time off: full-time employees receive an attractive time off package to balance your work and personal life

Employee benefits package: full-time employees receive health, dental