Salary : $74,907.42 - $113,187.08 Annually
Location : (RCGC WEST) Saint Paul, MN
Job Type: Full Time
Job Number:
Department: Social Services
Division: AS/AdultSup/Prepetition
Opening Date: 09/14/2026
Closing Date: 9/28/2026 11:59 PM Central
Union: Local 8 - Public Health RNs
FLSA Status: nonexempt

Position Summary

The Adult Services Division has an opening for a Registered Nurse in Adult Mental Health. The ACT Registered Nurse provides intensive nursing, medication management, health assessment, and case management services to clients with serious and persistent mental illness. Responsibilities include coordinating and administering medications and injections, educating clients about medications and side effects, conducting health assessments and monitoring vital signs, coordinating medical and psychiatric care, scheduling appointments and laboratory work, making referrals, responding to urgent medical needs, and documenting clinical services. The nurse also participates in treatment planning, team meetings, case management, client and family education, advocacy, and coordination of community resources while supporting clients in achieving their treatment and recovery goals. More information can be found here: HR Recruitment Addendum ACT Nurse 2.pdf

The Adult Mental Health Division is seeking a Registered Nurse to join the Pre-Petition Screening (PPS) Unit. The Pre-Petition Screener conducts mental health screenings and assessments related to the civil commitment process, gathers and evaluates information from multiple sources, develops treatment recommendations, and prepares documentation for court proceedings. The position involves collaboration with hospitals, treatment providers, law enforcement, attorneys, families, and multidisciplinary county teams. The ideal candidate will have strong assessment, critical thinking, communication, and documentation skills, experience working with adults with serious mental illness, and knowledge of behavioral health services. Familiarity with civil commitment, forensic mental health, or inpatient psychiatric care is preferred but not required. More information can be found here: HR Recruitment Addendum RN MH 1.pdf

The eligibility list created by these vacancies may be used to hire other vacancies in the department or County.

To assess, prescribe, perform and document independent nursing practices at the Ramsey County Care Center, Lake Owasso Residence, the Ramsey County Detoxification Center, Mental Health Division of Social Services, or under the direction of a Public Health Nurse; to perform and document dependent functions such as carrying out the physician's medical orders; to assist physicians with diagnostic and treatment procedures; to provide a safe and therapeutic environment for a variety of patients; to coordinate, communicate, interpret, and explain patient care services to the patient, the patient's family, health professionals and important others; and perform related duties as assigned.

To view or print a copy of the complete Ramsey County job (class) description for this position, go to: . Once at this page, you can browse the alphabetical list or search for a job description.
Examples of Work Performed

1. Promote a diverse, culturally competent, and respectful workplace.
2. Monitor patient's condition by documenting vital signs, observe monitoring equipment, take blood pressure, note intake and output, observe patient behavior, and take emergency or corrective action.
3. Provide physical comfort to patients through bathing, positioning, administering pain medications as ordered by the physician, and providing bed pans.
4. Assist physician with diagnostic procedures such as x-rays and laboratory tests, by positioning patient, explaining the procedures and drawing blood.
5. Provide emotional support to patients and their families by listening to them, encouraging expression of their feelings, and explaining treatment procedures.
6. Administer prescribed treatments such as wound care, catheter, tracheotomy, colostomy, ileostomy and gastrostomy care.
7. Educate patients by instructing them about ordered tests, procedures and medications, home care, and explain and demonstrate the types of equipment and instruments used in the procedures.
8. Assess and triage nursing needs of patients by observation and interview in order to identify problems, symptoms, and physical, behavioral, and psychological alterations and/or changes.
9. Prescribe nursing interventions based on assessment for patient care needs related to mobility, rest and sleep, pain and comfort, ventilation, nutrition, elimination, skin integrity, emotional support, and psychological orientation.
10. Provide direct nursing care to patients by performing care measures such as , positioning, ambulating, range of motion; perform technical skills such as measuring blood pressures, temperature, pulse, respiration; observe monitoring equipment and make judgements about the physiological parameters being measured; initiate, maintain and monitor intravenous therapy; provide maintenance and troubleshooting for patients on mechanical ventilators; perform cardiac output measurements; administer medications and evaluate their effectiveness and/or side effects/adverse reactions; perform emergency measures such as cardiopulmonary resuscitation.
11. Document observations, interventions, and evaluations of all nursing care provided.
12. Educate patients by instructing them about ordered tests, procedures, and medications; how to carry out their continued care after discharge including use of prescribed equipment, give self-injections and reinforce/clarify the knowledge they have about their disease process.
13. Act as a patient advocate, facilitate resourceful utilization of health care services, equipment and supplies and identify problems that may be appropriately referred to the patient representative.
14. Develop and write nursing care plans, write nursing orders. Assess patients' mental and physical status and provide nursing diagnoses.
15. Make immediate decisions in case of emergency and notify physicians, paramedics, fire department or other assistance as needed.
16. Provide specific information to patients regarding the process and treatment of chemical dependency.
17. Provide health assessment, management and triage services for patients receiving detoxification services.

(The work assigned to a position in this classification may not include all possible tasks in this description and does not limit the assignment of any additional tasks in this classification. Regular attendance according to the position's management approved work schedule is required.)
ESSENTIAL FUNCTIONS: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17.

Minimum Qualifications
Education: As required for licensure.
Experience: None.
Substitution: None.
Certifications/Licensure: Must be licensed as a Registered Nurse by State of Minnesota or have a permit to practice professional nursing by the Minnesota Board of Nursing (Applicants who qualify based on a permit are subject to the limitations prescribed by the Minnesota Board of Nursing.)

Exam/Screening Process Information
You must attach an RN license and resume to be considered.

To verify a nurse license go to MN Board of Nursing and take a screen shot, the expiration date must be included and it must be valid.

Applicants who meet the minimum qualifications for this position will be forwarded to hiring department/manager for consideration.

Eligible List: The names of all applicants who filed a properly completed application and passed the examination/screening process shall be placed on the eligible list for an employment opportunity as a Registered Nurse. This list will be certified to the appointing authority which may use this list to conduct interviews to fill a vacancy. A notice will be sent to applicants at the time the eligible list is posted.

Veteran's Preference: This is a classified position requiring an open, competitive selection process. Veteran's Preference points will be applied after a candidate passes the examination process. Applicants who are eligible for veteran's preference should update their veteran's DD214, and other supporting documents, and submit them as an attachment at the time of application.




To print a paper application for this posting click Paper Application. You will need to print this posting and answer the supplemental questions associated with this exam and submit them with your completed paper application.

For further information regarding this posting, please contact:
Ramsey County provides a wide range of employee benefits to support health, well-being, and work/life balance. Benefits eligibility can vary depending on union status/contract language. A summary of benefits is provided below. Detailed information is available for review at

• Medical, dental and vision insurance
  • The County contributes a bargained percentage to the medical and dental monthly premium
  • Employees choose from four enrollment tiers: Single, Employee + legally married spouse, Employee + Child(ren), Family
  • Blue Cross Blue Shield Medical insurance - three plan options including a High Deductible Plan with a Health Saving Account offered. Earn up to $20/month in electronic gift cards for each enrolled employee or spouse for wellness activity
  • MetLife Dental Insurance - two plan options offered
  • VSP Vision Insurance - Advantage Plan offered

• Pre-tax Benefit Program
  • Pre-tax medical, dental, vision monthly premium deduction option
  • Dependent and Health Care Flexible Spending Accounts
  • County monthly contribution to a Health Savings Account for employees who elect the High Deductible medical plan

• Paid time off
  • Vacation hours, accrued based on years of service, ranging from 12 to 25 days per year (pro-rated for part-time employees)
  • 11 scheduled holidays and two floating holidays
  • Up to eight weeks of 100% paid parental leave, plus additional use of sick time as noted below
  • Sick hours accrued at a rate of three weeks per year, which can be used for medical and dental care; injury or illness for you, your spouse or children; the birth or adoption of a child (up to 80 hours) or the death of a family member (up to 40 hours)
  • Wellness incentive allows conversion of unused sick time to vacation or pay

• Retirement benefits
  • Pension - The county contributes at least 7.5% of your salary to your pension, depending on bargaining unit. Unlike other retirement investments, pension payments are a lifetime benefit once you start collecting payments
  • New employees become vested after three years. For the Police and Fire union, employees are vested after 10 years
  • Deferred compensation - 457(b) account with employer match
  • Health Care Savings Plan - all benefits-eligible employees contribute 1% of gross regular salary to a Health Care Savings Plan account for eligible health care expenses after retirement. Interest accrues tax free. County provides a scheduled contribution after five years of participation

• Transit and parking
  • Fully funded Metropass.
  • Transportation/parking expenses reimbursement account

• Employee well-being
  • Employee assistance program, including telephone counseling, financial counseling, rideshare benefits, etc.
  • Wellness programming
  • Flexible work policy with hybrid work options for eligible positions

• Life Insurance and Disability leave
  • County provided Basic Life coverage - 1x annual salary, minimum $10,000 up to a maximum of $50,000. Optional supplemental coverage available
  • Long-term Disability - County provided cov