Overnight Registered Nurse
Tewksbury, Massachusetts
- Eligibility
- RN
- Shift
- Nights
- Unit
- Psych
Posted Aug 31
What the listing says
Role
- Schedule
- Nights
- Term
- Permanent
- Setting
- Behavioral Health
- Accepts
- RN
- Experience
- 1+ years
Ratio not posted. Ask in the interview.
Pay
- Against the board
- Inside the MA staff range
- Shift differential
- +$3/hr
MA staff postings that state pay run $36/hr to $66/hr, the middle half $41/hr to $55/hr, across 396 postings.
About this role
About the role
Conexiones ATS/CSS is a 32-bed facility that provides clinical stabilization services to adults struggling with drugs, including heroin and prescription drugs, or alcohol. Acute treatment services are designated for up to 12 individuals for medically managed withdrawal services. At Casa Esperanza Conexiones, located at the Tewksbury Hospital, we provide residential substance abuse treatment for adults in a physically and psychologically safe environment and additional inpatient medically managed detoxification services, including those with co-occurring mental health issues.
Our highly structured environment focuses on resolving addiction issues, building the foundation for a sustainable recovery, and developing a healthy, productive, and meaningful lifestyle.
Read the full posting
The program is staffed by highly skilled professionals who work with each patient to develop an individualized treatment plan and determine appropriate aftercare. We are currently seeking a Registered Nurse and/or Licensed Practical Nurse to oversee the Medical Services at our Tewksbury Conexiones through Casa Esperanza’s Integrated Care Model, implementing doctor’s orders, monitoring specified medication/refills, monitoring and recording vital signs as needed, and maintaining medical/nursing records. The Nurse will also observe patients and provide accurate and timely documentation of their treatment progress and coordinate and assist case managers regarding clients’ progress and treatment.
What you'll do
Complete Nursing Assessments, COWS, CIWA Assessments upon admission
Complete COWS/CIWA and ASAM assessments aligned with medical orders for protocols associated to withdrawal management
Complete medical clearance exam at time of intake
Complete Medication Monitoring and all required documentation
Complete Medication Counts at start and finish of shift of all control and non-control substances
Work closely with the clinical team during MDT meetings to offer and provide client medical insight as part of case presentations
Consult with staff and attend case conferences, as needed
Work collaboratively with the medical director for the medication reconciliation process.
Works to achieve standing orders and medical orders for medication
Able to organize and keep record of frequency and urgent medical exams
Directly works in collaboration with community providers for medication refills and reconciliation.
Complete evaluations based on client request for medical attention, emergency and non-emergency triage and physical/mental health rounds for safety and condition monitoring
Keep electronic health records up to date, including progress notes and assessments of service.
Educating clients on their current medical diagnosis, needs and medical histories; educating clients on medication information and usages
Alerting physicians when conditions worsen or if abnormalities arise
Works in collaboration with counselors to ensure proper medication management and medication planning
Works directly with the program director on any medication errors and medication monitoring procedures
Works uniformly with the recovery specialist on medication monitoring procedure
Ensure responsibilities regarding Duty to Warn and Mandated Reporting are fulfilled
Qualifications
Massachusetts Licensed Registered Nurse
Experience
Nursing
Experience
2 years, required
Medication monitoring: 1 year, required
EHR systems, 2 years required
Spanish Bilingual Skills required
Ensure patient confidentiality in accordance with all federal, state, and local laws and regulations
Knowledge on best practices associated from the American Society of Addiction Medicine
Knowledge on medication-assisted treatment for substance use disorders
Knowledge of Substance Use Disorder and other co-occurring conditions
Physical & Mental Requirements
While performing the duties of this job, the employee is regularly required to walk, stoop, kneel, crouch, or crawl and talk or hear. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include distance vision, peripheral vision, and depth perception.
Schedule
Full-Time
Base Pay: $50/hr
- Shift Differentials:
2nd shift: +$2/hr
Overnight Shift: +$3/hr
About Casa Esperanza
Casa Esperanza, Inc. is a bilingual/bicultural behavioral health treatment provider serving Boston and the Merrimack Valley. Our mission is to empower individuals and families to recover from addiction, trauma, mental illness, and other chronic medical conditions; overcome homelessness and discrimination; and achieve health and wellness through comprehensive, integrated care.
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The pay range for this role is
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50 - 53 USD per hour (Conexiones)
Sourced from a public job board.
Requirements
- Massachusetts Licensed Registered Nurse
- Nursing
- 2 years, required
- Medication monitoring: 1 year, required
- EHR systems, 2 years required
- Spanish Bilingual Skills required
Show all 13 requirementsShow fewer
- Knowledge on best practices associated from the American Society of Addiction Medicine
- Knowledge on medication-assisted treatment for substance use disorders
- Knowledge of Substance Use Disorder and other co-occurring conditions
- Physical & Mental Requirements
- While performing the duties of this job, the employee is regularly required to walk, stoop, kneel, crouch, or crawl and talk or hear. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include distance vision, peripheral vision, and depth perception.
- Schedule
- Full-Time
Place
- City
- Tewksbury, Massachusetts
- State price level
- 6% above the national average
Massachusetts index 105.8, where 100 is the national average.
Tewksbury is a suburban Massachusetts town in the Merrimack Valley, roughly 25 miles north of Boston. Nurses relocating here will find a quieter residential setting with convenient highway access to the greater Boston metro area and nearby Lowell.
Cost figures from U.S. Bureau of Economic Analysis · 2024 Regional Price Parities.
How this role fits you
About the employer
On your path
Psychiatric is open from year one. Behavioral health spans inpatient, emergency, and community settings.
Worth asking
The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.
- Can you walk me through base pay range and differentials?
- What should I expect for weekly hours, weekend, holiday, call, and rotation?
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?