Overnight Registered Nurse

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.

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)