LICENSED VOCATIONAL NURSE

BUCKELEW PROGRAMSSan Rafael, CA
Onsite

About The Position

Join Buckelew Programs and play a key role in supporting individuals facing mental health and substance use challenges across the North Bay. We are hiring a Licensed Vocational Nurse (LVN) to be part of the new Rising Recovery program, a new short-term residential treatment program serving individuals with co-occurring substance use and mental health disorders. Working under the supervision of a licensed provider, you will support safe withdrawal management, medication services, and ongoing health monitoring in compliance with California Department of Health Care Services (DHCS) standards. This role is critical in ensuring client safety, comfort, and stabilization while in residential treatment and potentially undergoing detoxification. This is an onsite position working either 11 am - 7 pm or 12 pm - 8 pm, depending on client needs.

Requirements

  • Active, unrestricted California Licensed Vocational Nurse (LVN) license
  • Minimum 1 year of nursing experience required
  • Current CPR/BLS certification (required)
  • Strong assessment, documentation, and crisis response skills

Nice To Haves

  • Detox, SUD, or behavioral health experience strongly preferred
  • Familiarity with withdrawal management protocols (alcohol, opioids, benzodiazepines preferred)
  • Knowledge of DHCS licensing standards for residential SUD programs
  • Experience with CIWA-Ar / COWS protocols
  • Experience with electronic health records (EHR)
  • Training in trauma-informed care and de-escalation techniques
  • Experience with co-occurring mental health disorders

Responsibilities

  • Monitor and document withdrawal symptoms using standardized tools (e.g., CIWA-Ar, COWS)
  • Perform intake nursing assessments and ongoing reassessments
  • Obtain and monitor vital signs per detox protocol and physician orders
  • Identify and promptly report signs of medical or psychiatric instability
  • Administer medications as ordered, including those used in withdrawal management and medication-assisted treatment (MAT)
  • Monitor for side effects, adverse reactions, and effectiveness of medications
  • Maintain accurate medication administration records (MAR) in compliance with California regulations
  • Conduct regular wellness checks and ensure appropriate observation levels
  • Respond to medical emergencies, including overdose, severe withdrawal, or co-occurring conditions
  • Support infection control, universal precautions, and medication storage standards
  • Complete timely and accurate clinical documentation in accordance with DHCS Title 9 and facility policies
  • Assist with audits, incident reporting, and quality assurance activities
  • Maintain confidentiality in compliance with HIPAA and 42 CFR Part 2
  • Communicate effectively with physicians, RNs, counselors, and case managers
  • Participate in shift reports and multidisciplinary team meetings
  • Provide client education on detox, medications, and health stabilization

Benefits

  • Medical, dental, vision and life and long-term disability insurance
  • Employee Assistance Program
  • Flexible spending accounts for health, dependent and transit costs
  • Retirement savings plan with company match
  • Eligibility for loan forgiveness
  • Continuing education credits available through our learning management system
  • Discount program
  • Paid meal breaks
  • Generous paid time off
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