Licensed Vocational Nurse

OneTogether Solutions•Perris, CA

5d•$33 - $39•Onsite

About The Position

Harmony Health is a tribally owned wellness clinic serving Native and non-Native patients. It provides whole-person care—including primary care, infectious disease care, and mental health care—to people with substance use disorders. The clinic emphasizes individualized, compassionate, respectful care in a safe, welcoming outpatient setting. The Licensed Vocational Nurse (LVN) provides direct, individualized nursing care to patients receiving treatment for opioid use disorder and co-occurring conditions. Under the direction of a Registered Nurse or licensed provider, the LVN administers medication, collects and reports patient data, performs point-of-care testing, and supports care coordination. Dispensary duties vary by state. The LVN is expected to maintain clinical accuracy, advocate for patients, use de-escalation skills, comply with controlled-substance regulations, and foster a dignified and safe environment. The position is based in Perris, California, reports to the Nursing Manager, and collaborates with clinic and OTS leadership. Indian Preference applies: qualified American Indian or Alaska Native applicants receive preference in accordance with the cited federal statutes. Compensation is $32.98–$39.42 per hour. The clinic offers a competitive salary and benefits package, continuing education and professional advancement opportunities, cross-training, and on-the-job training.

Requirements

Graduate of an accredited vocational or practical nursing program.
Active, unrestricted California LVN license issued by the Board of Vocational Nursing and Psychiatric Technicians.
At least 1 year of clinical nursing experience.
Active American Heart Association Basic Life Support (BLS) certification.
Continuing education as required by the board of licensure.
Ability to complete employment-related background screening, occupational health requirements, and legally permissible drug screening in accordance with applicable federal, state, and tribal laws and clinic policy.
Ability to provide health clearance and tuberculosis (TB) clearance.
Valid driver’s license, current auto insurance, and an acceptable driving record, because medication delivery may be assigned.
Precision in medication administration, record-keeping, and controlled-substance handling.
Strong observation, crisis intervention, and de-escalation skills.
Empathetic listening and cultural humility.
Ability to remain calm and professional in high-stress situations.
Commitment to patient dignity, confidentiality, and safety.

Nice To Haves

California BVNPT-recognized IV therapy and blood withdrawal certification.
At least 1 year of experience in an OTP or substance use disorder setting.
Active American Heart Association ACLS certification.
Experience working with tribal health programs or multicultural communities.
Bilingual fluency in English and Spanish or a language native to the community served.

Responsibilities

Administer MOUD and other medications, including injections and vaccines, by approved routes and in accordance with provider orders, applicable regulations, and clinic protocols.
Administer OTP medication and, where permitted by state law, dispense it in the dispensary.
Verify the patient, active order, medication, dose, and documentation before each medication administration or dispensing.
Conduct focused pre-dose safety screening and observations within LVN scope and approved protocols; hold or defer medication when required, notify the RN or authorized prescribing practitioner, and document findings and actions.
Document and escalate withheld, delayed, missed, or refused doses to the prescribing provider according to protocol.
Prepare, label, verify, and release take-home doses only as ordered and within the program’s written delegation framework.
Maintain medication administration, dispensing, inventory, and controlled-substance accountability records; promptly report discrepancies, complete required reconciliation and escalation, and document unresolved discrepancies before shift handoff.
Deliver authorized medication doses when assigned, following approved chain-of-custody, security, storage, and transport procedures; document custody transfers and immediately report delays, losses, or discrepancies.
Submit referrals for specialty care, follow up for continuity of care, and assist with patient transfers into or out of the program.
Collect and report patient data, including vital signs, withdrawal scores, and health history; comprehensive assessments, triage decisions, and care plans are completed by the RN or provider with LVN input.
Perform point-of-care testing, specimen collection, and TB skin testing according to clinic policy and state scope.
Immediately report abnormal and critical results to the provider and document follow-up as assigned.
Assist providers with examinations and routine procedures.
Reinforce patient education on MOUD, overdose prevention, and naloxone as directed.
Recognize and respond to medical emergencies, including opioid overdose.
Order medical supplies, maintain inventory and usage records, and maintain the dispensing room and medical equipment.
Maintain complete, accurate, and timely EHR documentation, including medication and dosing records.
Comply with HIPAA, 42 CFR Part 2, 42 CFR Part 8, state nursing regulations, and accreditation standards.
Participate in huddles, case conferences, and quality improvement initiatives.
Fulfill mandatory reporting obligations under California law and the Indian Child Protection and Family Violence Prevention Act, and follow clinic procedures for reporting suspected abuse or neglect.
Perform other duties as assigned within LVN scope of practice and clinic policy.