Registered Nurse or LPN (Overnight)

Pyramid Healthcare•Concord, NC

12h•$28 - $36•Onsite

About The Position

Pyramid Healthcare is seeking a compassionate and dependable Licensed Practical Nurse (LPN) or Registered Nurse (RN) for its Concord, North Carolina program. The role provides safe, person-centered nursing care overnight to adults receiving treatment for substance use disorders and/or mental health conditions. The nurse provides direct care, administers medications, supports detoxification protocols, completes clinical assessments, and collaborates with medical providers and the treatment team to maintain continuity and quality of care. The posting describes a full-time overnight role with 12-hour shifts in its schedule section. It also mentions an 8-hour overnight schedule in the work-environment section. Weekend availability may be required based on operational needs. Pay is $28–$30 per hour for LPNs and up to $36 per hour for RNs, based on experience. The work is primarily indoors in a healthcare and treatment setting, with moderate noise and possible exposure to infectious diseases and people experiencing acute psychiatric, behavioral, or traumatic situations. Reliable transportation to and from the work location is required.

Requirements

Current, unencumbered Licensed Practical Nurse (LPN) or Registered Nurse (RN) license in North Carolina.
Current CPR/BLS, AED, and First Aid certification.
Ability to work independently and effectively during overnight hours in a fast-paced treatment environment.
Strong clinical judgment and nursing skills.
Excellent verbal, written, and interpersonal communication skills.
Ability to assess situations, recognize changes in client condition, and respond appropriately.
Ability to remain calm and professional during crisis or high-risk situations.
Knowledge of applicable healthcare, nursing, and regulatory standards.
Strong organizational skills and attention to detail.
Ability to communicate effectively with nurses, medical providers, counselors, and other treatment-team members.
Commitment to respectful, compassionate, and recovery-focused care.
Frequent talking, hearing, and use of hands; ability to sit, stand, walk, bend, stoop, kneel, twist, and climb stairs as needed.
Ability to occasionally lift or move up to 25 pounds and, less frequently, up to 50 pounds.
Ability to perform duties requiring close, distance, peripheral, and depth-perception vision.
Reliable transportation to and from the work location.

Nice To Haves

Minimum of one year of nursing experience is preferred.
Previous experience in behavioral health, substance use treatment, detoxification, or co-occurring disorders is strongly preferred.

Responsibilities

Complete nursing assessments for new admissions, as applicable.
Administer medications according to physician orders, nursing standards, and program protocols.
Implement and monitor detoxification protocols as assigned.
Complete COWS and CIWA assessments in accordance with clinical protocols.
Monitor clients overnight and promptly report changes in condition to appropriate medical or clinical staff.
Provide medication education and support to clients.
Assist medical providers with assessments, medication management, and follow-up care.
Maintain accurate and timely nursing documentation, including overnight observations and clinical updates.
Monitor client safety and respond appropriately to medical or behavioral health concerns.
Maintain medical equipment and supplies in proper working order.
Follow HIPAA, safety, infection-control, and regulatory requirements.
Maintain professional boundaries and ethical nursing standards.
Communicate relevant client updates and concerns to the treatment team to support continuity of care between shifts.
Perform other duties as assigned.