Registered Nurse - FT - Various Shifts Available

Casa Esperanza•Tewksbury, MA

About The Position

Conexiones ATS/CSS is a 32-bed facility providing clinical stabilization and residential substance abuse treatment for adults, as well as medically managed withdrawal and detoxification services. The program serves adults with substance use disorders, including people with co-occurring mental health issues, in a structured and safe environment focused on recovery and sustainable, productive living. The Registered Nurse oversees medical services at Tewksbury Conexiones through Casa Esperanza’s Integrated Care Model. The nurse implements medical orders; monitors medications, refills, and vital signs; maintains medical and nursing records; observes patients and documents treatment progress; and coordinates with case managers and the clinical team. The position also provides assessments, medication monitoring, client education, triage, and coordination with medical and community providers.

Requirements

Massachusetts-licensed Registered Nurse.
At least 2 years of nursing experience.
At least 1 year of medication-monitoring experience.
At least 2 years of experience with electronic health record systems.
Spanish bilingual skills.
Maintain patient confidentiality in accordance with applicable federal, state, and local laws and regulations.
Knowledge of best practices associated with the American Society of Addiction Medicine.
Knowledge of medication-assisted treatment for substance use disorders.
Knowledge of substance use disorders and co-occurring conditions.

Responsibilities

Complete nursing assessments, COWS and CIWA assessments upon admission.
Complete COWS/CIWA and ASAM assessments in accordance with medical orders and withdrawal-management protocols.
Complete medical clearance examinations at intake.
Monitor medications and complete required documentation.
Count controlled and non-controlled substances at the beginning and end of each shift.
Participate in multidisciplinary team meetings and provide medical insight during client case presentations.
Consult with staff and attend case conferences as needed.
Collaborate with the medical director on medication reconciliation.
Work to achieve standing orders and medical orders for medication.
Organize and keep records of routine and urgent medical examinations.
Coordinate with community providers regarding medication refills and reconciliation.
Evaluate client requests for medical attention, conduct emergency and non-emergency triage, and perform physical and mental health rounds to monitor safety and condition.
Keep electronic health records current, including progress notes and service assessments.
Educate clients about their diagnoses, medical needs, medical histories, medications, and medication use.
Alert physicians when conditions worsen or abnormalities arise.
Collaborate with counselors on medication management and planning.
Work with the program director regarding medication errors and medication-monitoring procedures.
Work with the recovery specialist on medication-monitoring procedures.
Fulfill responsibilities related to Duty to Warn and mandated reporting.