Overnight Registered Nurse

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. About The Role Conexiones ATS/CSS is a 32‑bed facility that provides clinical stabilization services to adults struggling with drugs, including heroin, prescription drugs, or alcohol. Acute treatment services are designated for up to 12 individuals for medically managed withdrawal services. Located at the Tewksbury Hospital, Casa Esperanza Conexiones offers residential substance abuse treatment for adults in a physically and psychologically safe environment, along with inpatient medically managed detoxification services, including those with co‑occurring mental health issues. The program is highly structured and focuses on resolving addiction, building a foundation for sustainable recovery, and developing a healthy, productive, and meaningful lifestyle. 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. The Nurse will implement doctor’s orders, monitor medications and vital signs, maintain medical and nursing records, observe patients, provide accurate documentation of treatment progress, and coordinate case management. 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 with withdrawal management Complete medical clearance exam at the time of intake Complete medication monitoring and all required documentation Complete medication counts at the start and finish of each 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 Ensure standing orders and medical orders for medication are achieved Organize and keep records of frequency and urgent medical exams Collaborate with community providers for medication refills and reconciliation Complete evaluations based on client requests 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 Educate clients on their current medical diagnoses, needs, and medical histories; educate clients on medication information and usage Alert physicians when conditions worsen or abnormalities arise Collaborate with counselors to ensure proper medication management and planning Collaborate directly with the program director on any medication errors and monitoring procedures Collaborate uniformly with the recovery specialist on medication monitoring procedures Ensure responsibilities regarding Duty to Warn and Mandated Reporting are fulfilled Qualifications Massachusetts Licensed Registered Nurse Spanish Bilingual Skills required Ensure patient confidentiality in accordance with all 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 disorder and other co‑occurring conditions Experience: Nursing Experience: 2 years, required Medication monitoring: 1 year, required EHR systems: 2 years required 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 Part‑Time/Per Diem Shift Differentials 2nd shift: +$2/hr Overnight shift: +$3/hr Weekend shift: +$2/hr The Pay Range For This Role Is $50 – $55 per hour (Conexiones) #J-18808-Ljbffr