Registered Nurse (RN) FULL-TIME

OVERVIEW

As a Registered Nurse (RN), your expertise is instrumental in supporting life-changing outcomes for individuals navigating the first steps in overcoming addiction and mental health adversities. Under the direction of the Director of Nursing, you will work in close collaboration with both the medical and clinical teams, ensuring the highest standards of patient care, regulatory compliance, and fostering the growth of a dynamic team.

SUMMARY OF POSITION

Under the direction of the Director of Nursing, the Registered Nurse (RN) provides 24/7 direct patient care to adults undergoing acute withdrawal management and treatment for co-occurring conditions. Working within a multidisciplinary team, the RN assesses, plans, implements, and evaluates care, including monitoring withdrawal symptoms, administering medications, ensuring patient safety, and responding to clinical needs. The RN maintains a therapeutic environment, documents care in compliance with regulatory standards and supports continuity of care through effective team communication.

ESSENTIAL JOB RESPONSIBILITIES

• Assist the admission process by conducting pre-admission eligibility screening and initial intake assessments.
• Conduct comprehensive nursing assessments and ongoing monitoring of patients in acute withdrawal.
• Administer medications and treatments in accordance with physician orders and clinical protocols.
• Monitor and document withdrawal symptoms, vital signs, and patient response to care.
• Identify and respond to emergent clinical situations, ensuring patient safety at all times.
• Collaborate with the multidisciplinary team to develop and adjust individualized care plans.
• Provide patient education on withdrawal, medications, and recovery support.
• Maintain accurate, timely, and compliant clinical documentation.
• Support a therapeutic, respectful, and structured treatment environment.

MINIMUM QUALIFICATIONS

• Current, unencumbered Registered Nurse (RN) License in the State of Arizona
• Minimum of 1 year of nursing experience. Detox, behavioral health, or acute care preferred
• Current BLS Certification
• Strong clinical judgement, critical thinking, and crisis response skills
• Demonstrated proficiency with a variety software systems including Microsoft Office, CRMs, and EMRs
• Customer service focused with strong interpersonal communication skills and ability to positively collaborate within a multidisciplinary team

COMPETENCIES

• Demonstrates knowledge of CIWA & COWS scoring, performs accurate assessment and documentation, and communicates results to the provider
• Administers medications using the 'Five Rights,' evaluates effectiveness, and documents accurately
• Adheres to nursing scope of practice, patient rights, and safety protocols
• Identifies clinical changes and supports crisis response consistent with approved procedures
• Works effectively within the interdisciplinary team to support continuity of care
• Perform vital signs accurately and report abnormalities
• Conducts CLIA waived testing (toxicology, pregnancy) per protocol and documents results in the EMR.
• Assesses, documents, and responds to suicidal and self-harm risk in accordance with facility policies, including timely notification of the provider and implementation of safety measures.

POSITION DETAILS

Job Type: Multiple Positions Available - Full-time (3x12hr per week), Part-time: (2x12hr per week), and PRN
Schedule: Day Shift (7am-7pm), Night Shift (7pm-7am), Rotating, and weekends.
Salary: $38-$50 per hour, depending on experience
Benefits: Health, Dental, and Vision, 401K, and a generous PTO plan
Location: Pinetop, AZ

ABOUT FOUR PILLARS

At Four Pillars Recovery, we know that changing lives starts with building an exceptional team. Here, every member of our organization, whether providing direct patient care or supporting operations behind the scenes, plays a vital role in helping individuals overcome addiction and reclaim their future.

When you join Four Pillars, you become part of a mission-driven organization committed to delivering compassionate, evidence-based care with integrity, excellence, and respect. We believe our employees are our greatest asset, and we are dedicated to fostering a workplace where you can grow professionally, feel supported personally, and make a meaningful impact every day.

WHAT YOU CAN EXPECT

Purpose-Driven Work: Make a tangible difference in the lives of individuals and families by helping patients take their first steps toward lasting recovery.
Collaborative Culture: Work alongside experienced medical, clinical, and behavioral health professionals who value teamwork, open communication, and mutual respect.
Professional Growth: We invest in our people through ongoing training, mentorship, and opportunities for career advancement.
Clinical Excellence: Be part of an organization that is committed to high-quality, evidence-based care, continuous improvement, and the highest ethical standards.
Supportive Leadership: We believe the best patient care begins with supporting our team members. Our leaders are accessible, engaged, and committed to your success.
Meaningful Impact: Every interaction matters. Whether you're providing direct care, coordinating services, or supporting operations, your work contributes to transforming lives and strengthening our communities