RN Behavioral Health, Outpatient Addictions

St. Marys Healthcare has been providing high-quality compassionate healthcare to the people of Montgomery and Fulton counties since 1903. At St. Marys Hospital the Rao Outpatient Pavilion and other locations the local independent healthcare organization offers the comprehensive critical services its community needs and deserves. St. Marys Healthcare has also been named a 2026 Times Union Top Workplacethe first acute care hospital in the Capital Region to earn the distinction since the Times Union launched the recognition program 15 years ago.

Job Requisition: RNBEH002106

Employment Type: Full-time

Shift: Days

Hours Per Week: 32-hour week

Hiring range: $36.67-$44.69

Registered Nurses (RNs) are eligible for additional compensation based on the shifts worked.

Weekday evening shift - additional 10% plus $2.00 per hour

Weekday night shift - additional 15% plus $3.00 per hour

Weekend day shift - additional 10%

Weekend evening & night shifts - additional 21%

The actual compensation for this position will be determined based on experience and other factors permitted by law.

Responsibilities:

• Perform nursing assessments obtain vital signs and monitor patients physical and behavioral health status.

• Assess for signs of intoxication withdrawal overdose medication adverse effects and changes in clinical condition.

• Communicate significant findings and clinical concerns to the medical provider and interdisciplinary treatment team.

• Respond appropriately to medical emergencies and initiate emergency services when indicated.

Methadone & Medication Management

• Safely administer methadone in accordance with provider orders OASAS requirements applicable DEA/BNE regulations and program policies.

• Verify patient identity medication orders and clinical appropriateness prior to administration.

• Monitor patients for sedation intoxication withdrawal adverse reactions and other safety concerns.

• Withhold or delay medication when clinically indicated and notify the authorized medical provider.

• Accurately document methadone administration missed or withheld doses medication changes and related clinical assessments.

• Maintain appropriate security storage inventory and accountability of methadone and other controlled substances.

• Administer other medications as ordered and provide medication education and monitoring.

• Support take-home medication processes in accordance with applicable regulations and program policies.

Substance Use Disorder Services

• Support the treatment of opioid alcohol and other substance use disorders.

• Provide education regarding methadone MOUD overdose prevention naloxone medication safety and harm reduction.

• Recognize and respond to suspected opioid overdose including administration of naloxone when appropriate.

• Monitor patients receiving MOUD and communicate treatment-related concerns to the medical provider.

Care Coordination & Patient Education

• Collaborate with medical providers counselors social workers peer specialists and other members of the interdisciplinary team.

• Participate in treatment planning and coordinate referrals to medical behavioral health and community resources.

• Provide education related to medications chronic disease management preventive health smoking cessation and recovery.

• Promote a trauma-informed recovery-oriented and nonjudgmental approach to patient care.

Documentation & Compliance

• Maintain timely accurate and clinically appropriate documentation in the medical record.

• Maintain confidentiality in accordance with HIPAA.

• Comply with OASAS New York State federal and organizational requirements related to nursing practice medication administration controlled substances and patient safety.

• Participate in quality improvement staff education competency validation and required program activities.

Licensure / Certification / Registration:

• High School Diploma/GED required
• Diploma from an accredited school/college of nursing required.

Preferred experience:

- Experience in substance use disorder treatment or an OASAS certifiedprogram.

- Experience administering methadone in an opioid treatmentprogram (OTP).

- Experience with medication-assisted treatment/medications foropioid use disorder and withdrawal monitoring

Required Skills & Attributes:

• Ability to organize and establish day-to-day priorities while using critical thinking skills in all aspects of the job.
• Must be able to multitask while remaining professional focused composed and positive.
• Excellent customer service skills
• Displays integrity friendliness and compassion.
• Must be able to establish an appropriate and effective rapport with others.
• Demonstrates flexibility
• Takes initiative
• Able to work in a fast-paced environment
• Embrace new opportunities to grow both personally and professionally.
• Effective critical thinking and problem-solving skills.
• Proficient with various Microsoft Office products (Word and Excel).
• Strong organizational skills.
• Effective interpersonal skills.
• Ability to take and follow direction in a positive and appropriate manner.
• Ability to work as part of a team and independently.
• Must be able to demonstrate effective and appropriate written and oral communication skills.
• Must be able to speak read write and follow instructions in English.