RN - Nights

Thrive Now Recovery Center

Iowa City, IA

SHIFT OPTIONS & SHIFT DIFFERENTIALS AVAILABLE

We offer a 3-day workweek with 12-hour shifts to support work-life balance and focus.

About the Company

Join a team that's changing lives.

At Thrive Now Recovery Center and our affiliated treatment centers, we are building something different—programs that deliver exceptional, person-centered care and restore hope for individuals, families, and communities impacted by substance use and mental health disorders. Our work is grounded in trauma-informed care, compassion, and integrity, and every team member plays a meaningful role in a client's recovery journey.

Whether you're bedside in medical, guiding clinical programming, supporting recovery services, or ensuring smooth day-to-day operations, you'll be part of a collaborative, mission-driven team that shows up for one another and the people we serve. We offer modern, well-trained workplaces, opportunities for growth, and leadership that invests in your success.

If you're looking for a place where your work truly matters—and where you'll make a lasting impact—this is it. We're glad you're considering joining our team.

About the Role:

The Registered Nurse (RN) plays a critical role in delivering safe, evidence-based medical care to individuals in residential treatment for substance use and co-occurring mental health disorders. As an essential member of the multidisciplinary team, the RN provides clinical oversight, conducts assessments, administers medications, responds to medical needs, and supports the therapeutic milieu through trauma-informed care.

This role ensures that all nursing services are delivered in alignment with regulatory standards, professional guidelines, and the organization's commitment to high-quality, person-centered care.

Essential Duties & Responsibilities

Clinical Care & Assessment

• Conduct nursing assessments, evaluate high-risk indicators, and document findings accurately and promptly.
• Provide direct medical evaluation and intervention as needed, maintaining a calm and professional presence.
• Complete individualized nursing care plans for each patient admission.
• Participate in and support medical discharge planning beginning at intake.

Medication Management

• Administer and manage medications with accuracy, including during shift handoffs.
• Collaborate with pharmacy and medical providers to ensure correct medication orders and MAR reconciliation.
• Monitor for medication side effects or adverse reactions and intervene appropriately.

Collaboration & Treatment Planning

• Actively participate in interdisciplinary treatment team meetings.
• Contribute to comprehensive care plans that address medical, psychological, and recovery needs.
• Serve as a liaison with external hospitals, providers, and families for coordinating medical care.

Documentation & Regulatory Compliance

• Maintain accurate, timely nursing documentation in accordance with facility policy and regulatory standards.
• Support compliance with all licensing and accreditation requirements related to nursing practice.
• Base clinical decisions on professional guidelines, clinical standards, and evidence-based practices.

Milieu Support & Safety

• Support a safe and therapeutic environment for patients, modeling professionalism and trauma-informed engagement.
• Assist in crisis intervention, de-escalation, and safety planning alongside clinical and RSS teams.
• Assist with other medical or program-related duties as needed to support patient care.

Minimum Qualifications

• Active, unencumbered Registered Nurse (RN) license in the state of employment (required).
• Associates Degree in Nursing (ADN) or Diploma in Nursing (required).
• Current CPR/First Aid certification or ability to obtain within 30 days of hire.

Preferred Qualifications

• Bachelor of Science in Nursing (BSN) or advanced degree (MSN, MPH).
• 2+ years of experience in substance use disorder (SUD), psychiatric, detox, behavioral health, or related settings.
• Experience with trauma-informed care, co-occurring disorders, or medical withdrawal management.

Key Competencies

Medical Competencies

• Skilled in patient assessments, risk identification, and development of nursing care plans.
• Proficient in direct medical intervention, including assessment of withdrawal symptoms and acute medical needs.
• Ability to support a therapeutic, recovery-focused milieu.
• Strong knowledge of medication administration, MAR processes, and medication reconciliation.
• Experienced in interdisciplinary discharge planning.

Team & Leadership Competencies

• Active, collaborative member of the treatment team.
• Provides clinical guidance to medical support staff and contributes to overall clinical quality.
• Represents the medical department in communication with hospitals, providers, and family systems.

Regulatory & Documentation Competencies

• Accurate, timely charting aligned with facility policies and state/federal requirements.
• Supports program quality reviews and ongoing regulatory compliance.
• Uses evidence-based standards to inform nursing decisions.

Professional Development Competencies

• Maintains licensure, certifications, and mandatory trainings.
• Engages in continuing education, supervision, and performance improvement activities.

Work Conditions / Physical & Mental Requirements

Work Environment:

• Primarily indoors in a climate-controlled clinical environment.

Physical Demands:

• Regular standing, walking, sitting, bending, and repetitive tasks such as documentation or vitals checks.
• May involve lifting, transferring, or repositioning patients (<50 lbs) with appropriate support.

Emotional Resilience:

• Ability to remain calm, grounded, and solutions-focused during crises, patient escalation, or team conflict.

Critical Thinking:

• Daily responsibilities involve assessing patient risk and interpreting clinical data.

Prioritization Under Pressure:

• Must balance multiple urgent tasks while maintaining regulatory compliance and care quality.

Communication Skills:

• Clear, effective communication with patients, families, staff, and external partners.

Attention to Detail:

• Accurate monitoring of patient safety, documentation, and regulatory compliance.

Why You'll Love Working Here

The work you do truly changes lives. We recognize the importance of supporting the people who make that impact possible. When you join our team, you're stepping into a place that invests in your growth, wellbeing, and long-term career success.

Comprehensive Benefits & Support

We offer a well-rounded benefits package designed to support you at work and at home, including:

• ICHRA Health Benefit – choose the health plan that fits your needs, with premium reimbursement
• Dental & Vision Insurance
• Employer-Paid Life Insurance, with optional supplemental coverage
• 401(k) Retirement Plan
• Generous Paid Time Off (PTO) + paid holidays
• Employee Assistance Program (EAP)
• Growth & Advancement Opportunities
• Safe, Trauma-Informed, Supportive Work Environment
• Modern Facilities & Work Life Balance
• Leadership That Shows Up and Invests in You

Equal Employment Opportunity

We are proud to be an equal opportunity employer. We believe that diversity and inclusion strengthen our organization and enhance the quality of care we provide. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other characteristic protected by