Nurse Standards Specialist

Nurse Standards Specialist

Candidates must reside in Phoenix Metro, AZ and have the flexibility to travel to the clinic locations when needed.

Reporting to the Regional Director, the Nurse Standards Specialist is a nurse responsible for developing, implementing, monitoring, and maintaining clinical practice standards, policies, and procedures across the organization to ensure the delivery of safe, evidence-based, and high-quality patient care. This role serves as a subject matter expert on nursing practice standards, regulatory requirements, and accreditation criteria (such as those set by The Joint Commission, CMS, ANA, Magnet, and applicable state boards of nursing), translating these into actionable guidelines for clinical staff. Working collaboratively with nursing leadership, quality improvement teams, educators, and frontline clinicians, the Nurse Standards Specialist reviews and revises clinical policies, conducts gap analyses, supports audits and compliance initiatives, and drives continuous improvement of nursing practice. The position plays a key role in ensuring alignment between organizational policies and current professional standards, research, and best practices, while also supporting staff education and competency around new or updated standards.

As part of our mission to help individuals recover from substance use disorders, you'll thrive in a supportive, engaging, and fulfilling work environment where your contributions are valued.

Along the way, we'll invest in your well-being through a benefits package that includes:

• Subsidized medical, dental, and vision insurance
• Health savings account
• Short and long-term disability insurance
• Life insurance
• Paid sick, vacation, and holiday time
• 401K retirement plan with match
• Tuition and CME reimbursement up to 100%
• Employee assistance program to support your mental health and wellness
• Ongoing professional development

Responsibilities

• Owns the new hire multi-week competency-based training program
• Conducts on-the-job (OTJ) training and blood collection training
• Manages preceptor coordination and training milestone signoffs
• Monitors new hire orientation, competency progression, remediation plans, and ongoing nursing development, escalating concerns to the Regional Director when additional support or intervention is needed
• Partners with Clinic Managers to interview nursing candidates, providing clinical subject matter expertise and structured interview input
• Conducts routine nursing quality reviews, compliance assessments, and observational rounds to evaluate adherence to organizational standards while identifying opportunities for education, process improvement, and regulatory readiness
• Performs internal DEA audits and assists with annual inventory audits
• Monitors and documents medication errors and near-misses (Power Apps)
• Maintains DEA binders, Medsafe binders, and Vista Pharm documentation
• Assists in preparing nursing schedules
• Assists with onboarding new nursing staff
• Assists in training nursing staff on updates and changes in nursing protocol
• Fills in as a dosing nurse as necessary
• Maintains processes for medication management, including oversight of medication protocols, detoxification protocols, and drug screening procedures
• Ensures adherence to all DEA, federal, state, and accrediting body regulations
• Participates in all assigned weekly and monthly meetings, in addition to weekly clinical staffing
• Serves as a point of contact for nursing staff regarding policies and client care, responding to questions and concerns during scheduled work hours
• Maintains client/clinic records in accordance with organizational, state, and federal rules and regulations

Qualifications

• Active, unrestricted RN license in the state(s) where nursing care is delivered (LPN considered where permitted by state scope of practice)
• High school diploma or GED required
• Minimum of three years of clinical nursing experience, including at least one year in a substance use disorder treatment setting
• Experience with quality review, audit, clinical education, or competency assessment preferred
• Current BLS/CPR certification required
• Valid Driver License and Motor Vehicle Clearance (satisfactory driving record for 39 months)
• Basic to intermediate computer knowledge
• Problem solving, conflict resolution, and strong customer service skills
• Integrity, mission-driven, self-directed, and collaborative
• Excellent verbal and written communication skills
• Excellent organizational skills, accuracy, and attention to detail
• Strong team player comfortable working in a continuously changing environment
• Ability to maintain confidentiality to ensure compliance with HIPAA and 42 CFR, Part 2

Tools and Equipment

• Frequent use of a telephone, computer, printer, and copier
• Frequent use of the internet and various web browser software, and Microsoft Office products, including Outlook, Word, Excel, and PowerPoint
• Frequent use of electronic health record software

Physical Working Conditions

• Ability to travel to assigned CMS sites
• Ability to work a variable schedule, which may include nights, weekends, and holidays
• Prolonged sitting, standing, frequent bending, stooping, or stretching associated with an office environment
• Manual dexterity using a calculator and computer keyboard
• Frequent and prolonged typing and operation of computer, keyboard, and telephones
• Some lifting may be required: employee must regularly lift and/or move up to 10 pounds and frequently lift and/or move up to 25 pounds.

Specialties

• Certain Nurse Standards Specialists carry an additional specialty designation. Specialty-specific responsibilities are in addition to the core Nurse Standards Specialist responsibilities above and apply only to nurses holding that designation:
• Nurse Standards Specialist HCV/STI:
• Serves as the organizational subject matter expert for HCV and STI services, providing unified infectious disease oversight across the organization
• Oversees implementation and standardization of HCV and STI screening, testing, and treatment workflows across all assigned clinics
• Monitors HCV and STI screening, consent, linkage to care, treatment initiation, completion, and cure/resolution documentation
• Tracks HCV and STI performance metrics and identifies opportunities for improvement
• Provides education and competency training related to HCV and STI screening, treatment, and documentation
• Collaborates with providers, clinic leadership, pharmacy, and external partners to improve HCV and STI outcomes
• Ensures compliance with federal, state, and organizational HCV and STI program requirements
• Develops HCV- and STI-related workflows, educational materials, and nursing resources
• Assists clinics with HCV and STI process improvement and regulatory readiness
• Works to reduce the time between client consent, testing, resulting, and treatment initiation for both HCV and STI, ensuring no client with a positive result goes untreated or falls through internal process gaps
• Nurse Standards Specialist Medication Callback (MCB):
• Completes and/or coordinates controlled-substance medication call-backs (take-home accountability/diversion prevention) for assigned Arizona clinics, following company policy and clinic workflows
• Performs high-volume outreach (calls/voicemails and other approved communication methods) and schedules call-backs within required timeframes
• Uses standardized scripts and protocols to provide clear client instructions (what to bring, timing, and next steps)
• Reviews relevant chart information prior to outreach (take-home status, recent medication changes, risk flags, missed doses, safety alerts) to support appropriate routing and escalation
• Coordinates with onsite nursing teams for in-person verification/count processes when required and ensures complete handoffs
• Documents all call-back activity in the EHR with objective language and a complete audit trail (attempts, contacts, instructions provided, outcomes, notifications, and follow-up plans)
• Maintains an up-to-date call-back tracker/log for assigned clinics and communicates status updates to clinic teams and nursing leadership
• Discrepancy Identification, Escalation, and Follow-

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