Floor Nurse (LPN or RN)

About Mainspring Recovery

Mainspring Recovery is a mission-driven behavioral health organization built on the belief that healing happens when the right people are in the room. We provide care across multiple levels, including Residential, Partial Hospitalization (PHP), and Intensive Outpatient (IOP), supporting individuals and families throughout the recovery process.

Every role at Mainspring, clinical and non-clinical alike, contributes to creating safe, structured, and effective environments where people can rebuild their lives. We invest in strong teams, clear systems, and thoughtful leadership, believing meaningful impact comes from doing the work well, supporting one another, and holding ourselves to high standards across the organization.

Job Title:

Floor Nurse (LPN or RN)

Reports To:
Director of Nursing/Executive Director

Department:
Nursing

Location:
On-site, Lynchburg, VA

Employment Type:
Full-time (LPN ONLY) | Part-time (LPN ONLY) | PRN (LPN or RN) | Hourly | Non-Exempt

Compensation :

The pay range for this position is $30 - $45 per hour, set in good faith based on the responsibilities of the role, qualifications, and market conditions. Applicable shift differentials:

• $1 per hour 4:00-7:00pm
• $2 per hour 7:00pm-7:00am

Job Summary

Mainspring Recovery is seeking a reliable, detail-oriented Floor Nurse (LPN or RN) to provide medication administration and routine nursing support for residential clients. The primary responsibility of this role is safe, accurate, and timely medication administration while supporting basic nursing assessments and coordination of care as directed by medical and psychiatric providers.

The Floor Nurse works collaboratively with the interdisciplinary treatment team to ensure continuity of care, client safety, and compliance with nursing standards, organizational policies, and regulatory requirements.

Key Responsibilities

• Administer prescribed medications accurately and safely in accordance with physician orders, medication administration records (MAR), and organizational policy.

• Prepare, organize, and maintain medication carts, ensuring medications are stored securely and arranged alphabetically by client name.

• Review, count, and document controlled substances at the beginning and end of each shift in accordance with policy.

• Monitor clients for medication effectiveness, side effects, and adverse reactions, and report concerns to the appropriate provider.

• Perform routine nursing tasks including vital signs, weight checks, blood sugar monitoring, pain assessments, and other clinical observations as ordered.

• Complete intake-related nursing tasks for new admissions as assigned, including vital signs, weight, and medication review.

• Review and update medication lists daily to reflect changes in prescriptions, dosages, or administration times.

• Document all nursing interactions, medication administration, and clinical observations accurately and timely in the electronic medical record (EMR).

• Verify laboratory work is completed as ordered, review results, and notify medical or psychiatric providers of abnormal values.

• Participate in daily sick call and assess client concerns to determine appropriate follow-up or referral.

• Coordinate with providers, admiissions staff, and clinical leadership regarding clients with complex medical needs or polypharmacy concerns.

• Consult with counselors, therapists, and recovery support staff regarding client medical status and ongoing care needs.

• Support scheduling of outside medical appointments as directed by providers.

• Maintain compliance with infection control, safety standards, and nursing scope of practice.

• Perform all other duties as assigned to support nursing operations and continuity of care.

Minimum Qualifications

Education / Credentials

• Current Virginia state Licensed Practical Nurse (LPN) or Registered Nurse (RN) license required.

• Must maintain active licensure in accordance with the standards of the Commonwealth of Virginia.

Experience

• Minimum of six (6) months of clinical experience as an LPN or RN.

• Experience in behavioral health or residential substance use disorder treatment preferred.

Knowledge / Skills

• Strong knowledge of medication administration and nursing documentation standards.

• Excellent verbal and written communication skills.

• Ability to visually assess client behavior and identify changes in physical or emotional condition.

• Strong organizational and time management skills.

• Ability to work independently while collaborating effectively with a multidisciplinary team.

Working Conditions

• On-site, shift-based direct care position.
• Full-time, part-time, or PRN schedules available.
• Evenings, weekends, and holidays required based on staffing needs.

• • Full-time (LPN ONLY)
  • • 7:00am-7:30pm Monday, Tuesday, Wednesday, Thursday, Saturday, Sunday rotation
  • Part-time (LPN ONLY)
  • • 7:00am-7:30pm Wednesday, Thursday and Wednesday Friday rotation
  • PRN (LPN or RN)
  • • Shifts vary

Why This Role Matters

Pre-Employment Requirements

Mainspring conducts, as required, job-related background checks, drug testing, TB testing, verification of employment history, and/or reference checks prior to employment.

Equal Employment Opportunity Statement

Mainspring is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other protected status in accordance with applicable federal, state, and local laws.

EEO is the Law:

The pay range for this role is:

30 - 45 USD per hour (Lynchburg 3.5)