Licensed Vocational Nurse, Urgent Care - Nights

Licensed Practical Nurse

Reports to: Director of Nursing

FLSA: Full Time

We provide triage/medical detox, 90-day inpatient treatment, and housing, under the ownership and direction of Healing Addiction in our Community (HAC), a New Mexico non‑profit corporation. Clients begin their recovery journey in our 3‑14‑day Crisis Triage, Unit and then, depending on need and bed availability, transition to our 90‑day inpatient program followed by housing services for those who qualify. The job is to develop and maintain a positive, healthy relationship with the staff and clients, provide treatment and care to clients while they are detoxing/stabilizing, provide ongoing medical care to clients after they enter our 90‑day program, and ensure that clients at Serenity Mesa have their medical needs addressed during their stay and to establish continued care post‑discharge. The position’s primary responsibility is to ensure the safety and security of the patients, residents, staff, and Serenity Mesa property by following the established policies and procedures.

Practice Within Scope: Demonstrate knowledge of and adhere to the scope of practice for a Licensed Practical Nurse (LPN) as defined by the New Mexico Board of Nursing.

Maintain a safe environment for all patients by following safety protocols and infection control standards. Actively participate in efforts to reduce risk and promote a culture of safety.

Ability to administer prescribed medication and medical treatments and following standard nursing procedures.

Ability to maintain effective communication with patients, families, and members of the health care staff.

Ability to provide documentation, prepare reports and maintain patient/client records, including computer skills necessary for documentation.

Conduct and document thorough nursing assessments in the EMR system, including intake assessments, vital signs, head‑to‑toe assessments, and hourly rounding, as ordered by the provider or per facility protocol. Ensure all documentation is accurate, timely, and compliant with clinical and regulatory standards.

Withdrawal Monitoring: Monitor patients experiencing acute withdrawal and identify early signs of medical or behavioral deterioration.

Able to perform and accurately document clinical assessment tools, including but not limited to CIWA, BAWS, COWS, AIMS, and the Columbia Suicide Severity Rating Scale (C-SSRS).

Reports symptoms, progress, and any changes in the patient’s condition to the physician, clinical supervisor, DON and/or charge nurse, ensuring that appropriate action is taken in a timely manner.

Safely and accurately apply withdrawal‑related medication protocols in accordance with provider orders and facility policy.

Works with the CPSW and clinical therapists to ensure that discharge planning and instructions are completed throughout the patient’s treatment and are clear and complete.

Ability to work under stressful conditions and be flexible in relation to departmental needs.

Adhere to all state and federal privacy regulations, including HIPAA and 42 CFR Part 2, and to policies and agreements regarding confidentiality, privacy, and security.

Understand and follow all policies and procedures of the Organization.

Initiates change to improve patient care; discusses changes with DON, Charge nurse and/or doctor when appropriate.

Ability to participate in defining, interpreting, and implementing standards, policies, and procedures which affect the delivery of nursing care services.

Other LPN duties as required.

On‑Call Availability: Participate in the on‑call rotation by covering a minimum of three (3) on‑call days within each monthly schedule.

Patient Transport: Facilitate or accompany the transport of patients to urgent care or medical appointments when clinically appropriate and EMS transport is not required. Ability to understand and abide by the Drug Free Workplace Policies.

Ability to complete the Harassment and Discrimination training.

Strong computer literacy with Microsoft applications (Teams, Outlook, Word, Excel) and current technology.

Valid LPN license, in good standing, in the state of New Mexico.

Preferred experience in the field of chemical dependency/substance abuse/psychiatric setting or human services field is preferred.

Preferred experience working with youth and young adults.

Complete training or certifications in CPR, HIPAA, HIV/AIDS, Verbal De‑Escalation, Harassment/Discrimination, Incident Reporting, Infection/STD Risks, HEP B/C, and Abuse, Neglect, Trauma, and Exploitation, Understanding SUD, and any other trainings required by the State CARF and Supervisor.

For overnight shifts, ability to stay awake during all hours of the night while on shift.

Have the hand‑eye coordination and manual dexterity needed to operate a keyboard, photocopier, telephone, calculator and medical equipment.

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of this job.

The work of this position is performed in an environmentally controlled residential facility. The position requires the ability to work under pressure and with a diverse population, including staff, physicians, clients, patients, insurance companies and other members of the public on a regular basis. This Organization is an Equal Opportunity/Affirmative Action employer of minorities, females, protected veterans, and individuals with disabilities.