Advanced Practice Nurse (Fulltime)

Casa Esperanza, Inc. is a bilingual/bicultural behavioral health treatment provider serving Boston and the Merrimack Valley. Our mission is to empower individuals and families to recover from addiction, trauma, mental illness, and other chronic medical conditions; overcome homelessness and discrimination; and achieve health and wellness through comprehensive, integrated care.

Casa Esperanza’s Conexiones program is a 32-bed facility that provides Individualized Treatment Services Program (ITS) which delivers integrated acute treatment services and withdrawal management and clinical stabilization services (CSS) to adults struggling with co-occurring substance use and mental health treatment needs. Located at Tewksbury Hospital, the program provides in‑patient addictions and mental health treatment in a physically and psychologically safe environment, delivered by medical, clinical, peer support, and paraprofessional staff under the direction of a Medical Director. We serve adults in a structured, yet individualized treatment environment focused on building the foundation for a sustainable recovery, and developing a healthy, productive and meaningful lifestyle. The program is staffed by highly skilled professionals who work with each patient to develop an individualized treatment plan, deliver evidence‑based individual and group treatment, and develop an appropriate aftercare plan and establish placement in community‑based care.

We are currently seeking an experienced Nurse Manager to provide leadership and supervision for all Nursing, Unit Management, and Recovery Specialist Staff at our co‑occurring enhanced ITS program. Through Casa’s ITS Model, the Nurse Manager will work collaboratively with our Medical Director, NP Medical Director Designee (FNP), and our PMHNP, to lead our nursing team, provide the highest quality patient care, implement doctors’ orders, monitor specified medication/refills, monitor and record vital signs as needed, and maintain thorough and timely medical/nursing records. The Nurse Manager will observe patients and provide timely care and documentation to include patient progress in treatment, care coordination, and care management, advising Case Managers regarding appropriate placement in community.

Supervision and Leadership

Oversee the daily operations of the nursing and recovery specialists teams

Collaborate with the Conexiones Program Director to continue the development of Nursing SOPs

Mentor and guide staff, including training and onboarding of nursing, unit management and recovery specialists new hires

Provide daily hands‑on coaching working side‑by‑side with team members

Develop and implement patient care plans

Delegate tasks and coordinate patient care

Collaborate with Medical Director Designee and Program Director to conduct job interviews and performance evaluations for Conexiones nursing staff

Alert physicians when conditions worsen or if abnormalities arise

Demonstrate responsibility regarding punctuality and attendance to assure staff is available to provide client care

Unit Management

Create staff schedules and assign nurses, unit managers and recovery specialists to patients or tasks

Monitor supply and equipment levels

Ensure compliance with healthcare regulations and standards

QA/QI medication and inventory needs in compliance with DPH/MCSBR/SAMHSA/DEA regulations

Maintain a safe environment for patient care

Engage the team in regular quality improvement activities to ensure licensor, payer and accreditor requirements are met across all services

In the unlikely event that no other medical staff is able to be secured, including on‑call per diem staff, the Nurse Manager will be required to cover the open shift until proper coverage is secured to maintain appropriate staffing levels

Work closely with physicians and other healthcare providers

Serve as a liaison between nurses, patients, physicians, and staff

Attend staff huddles and daily rounds to discuss patient and unit

Work closely with the clinical team during MDT meetings to provide medical insight as part of case presentations

Work collaboratively with the Medical Director/MD Designee/PMHNP for medication reconciliation process

Work in collaboration with community providers for medication refills and reconciliation

Work directly with Medical Director/Designee on any medication errors and medication monitoring procedure

Support Unit Managers and Recovery Specialist on medication monitoring procedures

Patient Care

The Nurse Manager provides mentoring and coaching while coordinating and overseeing the nursing team and unit management in the completion of the following (and perform them in the event that no other staff is available to complete them):

Complete Nursing Assessments, COWS, CIWA Assessments upon admission

Complete medical clearance exam at time of intake to establish ASAM 3.5 or ASAM 3.7 to achieve standing order including direct contact with Medical Director/Designee

Ensure PRN standing orders for medication interventions

Complete Medication Counts at start and finish of shift of all control and non‑control substances

Complete evaluations based on client request for medical attention, emergency and non‑emergency triage and physical/mental health rounds for safety and condition monitoring

Keep electronic health records up to date including progress notes and assessments of service

Educate clients on their current medical diagnosis, needs and medical histories; Ability to read and implement orders of the physician/designee regarding standing orders, treatment planning

Attend mandatory training to update knowledge base and enhance both professional and personal growth

Assist in developing nursing and medication records on each client

Monitor and administer PRN medications and prescribed medication regimen in accordance with regulatory and safety standards

Ensure smooth transitions regarding continuity of care and medication management of patients during discharge process

Supervision tasks as assigned

Massachusetts Licensed Registered Nurse

Bilingual: Spanish/English preferred

Supervision Responsibilities; nurses, unit managers and recovery specialists as delegated by Medical Director/Designee

Ensure patient confidentiality in accordance with all federal, state, and local laws and regulations

Knowledge on best practices associated with the American Society of Addiction Medicine

clinical‑administrative care; Physical Space: Home Base: Conexiones, Tewksbury Hospital

We uphold integrity by fostering trust through honesty and accountability. Through teamwork, we collaborate across disciplines and communities to deliver seamless, integrated care. Together, these values fuel our mission to empower individuals and families to recover from addiction, trauma, mental illness, and other chronic medical conditions; overcome homelessness; and achieve health and wellness through comprehensive, integrated care.

Team Dynamics the team is made up of a Program Director, Clinical Supervisor, Program Manager and Clinical, Medical and Recovery Support Services Staff. Working Conditions this position is full‑time 40 hours a week in a substance use disorder clinical stabilization unit and other organization offices.

Onsite, in person full time.

Monday - Friday, 8a-4p, rotating on‑call responsibilities

Conexiones Nursing, Unit Management and Recovery Specialists

Holiday Pay (12 days per year + 1 floating holiday)

Long/Short-Term Disability

Paid by Company Life Insurance

Health Insurance (Medical, Dental, Vision)

Health Reimbursement Arrangement (HRA)

FSA/DCA (Flexible Spending Account & Dependent Care)

ComPsych Guidance Resources - EAP

Employee Ticket at Work (Discounts for Entertainment, travel, movies; the health and safety of our people is our number one priority. That’s why all offers of employment are contingent on the candidate showing proof of being fully vaccinated against COVID‑19 (currently one dose of the Johnson & Johnson vaccine or two doses of the Pfizer or Moderna vaccine and boosted, when eligible) to pass the pre‑employment requirements. Individuals with medical issues or religious beliefs that prevent them from getting the vaccine may request an exemption from the vaccine requirement.

Casa Esperanza, Inc. values its diverse workplace and encourages women, people of color, LGBTQIA+ individuals, people with disabilities, members of ethnic minorities, foreign‑born residents, older members of society, and others from minority groups and diverse backgrounds to apply. Casa Esperanza, Inc. also has a longstanding policy of providing a work environment that respects the dignity and worth of each individual and is free from all forms of employment discrimination, including harassment, because of race, color, sex, gender, age, religion or religious creed, national origin, ancestry, citizenship, marital status, sexual orientation, gender identity, gender expression, genetic information, physical or mental disability, military or veteran status, or any other characteristic protected by law. All employees, interns, volunteers and contractors of Casa Esperanza, Inc. are responsible for maintaining a work culture free from discrimination and harassment by treating others with kindness and respect. Casa Esperanza, Inc. also provides reasonable accommodation to qualified individuals with disabilities or based on a sincerely held religious belief, in accordance with applicable laws. If you need to inquire about an accommodation, or need assistance with completing the application process, please email View email address on click.appcast.io pay range for this role is: 125,000 - 130,000 USD per year (Conexiones).

#