Casa Esperanza

Bilingual behavioral health services and housing

Registered Nurse

Nursing & Frontline Patient CareConfirmed live in the last 24 hours

Full-timeTewksbury, MA, USA

About the Job

Requirements

Massachusetts Licensed Registered Nurse.
At least 2 years of nursing experience.
At least 1 year of medication-monitoring experience.
At least 2 years of experience with electronic health record systems.
Spanish bilingual skills are required.
Maintain patient confidentiality in accordance with applicable federal, state, and local laws and regulations.
Knowledge of best practices associated with the American Society of Addiction Medicine.
Knowledge of medication-assisted treatment for substance use disorders.
Knowledge of substance use disorder and co-occurring conditions.
Ability to perform walking, stooping, kneeling, crouching, or crawling; speak and hear; occasionally lift or move up to 20 pounds; and use distance, peripheral, and depth vision.

Responsibilities

Complete nursing assessments and COWS and CIWA assessments upon admission.
Complete COWS/CIWA and ASAM assessments aligned with medical orders for withdrawal-management protocols.
Complete medical clearance examinations at intake.
Monitor medications and complete required documentation.
Count controlled and non-controlled substances at the beginning and end of each shift.
Work with the clinical team during multidisciplinary team meetings to provide client medical insight for case presentations.
Consult with staff and attend case conferences as needed.
Collaborate with the medical director on medication reconciliation.
Carry out standing orders and medical orders for medication.
Organize and maintain records of the frequency of urgent medical examinations.
Collaborate directly with community providers on medication refills and reconciliation.
Evaluate client requests for medical attention, conduct emergency and non-emergency triage, and perform physical and mental health rounds to monitor safety and condition.
Keep electronic health records up to date, including progress notes and service assessments.
Educate clients about their current medical diagnoses, needs, and medical histories, as well as medication information and use.
Alert physicians when conditions worsen or abnormalities arise.
Collaborate with counselors to ensure appropriate medication management and planning.
Work with the program director on medication errors and medication-monitoring procedures.
Work with the recovery specialist on medication-monitoring procedures.
Fulfill responsibilities related to Duty to Warn and mandated reporting.

About Casa Esperanza

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.

About the role

Conexiones ATS/CSS is a 32-bed facility that provides clinical stabilization services to adults struggling with drugs, including heroin and prescription drugs, or alcohol. Acute treatment services are designated for up to 12 individuals for medically managed withdrawal services. At Casa Esperanza Conexiones, located at the Tewksbury Hospital, we provide residential substance abuse treatment for adults in a physically and psychologically safe environment and additional inpatient medically managed detoxification services, including those with co-occurring mental health issues. Our highly structured environment focuses on resolving addiction issues, 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 and determine appropriate aftercare. We are currently seeking a Registered Nurse and/or Licensed Practical Nurse to oversee the Medical Services at our Tewksbury Conexiones through Casa Esperanza’s Integrated Care Model, implementing doctor’s orders, monitoring specified medication/refills, monitoring and recording vital signs as needed, and maintaining medical/nursing records. The Nurse will also observe patients and provide accurate and timely documentation of their treatment progress and coordinate and assist case managers regarding clients’ progress and treatment.

What you'll do

Complete Nursing Assessments, COWS, CIWA Assessments upon admission
Complete COWS/CIWA and ASAM assessments aligned with medical orders for protocols associated to withdrawal management
Complete medical clearance exam at time of intake
Complete Medication Monitoring and all required documentation
Complete Medication Counts at start and finish of shift of all control and non-control substances
Work closely with the clinical team during MDT meetings to offer and provide client medical insight as part of case presentations
Consult with staff and attend case conferences, as needed
Work collaboratively with the medical director for the medication reconciliation process.
Works to achieve standing orders and medical orders for medication
Able to organize and keep record of frequency and urgent medical exams
Directly works in collaboration with community providers for medication refills and reconciliation.
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.
Educating clients on their current medical diagnosis, needs and medical histories; educating clients on medication information and usages
Alerting physicians when conditions worsen or if abnormalities arise
Works in collaboration with counselors to ensure proper medication management and medication planning
Works directly with the program director on any medication errors and medication monitoring procedures
Works uniformly with the recovery specialist on medication monitoring procedure
Ensure responsibilities regarding Duty to Warn and Mandated Reporting are fulfilled

Qualifications

Massachusetts Licensed Registered Nurse
Experience:
- Nursing Experience: 2 years, required
- Medication monitoring: 1 year, required
- EHR systems, 2 years required
Spanish Bilingual Skills required
Ensure patient confidentiality in accordance with all federal, state, and local laws and regulations
Knowledge on best practices associated from the American Society of Addiction Medicine
Knowledge on medication-assisted treatment for substance use disorders
Knowledge of Substance Use Disorder and other co-occurring conditions

Physical & Mental Requirements

While performing the duties of this job, the employee is regularly required to walk, stoop, kneel, crouch, or crawl and talk or hear. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include distance vision, peripheral vision, and depth perception.

Schedule

Full-Time- 3rd Shift Monday-Friday 11pm-7am

Base Pay: $50/hr

Shift Differentials:

2nd shift: +$2/hr

Overnight Shift: +$3/hr

About the Company

Casa Esperanza

Bilingual behavioral health services and housing

Casa Esperanza provides bilingual and bicultural behavioral health services in Massachusetts, including residential treatment for substance use and co-occurring mental health conditions, outpatient clinics, and supportive housing, all at no cost. It uses an integrated CasaCare model that combines behavioral health with primary care, with programs like the Men's Program and the Latinas y Niños Center, plus on-site living for parenting mothers and telehealth through the Familias Unidas Outpatient Clinic. The organization differentiates itself as one of the first bilingual, bicultural residential programs in Massachusetts, offering a no-cost, no-denial approach, a broad continuum of care, and a focus on family reunification and re-entry support. Its goal is to reduce substance use and trauma-related health issues while helping clients achieve stable recovery and successful re-entry into society with housing and community resources.

Company size: 51-200
Company stage: Not listed
Total funding: Not listed
Headquarters: Boston, MA
Founded: 1984

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