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

Casa Esperanza’s Conexiones program is a 32-bed facility that provides integrated acute treatment services for withdrawal management and clinical stabilization services to adults struggling with co-occurring substance use and mental health treatment needs. At Casa Esperanza’s Conexiones program, located at Tewksbury Hospital, we provide inpatient 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 a Certified Addictions Registered Nurse (CARN) to act as the Conexiones Nurse Manager providing oversight and leadership for all Nursing Services at our co-occurring enhanced integrated ITS. Through Casa’s ITS Model (individualized and integrated care model), the Nurse Manager will work collaboratively with our Medical Director and NP Medical Director Designee, 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, assisting Case Managers with placement in the community. 

What you'll do

Supervision and Leadership:

• Oversee the daily operations of the nursing department
• Collaborate with Clinical Operations Director to lead the development of Nursing Policies and Procedures
• Mentoring and guiding staff, including training and onboarding of new nursing hires.
• Develop and implement patient care plans
• Delegating tasks and coordinating patient care
• Providing guidance and support during challenging situations
• Collaborates with Medical Director Designee and Clinical Operations Director to conduct job interviews and performance evaluations for Conexiones nursing staff
• Alerting physicians when conditions worsen or if abnormalities arise
• Ensure responsibilities regarding Duty to Warn and Mandated Reporting are fulfilled
• Demonstrates responsibility regarding punctuality and attendance to assure staff is available to provide client care

Unit Management:

• Creating staffing schedules and assigning nurses to patients or tasks
• Monitoring supply and equipment levels
• Ensuring compliance with healthcare regulations and standards
• QA/QI medication and inventory needs in compliance with DPH/DEA regulations
• Maintaining a safe environment for patient care.
• In the unlikely event that no other medical staff is able to be secured due to an emergency or the like, the Nurse Manager will be required to cover the open shift until proper coverage is secured to maintain appropriate staffing levels. 

Communication and Collaboration:

• Working closely with physicians and other healthcare providers.
• Serving as a liaison between nurses, patients, physicians, and staff.
• Attending staff huddles/meetings to discuss the unit.
• Communicating effectively with staff and patients.
• Work closely with the clinical team during MDT meetings to offer and provide client medical insight as part of case presentations.
• Work collaboratively with the Medical Director/Designee for the medication reconciliation process.
• Directly works in collaboration with community providers for medication refills and reconciliation.
• Works in collaboration with counselors to ensure proper medication management and medication planning
• Works directly with Medical Director/Designee on any medication errors and medication monitoring procedures
• Works uniformly with Recovery Specialist on medication monitoring procedure

Patient Care

• Complete Nursing Assessments, COWS, CIWA Assessments upon admission
• Ensure monitoring of vitals and withdrawal symptoms
• 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 Monitoring and all required documentation
• 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.
• Educating clients on their current medical diagnosis, needs and medical histories; educating clients on medication information and usages
• Leads or co-leads client groups, as required.
• Ability to read and implement orders of the physician/designee regarding standing orders, treatment planning
• Attend mandatory training to update the knowledge base and enhance both professional and personal growth.
• Assist in developing nursing and medication records on each client.
• Monitors and administers PRN medications and prescribed medication regimens in accordance with regulatory and safety standards.
• Ensure smooth transitions regarding continuity of care and medication management of patients during the discharge process.
• Supervision tasks as assigned.

Qualifications

• Massachusetts Licensed Registered Nurse
• Bilingual: Spanish/English, required
• Supervision Responsibilities: as delegated by Medical Director/Designee

KNOWLEDGE/SKILLS/ABILITIES: 

• Knowledge of EHR systems 
• 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 of Medication Assisted Treatment for substance use disorders
• Knowledge of Substance Use Disorder
• Leadership; interpersonal communication; clinical-administrative care; problem solving; and knowledge and understanding of the work environment

Schedule

Full-Time

Monday – Friday, 8a-4p, on-call responsibilities

What we offer:

Casa Esperanza Benefits Package:

• Compensation:  $57 - $59/hour
• Holiday Pay (12 days per year + 1 floating holiday)
• Paid Time Off (PTO) - 18 days year one, 20.5 days at year 2, 23 days at year 5
• Sick Pay - 10 paid days per year
• 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
• Educational Opportunities
• Tuition Remission
• Employee Ticket at Work (Discounts for Entertainment, travel, movies; etc.)
• Career Advancement Opportunities
• Increased Salary for Credentials
• and more....

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.

At Casa Esperanza, Inc., 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’s EEO Statement

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.

We recruit, hire, employ, train, promote, and compensate individuals based on job-related qualifications and abilities. 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 hr@casaesperanza.org.