About Casa Esperanza

• Thursday through Saturday
• Shift Differential: +$2/hour for evenings, +$4/hour for weekends

About the role

Casa Esperanza Conexiones is a 32-bed facility that provides clinical stabilization services and acute treatment services for withdrawal management to adults struggling with drugs, including heroin and prescription drugs, or alcohol. At Casa Esperanza CSS, located at the Tewksbury Hospital, we provide residential substance abuse treatment for adults in a physically and psychologically safe environment. We serve adults from Massachusetts who need residential treatment for drug and alcohol abuse, 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 to oversee the Medical Services at our Tewksbury ATS/CSS 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 client’s progress and treatment. 

• Complete Nursing Assessments, COWS, CIWA Assessments upon admission
• Complete cows/ ciwa and ASAM assessment 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 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 Medical Director for 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 Program Director on any medication errors and medication monitoring procedure
• Works uniformly with Recovery Specialist on medication monitoring procedure
• Ensure responsibilities regarding Duty to Warn and Mandated Reporting are fulfilled

• Massachusetts Licensed Registered Nurse 
• Bilingual: Spanish/ English preferred 
• Supervision Responsibilities; None 

• 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.