LICENSED VOCATIONAL NURSE
Work with great people doing great things! Join Buckelew Programs and play a key role in supporting individuals facing mental health and substance use challenges across the North Bay.We are hiring a Licensed Vocational Nurse (LVN) to be part of the new Rising Recovery program, new short-term residential treatment program serving individuals with co-occurring substance use and mental health disorders. Working under the supervision of a licensed provider, you will support safe withdrawal management, medication services, and ongoing health monitoring in compliance with California Department of Health Care Services (DHCS) standards. This role is critical in ensuring client safety, comfort, and stabilization while in residential treatment and potentially undergoing detoxification. This is onsite position working either 11 am - 7 pm or 12 pm - 8pm, depending on client needs.ResponsibilitiesDetox & Clinical CareMonitor and document withdrawal symptoms using standardized tools (e.g., CIWA-Ar, COWS)Perform intake nursing assessments and ongoing reassessmentsObtain and monitor vital signs per detox protocol and physician ordersIdentify and promptly report signs of medical or psychiatric instabilityMedication AdministrationAdminister medications as ordered, including those used in withdrawal management and medication-assisted treatment (MAT)Monitor for side effects, adverse reactions, and effectiveness of medicationsMaintain accurate medication administration records (MAR) in compliance with California regulationsClient Monitoring & SafetyConduct regular wellness checks and ensure appropriate observation levelsRespond to medical emergencies, including overdose, severe withdrawal, or co-occurring conditionsSupport infection control, universal precautions, and medication storage standardsDocumentation & ComplianceComplete timely and accurate clinical documentation in accordance with DHCS Title 9 and facility policiesAssist with audits, incident reporting, and quality assurance activitiesMaintain confidentiality in compliance with HIPAA and 42 CFR Part 2Collaboration & SupportCommunicate effectively with physicians, RNs, counselors, and case managersParticipate in shift reports and multidisciplinary team meetingsProvide client education on detox, medications, and health stabilizationQualificationsEducation & ExperienceActive, unrestricted California Licensed Vocational Nurse (LVN) licenseMinimum 1 year of nursing experience required; detox, SUD, or behavioral health experience strongly preferredCurrent CPR/BLS certification (required)Familiarity with withdrawal management protocols (alcohol, opioids, benzodiazepines preferred)Knowledge of DHCS licensing standards for residential SUD programsStrong assessment, documentation, and crisis response skillsSkills & AbilitiesExperience with CIWA-Ar / COWS protocolsExperience with electronic health records (EHR)Training in trauma-informed care and de-escalation techniquesExperience with co-occurring mental health disordersPhysical RequirementsAbility to sit, stand, walk, and use hands repetitively for documentation and patient care tasks.Manual dexterity to operate medical and office equipment.Clear verbal and auditory communication with patients and staff.Ability to lift up to 25 pounds occasionally.Travel may be required between sites.Great Benefits! Medical, dental, vision and life and long-term disability insurance, Employee Assistance Program, flexible spending accounts for health, dependent and transit costs, retirement savings plan with company match, eligibility for loan forgiveness, continuing education credits available through our learning management system, discount program, paid meal breaks and generous paid time off.We are an Equal Opportunity Employer committed to creating a workplace that celebrates diversity, promotes equality, and fosters inclusion. We encourage applications from individuals of all backgrounds, experiences, and perspectives.