Lead Nurse

Symetria Recovery; Sugar Land (TX); On-site; USD 45,000 - 52,000; Full time

Benefits offered by this job

Medical insurance

401(k) with company match

Life insurance

Pet insurance

CEU reimbursement

Licensure fee reimbursement

Paid vacation and sick time

Holidays paid

Job summary

Symetria Recovery in Texas is seeking a licensed LVN/LPN or RN for a full-time role at our Sugar Land clinics. You will dispense medications, monitor dosing, manage nursing staff and ensure DEA/state compliance, with shifting schedules and travel as needed.

Join a team committed to MAT and compassionate care; the role includes supervision, EMR entry in Kipu, and collaboration with program directors to optimize patient outcomes and treatment plans.

Qualifications

• Licensed LVN/LPN or RN with Texas license.
• 2+ years experience in substance abuse treatment or behavioral health preferred.
• 1+ year supervisory experience preferred.
• Experience dispensing, handling, ordering, and stocking medications.
• Experience using KIPU or similar EMR system.

Responsibilities

• Lead Nursing role: scheduling and staffing across clinics, covers shifts as needed.
• Set up and dispense medications; monitor dosing and inventory.
• Reconcile inventory of methadone, Suboxone, Subutex; ensure records accuracy.
• Print and file daily/monthly medication records; process physician orders.
• Enter notes in Kipu and manage dose changes per orders.
• Coordinate patient medication and monitor vital signs; ensure DEA/state compliance.
• Supervise nursing staff; conduct regular supervision and annual evaluations.
• Partner with Program Directors to train/mentor staff and improve procedures.

Skills

Medication dispensing

Medication inventory management

Supervisory experience

EMR (Kipu)

Addiction knowledge

Tools

KIPU EMR

Job description

Who We Are:

Symetria Recovery is the #1 outpatient rehab in Illinois and Texas. It started with three simple, yet game-changing core beliefs: Addiction is a disease; co-occurring mental health conditions should be addressed, and patients deserve respect, not judgement. Symetria Recovery provides comprehensive substance abuse treatment with a focus on Medication-Assisted Treatment (MAT) in a welcoming outpatient setting. Unlimited clinical services are available to our patients under our bundled-service delivery model. Key services delivered through our Opioid Treatment Program (OTP) licensure include MAT, medically monitored psychiatric care, individual therapy, group therapy (IOP), 6-day-per-week nursing care, and ongoing aftercare. Most of our patients being provided medication receive Buprenorphine products, but they can also receive Methadone, and any other FDA-approved medication for addiction.

What You Will Do:

• Works with the Director of Nursing and Program Directors to ensure required scheduling and staffing needs are followed at each clinic assigned to; and if necessary, covers shifts, when necessary, at any clinic assigned to. Lead Nurse is eligible for mileage reimbursement per company policy; and should overnight stays be necessary; travel expenses are reimbursed per company policy.
• Sets up for dispensing of medication and dispenses medication.
• Monitors medication inventory and reports inventory needs/status to Program Director.
• Orders medications and maintains adequate medical supplies.
• Reconciles inventory of Methadone, Suboxone, and Subutex at conclusion of dosing.
• Prints daily reports and the monthly medication record and ensures accuracy of records.
• Sign and file the monthly medication record appropriately.
• Signs and processes physician orders.
• Enters notes in Kipu and input flags as per physician orders.
• Processes dose changes and enters notes in the system.
• Processes phase change requests.
• Documents "no-shows" in the system.
• Coordinates guest patient medication.
• Monitors vital signs for dose changes.
• Files appropriate paperwork and ensures with Program Director that we are following all state and DEA requirements.
• Files RIN numbers and files exception requests as needed.
• Collects urine drug screens, draws blood, and administers TB injections and tests.
• Answering phones and ensuring excellent customer service.
• Assesses adverse reactions to medications and issues related to drug overdoses.
• Uses clinical experience and skills to ensure the needs of each patient and advocate for them.
• Responsible for all aspects of dispensing, nursing staff oversight and med room operations.
• Will assess for and work with appropriate Program Director for any employee disciplinary matters of nursing staff.
• Will conduct regular monthly individual supervision with nursing staff.
• Partners with the Program Directors to interview, train, and mentor new staff. Contributes with annual performance evaluations.
• Attends treatment team meetings to help assess patient’s health status to develop, execute and evaluate the plan of care.
• Responsible for locating, understanding, and implementing Symetria Recovery’s policies and procedures. And works with clinic management on ensuring companywide initiatives are being met, as well as makes suggestions for any workflow improvements and development on procedures related to nursing duties.
• Any and all duties as assigned.

Who You Are:

• Must have a current and valid LVN, LPN, or RN license with no restrictions and licensed within the state of Texas.
• Experience dispensing, handling, ordering, and stocking medications
• 2+ years' experience working as an LVN, LPN, or RN in a substance abuse treatment (preferably MAT) or behavioral health setting preferred
• 1+ year of supervisory experience preferred
• Experience using KIPU or other EMR
• Knowledge of addiction and co-occurring mental health disorders preferred
• Knowledge of recovery process and terminology preferred
• Full time position (40 hours per week) - Monday-Friday 5:30am-2pm and alternating Saturdays (6:30am-9am). Hours may vary per clinic.

Benefits Available to You:

• Medical, dental, and vision insurance for you and your family
• 401(k) with company match
• Life insurance
• Pet insurance
• CEU reimbursement and paid time for continuing education
• Licensure fee reimbursement
• Paid vacation and sick time
• Closed and paid major holidays

Compensation for this position is based on market analysis and will be determined by additional factors such as location/state, skills, years of experience, relevant credentials, and education. The posted compensation range for this role is $33.00 to $38.00 per hour. We are committed to offering a competitive compensation and benefits package that reflects all the factors previously outlined in conjunction with current market trends.

Come join a team that believes in and has a passion for providing personalized care to each individual that is a part of Symetria Recovery!