Licensed Practical Nurse (LPN) - Full-Time, M-F (3 Shift)

Casa Esperanza; Tewksbury (MA); On-site; USD 45,000 - 65,000; Full time

Job summary

Casa Esperanza, Inc. invites a Massachusetts Licensed Practical Nurse to join the Conexiones team at our Tewksbury facility. You will perform nursing assessments, monitor medications, and document vital signs while supporting the integrated care model for adults in residential treatment.

The role requires 2 years of nursing experience, 1 year of medication monitoring, and proficiency with EHR systems. Collaboration with clinicians and case managers is essential to ensure safe, effective care.

Qualifications

• Massachusetts LPN license required.
• Nursing experience: 2 years, required.
• Medication monitoring: 1 year, required.
• EHR systems: 2 years, required.
• Confidentiality in accordance with laws and regulations.
• Knowledge of ASAM and MAT in addiction treatment.

Responsibilities

• Perform nursing assessments, COWS, and CIWA at admission.
• Complete COWA/CIWA and ASAM assessments per medical orders.
• Complete medical clearance at intake.
• Monitor medications and document progress.
• Maintain medication counts at shift start and end.
• Collaborate with clinical team during MDT meetings and with case managers.
• Coordinate medication reconciliation with medical director.
• Ensure proper medication ordering and monitoring procedures.
• Keep electronic health records up to date with progress notes.
• Educate clients about diagnoses and medications.
• Notify physicians of deteriorating conditions; coordinate with team.
• Support counselors on medication management and monitoring.
• Honor Duty to Warn and mandated reporting requirements.

Skills

Medication monitoring

EHR systems

Confidentiality

ASAM knowledge

Medication Assisted Treatment

Education

Massachusetts LPN license

Tools

EHR systems

Job description

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 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 Licensed Practical Nurse 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 client’s progress and treatment.

What you'll do

• Complete nursing assessments, COWS, and CIWA assessments upon admission
• Complete COWA/CIWA and ASAM assessmentss 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 the start and finish of the 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 procedure
• Works uniformly with the recovery specialist on the medication monitoring procedure
• Ensure responsibilities regarding Duty to Warn and Mandated Reporting are fulfilled

Qualifications

• Massachusetts Licensed Practical Nurse
• Experience:
• Nursing Experience: 2 years, required
• Medication monitoring: 1 year, required
• EHR systems: 2 years, required
• Ensure patient confidentiality in accordance with all federal, state, and local laws and regulations
• Knowledge on best practices associated with 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, Monday-Friday from 11 pm to 7 am (3rd shift)

Hourly Rate:

$40 Base Rate

2nd shift: +$2/hr

Overnight Shift: +$3/hr