Registered Nurse

McAlister Institute for Treatment & Education; San Diego (CA); On-site; USD 66,000 - 70,000; Full time

Benefits offered by this job

13 paid holidays incl. birthday

Public Service Loan Forgiveness (PSLF)

403(b) retirement plan + employer math

Health insurance after 30 days (Sharp)

Employee Assistance Program (EAP)

Job summary

McAlister Institute for Treatment & Education in San Diego seeks a Registered Nurse to provide nursing care under Medical Director oversight in a sobering services setting.

You will perform initial intakes, monitor vitals, document with SOAP notes, coordinate care, and facilitate access to MAT, while maintaining a safe, welcoming environment.

Qualifications

• Graduate of an accredited RN program with active California RN license and CPR/BLS certification.
• Experience with vulnerable populations, including individuals with substance use disorders and mental health conditions.
• Ability to work in a fast-paced environment with exposure to behavioral crises and infectious diseases.
• Proficiency with EHRs and documentation (Welligent/SmartCare).
• Bilingual English/Spanish preferred for effective communication.

Responsibilities

• Uphold and promote the mission and values of McAlister Institute.
• Conduct initial visual intakes to assess appropriateness for sobering services.
• Monitor vital signs and oversee safety measures for participants, including rehydration and wound care.
• Document participant status through SOAP notes and maintain records.
• Coordinate with service navigators to ensure accurate client records and SOAP notes.
• Perform assessments (CIWA, COWS, GCS, ASAM) and ensure proper documentation.
• Maintain a clean, welcoming, and safe sobering services environment.
• Collaborate with medical backup for care transitions and telepsychiatry.
• Educate participants on health conditions and access to MAT when needed.

Skills

Crisis management

Documentation

Communication

Bilingual English/Spanish

Education

California RN license

CPR/BLS certification

High school diploma or GED

Tools

Welligent

SmartCare

MS Office

Job description

Join McAlister Institute, a 49-year beacon in San Diego's Recovery Community.

The Recovery and Bridge Center’s Sobering Services is seeking a dedicated Registered Nurse to join our team. Reporting directly to the Program Manager, you will provide essential nursing care under protocols and medical oversight by the Medical Director. Your role will support individuals in a non-medical sobering environment, ensuring their safety and well-being.

Benefits for YOU

• 13 paid annual holidays, including your birthday; 12 paid vacation days, paid sick leave
• Public Service Loan Forgiveness eligibility
• 403(b) Retirement Plan + up to 6% Employer Match
• Health Insurance available the first of the month following 30 days of employment (Sharp)
• EAP

Key Responsibilities

• Uphold and promote the mission, philosophy, values, and direction of McAlister Institute.
• Conduct initial visual intakes to assess appropriateness for our sobering services.
• Monitor vital signs and oversee safety measures for participants, including rehydration and basic wound care.
• Document participant status through SOAP notes.
• Collaborate with service navigators to maintain accurate client records and SOAP notes.
• Perform various assessments including CIWA for alcohol withdrawal, COWS for opiate dependence, GCS, and ASAM screenings.
• Maintain a clean, welcoming, and safe environment within the Sobering Services Center.
• Establish connections with service providers to enhance referral processes.
• Educate participants on health conditions and facilitate access to medication assisted treatment (MAT) as needed.
• Coordinate with medical backup for care transitions and telepsychiatry.
• Secure necessary consents and follow up with referred participants.
• Engage in care coordination activities as required.
• Ensure a warm, safe space and maintain all equipment in good order.
• Attend mandatory meetings and training sessions to stay current with ethical, culturally competent, trauma-informed care practices.
• Adhere to all personnel policies and the employee handbook, including dress code and timely reporting.
• Perform other assigned duties as needed.

Available Shift

Tuesday-Saturday

10:00 PM to 6:30 AM

Requirements

• Graduated from an accredited RN program, with an active, unrestricted RN license in California, and current CPR/BLS certification.
• High school diploma or equivalent (GED) required.
• Prior experience working with vulnerable populations, including individuals with substance use disorders, mental health conditions, and other complex needs.
• Must be able to work in a fast-paced environment with exposure to behavioral crises and infectious diseases.
• Proficiency in health assessments, including withdrawal screenings (CIWA, COWS) and ASAM evaluations.
• Strong documentation skills, particularly in the electronic health record, Welligent.
• Strong communication and interpersonal skills, including the ability to manage crisis situations calmly and effectively.
• Experience in community-based clinics and/or emergency settings preferred.
• Maintains knowledge of legal guidelines pertaining to EMTALA/COBRA and abuse/neglect reporting.
• Knowledgeable about harm reduction, trauma-informed care, patient-centered care, and motivational interviewing.
• Ability to work effectively with a diverse population, including the impoverished, unhoused, and those suffering from chronic substance use and/or mental health challenges.
• Exceptional interpersonal skills, written and verbal communication, adaptability, and professionalism.
• Exudes a calm and competent manner, able to converse with medical professionals, lay persons, as well as persons or families and defuse crisis or high intensity situations.
• Proficiency with software and/or equipment (Microsoft Office applications including Outlook, Word, Excel and PowerPoint).
• Proficient with EHR Systems (e.g., Electronic Health Records such as Welligent or SmartCare).
• Maintains confidentiality; listens to others without interrupting; effectively regulates emotions, especially under stress; remains open to others' ideas and tries new things.
• On-site position.
• Bilingual (English/Spanish) preferred.
• Ability to pass all pre-employment screening, including references, education verification, a criminal background check with at least one year clear of probation or parole, a drug test, and a negative TB test.
• Must have reliable transportation.

Equal Opportunity Employer

McAlister Institute is committed to creating a diverse environment and we are proud to be an equal-opportunity employer. All qualified applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition (cancer and genetic characteristics), genetic information, or denial of medical and family care leave, any other non-job-related factors, and other characteristics protected by local, state, or federal anti-discrimination law covering employment.

Reasonable Accommodations

McAlister Institute is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the [e-mail]., for more information. Please include your name and position you are applying for.

Work Authorization Requirement

Applicants must be legally authorized to work in the United States at the time of application. McAlister Institute does not participate in visa sponsorship programs, including H1-B visas, and will not provide sponsorship for any employment-based visas.

Pre-Employment

All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from McAlister Institute employment as we are subject to County of San Diego contractual hiring requirements). A pre-employment physical examination, and post-offer background check is required. Candidates must have at least one year clear of probation or parole, a drug test, and a negative TB test.

General Information & Considerations

Placement on the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications.

Current McAlister Institute employees may receive priority consideration for positions when they meet essential qualifications.

Salary Description

48.00 - 51.00 / hr