Registered Nurse - Night (3210)

Valley Vista; Bradford (VT); On-site; USD 65,000 - 85,000; Full time

Job summary

Valley Vista in Bradford, Vermont is seeking a Registered Nurse (RN) to provide comprehensive nursing care in a substance use disorder treatment setting. The RN will assess, plan, implement, and evaluate patient care while collaborating with the treatment team. Responsibilities include conducting assessments, administering medications, and coordinating with various healthcare professionals.

The successful candidate will hold an active RN license in Vermont, possess a degree in nursing, and have current BLS certification. Experience in addiction treatment and knowledge of trauma-informed care is preferred.

Qualifications

• Current, active Registered Nurse (RN) license in Vermont.
• Graduate of an accredited nursing program.
• Current Basic Life Support (BLS) certification.

Responsibilities

• Conduct comprehensive health assessments and establish nursing diagnoses.
• Administer medications and respond to medical needs.
• Collaborate with healthcare professionals for integrated care.

Skills

Clinical Assessment

Care Coordination

Crisis Management

Effective Communication

Education

Associate or Bachelor Degree in Nursing

Active RN License in Vermont

BLS Certification

Tools

Electronic Health Records (EHR)

Job description

Overview

The Registered Nurse (RN) provides comprehensive nursing care to patients in a substance use disorder (SUD) treatment setting, including detoxification and/or residential services. The RN is responsible for independent assessment, care planning, implementation, and evaluation of patient care, and for coordinating services across the interdisciplinary treatment team. In accordance with Vermont law, the RN practices within a full scope of nursing, including assessment, diagnosis, care planning, and evaluation of patient outcomes.

Key Responsibilities

• Clinical Assessment & Care Management
  • Conduct comprehensive physical and behavioral health assessments
  • Establish nursing diagnoses and develop individualized care plans
  • Monitor and evaluate patient progress, modifying care plans as needed
  • Administer medications, including detoxification and MAT protocols, per provider orders
  • Respond to acute medical and behavioral health needs
• Detoxification & Addiction Treatment
  • Conduct and document withdrawal assessments using standardized tools (e.g., CIWA, COWS) (as applicable)
  • Monitor patients for complications related to substance withdrawal (e.g., alcohol, opioids)
  • Support medication-assisted treatment (MAT), including patient education and adherence monitoring
  • Provide health education focused on recovery, relapse prevention, and wellness
• Care Coordination
  • Collaborate with physicians, APRNs, counselors, and case managers to support integrated care
  • Coordinate admissions, transfers, and discharges
  • Facilitate referrals to medical and behavioral health services as needed
  • Communicate effectively with patients, families, and care teams
• Supervision & Delegation
  • Direct and supervise LPNs and unlicensed assistive personnel
  • Delegate tasks in accordance with Vermont nursing regulations and patient safety considerations
  • Provide clinical guidance and mentorship to nursing staff
• Documentation & Compliance
  • Maintain accurate, timely, and compliant clinical documentation
  • Ensure adherence to Vermont Nurse Practice Act, organizational policies, and regulatory standards
  • Participate in audits, quality improvement initiatives, and performance monitoring
• Safety & Quality
  • Maintain a safe, therapeutic, and trauma-informed care environment
  • Respond to emergencies, including overdose, withdrawal complications, and behavioral crises
  • Promote infection control and patient safety protocols
• Work Environment
  • Detoxification units, residential treatment centers, outpatient clinics, or community-based settings
  • Fast-paced, team-oriented clinical environment
  • May require shift work, including nights, weekends, and holidays

Physical Requirements

• Ability to stand, walk, and respond quickly in emergency situations
• Ability to lift or assist patients as needed
• Manual dexterity for clinical procedures

Core Competencies

• Advanced clinical judgment and critical thinking
• Leadership and team coordination
• Effective communication and patient education
• Crisis management and de-escalation
• Documentation accuracy and regulatory compliance

Qualifications

• Current, active Registered Nurse (RN) license in the State of Vermont
• Graduate of an accredited nursing program (Associate Degree in Nursing or Bachelor of Science in Nursing)
• Current Basic Life Support (BLS) certification (ACLS preferred depending on setting)

Preferred Qualifications

• Experience in substance use disorder treatment, detox, or behavioral health
• Experience with medication-assisted treatment (MAT)
• Knowledge of trauma-informed care and harm reduction principles
• Experience with electronic health records (EHR)