Registered Nurse - Nights - Full-Time (3737)

Valley Vista; Bradford (VT); On-site; USD 62,000 - 69,000; Full time

Job summary

Valley Vista in Bradford, VT seeks a Registered Nurse to provide comprehensive nursing care in a substance use disorder treatment setting, including detoxification and MAT protocols.

You will conduct assessments, develop and monitor care plans, coordinate with an interdisciplinary team, supervise staff, and ensure documentation is accurate and compliant with Vermont Nurse Practice Act.

Qualifications

• Current, active Vermont RN license.
• Graduate of an accredited nursing program (BSN or ADN).
• Current BLS certification; ACLS preferred depending on setting.

Responsibilities

• 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.
• Collaborate with physicians, APRNs, counselors, and case managers to support integrated care.
• Coordinate admissions, transfers, and discharges.
• Direct and supervise LPNs and unlicensed assistive personnel.
• Maintain accurate, timely, and compliant clinical documentation.
• Respond to emergencies and ensure safety protocols.

Skills

Clinical assessment

Care planning

Care coordination

Supervision

Documentation

Education

Bachelor of Science in Nursing

Associate Degree in Nursing

Tools

Electronic Health Records (EHR)

Job description

Job Details: Job Location: VV - Bradford - Bradford, VT 05033, Salary Range: $45.00 - $50.00 Hourly, Travel Percentage: None, Job Shift: Night, Job Category: Health Care

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, activeRegistered 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)

CORRESPONDING LPN POSTING - 3736