Registered Nurse RN FULLTIME

Four Pillars Recovery; Snowflake (AZ); On-site; USD 52,000 - 69,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401K

Generous PTO

Job summary

Four Pillars Recovery in Pinetop, AZ, is seeking a dedicated Registered Nurse to support adults in detox and co-occurring conditions. Under the Director of Nursing, you will provide 24/7 care in a 17-bed facility, delivering evidence-based care with a focus on safety.

You will collaborate with a multidisciplinary team, conduct assessments, monitor withdrawal, administer medications, document care, and educate patients.

Qualifications

• Active RN license in Arizona.
• Minimum 1 year nursing experience; detox/behavioral health preferred.
• BLS certification required.
• Strong clinical judgement and crisis response skills.
• Proficient with EMR and CRM systems.

Responsibilities

• Conduct admission screening and intake assessments.
• Perform comprehensive nursing assessments and monitoring of withdrawal.
• Administer medications per physician orders and protocols.
• Monitor vital signs and document withdrawal symptoms.
• Respond to emergent clinical situations ensuring patient safety.
• Collaborate with multidisciplinary team to develop care plans.
• Educate patients on withdrawal, medications, and recovery support.
• Maintain compliant clinical documentation.
• Support a therapeutic, respectful treatment environment.

Skills

CIWA & COWS scoring

Five Rights

Crisis response

Interpersonal communication

Team collaboration

EMRs

CRM usage

Education

Registered Nurse (AZ) license

BLS Certification

Tools

EMR systems

CRM systems

Microsoft Office

Job description

Are you looking for more than just your next job? Do you want to be part of a team where collaboration, accountability, and excellence aren't just values, they're the foundation of everything we do? If you're energized by meaningful work, passionate about making a lasting impact, and desire to be a part of an organization where your contributions are celebrated, then we'd love to meet you.

Four Pillars Recovery is growing, and we're looking for exceptional Registered Nurses to join our team in Pinetop, Arizona. As a 17-bed medically supervised detoxification facility, we provide compassionate, evidence-based care to adults experiencing acute withdrawal and co-occurring behavioral health conditions. Every day, our team has the privilege of helping individuals through one of the most critical moments of their lives, offering not only expert medical care, but hope, dignity, and a foundation for lasting recovery.

OVERVIEW

As a Registered Nurse (RN), your expertise is instrumental in supporting life-changing outcomes for individuals navigating the first steps in overcoming addiction and mental health adversities. Under the direction of the Director of Nursing, you will work in close collaboration with both the medical and clinical teams, ensuring the highest standards of patient care, regulatory compliance, and fostering the growth of a dynamic team.

SUMMARY OF POSITION

Under the direction of the Director of Nursing, the Registered Nurse (RN) provides 24/7 direct patient care to adults undergoing acute withdrawal management and treatment for co-occurring conditions. Working within a multidisciplinary team, the RN assesses, plans, implements, and evaluates care, including monitoring withdrawal symptoms, administering medications, ensuring patient safety, and responding to clinical needs. The RN maintains a therapeutic environment, documents care in compliance with regulatory standards and supports continuity of care through effective team communication.

ESSENTIAL JOB RESPONSIBILITIES

• Assist the admission process by conducting pre-admission eligibility screening and initial intake assessments.
• Conduct comprehensive nursing assessments and ongoing monitoring of patients in acute withdrawal.
• Administer medications and treatments in accordance with physician orders and clinical protocols.
• Monitor and document withdrawal symptoms, vital signs, and patient response to care.
• Identify and respond to emergent clinical situations, ensuring patient safety at all times.
• Collaborate with the multidisciplinary team to develop and adjust individualized care plans.
• Provide patient education on withdrawal, medications, and recovery support.
• Maintain accurate, timely, and compliant clinical documentation.
• Support a therapeutic, respectful, and structured treatment environment.

MINIMUM QUALIFICATIONS

• Current, unencumbered Registered Nurse (RN) License in the State of Arizona
• Minimum of 1 year of nursing experience. Detox, behavioral health, or acute care preferred
• Current BLS Certification
• Strong clinical judgement, critical thinking, and crisis response skills
• Demonstrated proficiency with a variety software systems including Microsoft Office, CRMs, and EMRs
• Customer service focused with strong interpersonal communication skills and ability to positively collaborate within a multidisciplinary team

COMPETENCIES

• Demonstrates knowledge of CIWA & COWS scoring, performs accurate assessment and documentation, and communicates results to the provider
• Administers medications using the "Five Rights," evaluates effectiveness, and documents accurately
• Adheres to nursing scope of practice, patient rights, and safety protocols
• Identifies clinical changes and supports crisis response consistent with approved procedures
• Works effectively within the interdisciplinary team to support continuity of care
• Perform vital signs accurately and report abnormalities
• Conducts CLIA waived testing (toxicology, pregnancy) per protocol and documents results in the EMR.
• Assesses, documents, and responds to suicidal and self-harm risk in accordance with facility policies, including timely notification of the provider and implementation of safety measures.

POSITION DETAILS

• Job Type: Multiple Positions Available - Full-time (3x12hr per week), Part-time: (2x12hr per week), and PRN
• Schedule: Day Shift (7am-7pm), Night Shift (7pm-7am), Rotating, and weekends.
• Salary: $38-$50 per hour, depending on experience
• Benefits: Health, Dental, and Vision, 401K, and a generous PTO plan
• Location: Pinetop, AZ

ABOUT FOUR PILLARS

At Four Pillars Recovery, we know that changing lives starts with building an exceptional team. Here, every member of our organization, whether providing direct patient care or supporting operations behind the scenes, plays a vital role in helping individuals overcome addiction and reclaim their future.

When you join Four Pillars, you become part of a mission-driven organization committed to delivering compassionate, evidence-based care with integrity, excellence, and respect. We believe our employees are our greatest asset, and we are dedicated to fostering a workplace where you can grow professionally, feel supported personally, and make a meaningful impact every day.

WHAT YOU CAN EXPECT

• Purpose-Driven Work: Make a tangible difference in the lives of individuals and families by helping patients take their first steps toward lasting recovery.
• Collaborative Culture: Work alongside experienced medical, clinical, and behavioral health professionals who value teamwork, open communication, and mutual respect.
• Professional Growth: We invest in our people through ongoing training, mentorship, and opportunities for career advancement.
• Clinical Excellence: Be part of an organization that is committed to high-quality, evidence-based care, continuous improvement, and the highest ethical standards.
• Supportive Leadership: We believe the best patient care begins with supporting our team members. Our leaders are accessible, engaged, and committed to your success.
• Meaningful Impact: Every interaction matters. Whether you're providing direct care, coordinating services, or supporting operations, your work contributes to transforming lives and strengthening our communities.