Registered Nurse - Night

Location: Bradford

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  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

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)
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