Registered Nurse (Full-Time)

Casa Esperanza, Inc. is a bilingual/bicultural behavioral health treatment provider serving Boston and the Merrimack Valley. Our mission is to empower individuals and families to recover from addiction, trauma, mental illness, and other chronic medical conditions; overcome homelessness and discrimination; and achieve health and wellness through comprehensive, integrated care.

• Complete Nursing Assessments, COWS, CIWA Assessments
• Complete medical clearance exam at time of intake
• Complete Medication Monitoring and all required documentation
• Complete medication counts at the start and finish of the shift of all control substances.
• Work closely with the clinical team during MDT meetings to offer and provide client medical insight as part of case presentations.
• Consult with staff and attend case conferences, as needed 
• Work collaboratively with PMHNP/ Providers for medication reconciliation process. 
• Work as part of an integrated care team model 
• Directly works in collaboration with community providers for medication refills and reconciliation. 
• Ensures a clearly reviewed and record of all quality assurance reviews
• Establishes group curriculum to provide 2 hours weekly of health education material 
• Meets with each patient to establish medication plans as needed for safety intervention and monitoring adherence
• Participates in referral to community based care for patients
• Complete evaluations based on client request for medical attention, emergency and non-emergency triage and physical/mental health rounds for safety and condition monitoring
• Keep electronic health records up to date including progress notes and assessments of service. 
• Educating clients on their current medical diagnosis, needs and medical histories; educating clients on medication information and usages.
• Alerts provider for any medication refills, needs of reconciliation or abnormalities and reactions occur. 
• Works in collaboration with counselors to ensure proper medication management and medication planning.
• Works directly with Program Director on any medication errors and medication monitoring procedure
• Works uniformly with Recovery Specialist on medication monitoring procedure
• Ensure responsibilities regarding Duty to Warn and Mandated Reporting are fulfilled

• Coordinate patient care throughout the OBAT treatment episode.
• Conduct nursing assessments and collect medical histories.
• Monitor patient progress and treatment adherence.
• Participate in multidisciplinary case reviews and treatment planning.
• Facilitate referrals to higher or lower levels of care as clinically indicated.
• Coordinate care with primary care providers, behavioral health providers, hospitals, detoxification programs, and specialty providers.

• Support prescribing providers in the management of medications for opioid use disorder (MOUD), including:
• • Buprenorphine products
  • Extended-release buprenorphine injections
  • Naltrexone (oral and injectable)
• Assist with patient inductions and stabilization visits.
• Monitor medication adherence and response to treatment.
• Educate patients regarding medication use, side effects, storage, and overdose prevention.
• Monitor for withdrawal symptoms, cravings, and relapse risk.

• Obtain vital signs and perform clinical screenings.
• Conduct medication reconciliation.
• Administer injectable medications as ordered.
• Perform venipuncture and specimen collection.
• Conduct CLIA-waived testing as authorized.
• Monitor laboratory results and notify providers of abnormal findings.
• Provide wound care and basic nursing interventions within the scope of practice.

• Coordinate urine drug screening protocols.
• Collect and process laboratory specimens.
• Track required laboratory testing, including:
• • CBC
  • CMP
  • Liver Function Tests
  • Hepatitis Screening
  • HIV Screening
  • Pregnancy Testing
  • Other provider-ordered laboratory studies
• Ensure timely review and follow-up of laboratory results.

• Massachusetts Licensed Registered Nurse 
• Bilingual English/Spanish skills are highly desirable due to the populations served by the organization
• Knowledge of EHR systems 
• Ensure patient confidentiality in accordance with all federal, state, and local laws and regulations 
• Knowledge on best practices associated from the American Society of Addiction Medicine 
• Knowledge on Medication Assisted Treatment for substance use disorders
• Knowledge of Substance Use Disorder

While performing the duties of this job, the employee is regularly required to walk, stoop, kneel, crouch, or crawl and talk or hear. The employee must occasionally lift and / or move up to 20 pounds. Specific vision abilities required by this job include distance vision, peripheral vision, and depth perception.

While performing the duties of this job the employee is regularly required to walk, stoop, kneel, crouch or crawl and talk or hear. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include distance vision, peripheral vision, and depth perception.

At Casa Esperanza, Inc., the health and safety of our people is our number one priority. That’s why all offers of employment are contingent on the candidate showing proof of being fully vaccinated against COVID 19 (currently one dose of the Johnson & Johnson vaccine or two doses of the Pfizer or Moderna vaccine and boosted, when eligible) to pass the pre-employment requirements. Individuals with medical issues or religious beliefs that prevent them from getting the vaccine may request an exemption from the vaccine requirement.

Monday to Friday 

Full-Time 40 Hours (Flexible Hours)

50% Shift (LYNC Program)

50% Shift (FUOP  Program)

Casa Esperanza, Inc. values its diverse workplace and encourages women, people of color, LGBTQIA+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, older members of society, and others from minority groups and diverse backgrounds to apply.

We recruit, hire, employ, train, promote, and compensate individuals based on job-related qualifications and abilities. Casa Esperanza, Inc also has a longstanding policy of providing a work environment that respects the dignity and worth of each individual and is free from all forms of employment discrimination, including harassment, because of race, color, sex, gender, age, religion or religious creed, national origin, ancestry, citizenship, marital status, sexual orientation, gender identity, gender expression, genetic information, physical or mental disability, military or veteran status, or any other characteristic protected by law.  All employees, interns, volunteers and contractors of Casa Esperanza, Inc. are responsible for maintaining a work culture free from discrimination and harassment by treating others with kindness and respect.

Casa Esperanza, Inc. also provides reasonable accommodation to qualified individuals with disabilities or based on a sincerely held religious belief, in accordance with applicable laws. If you need to inquire about an accommodation, or need assistance with completing the application process, please email hr@casaesperanza.org.