Overnight RN

Pacific Quest provides licensed and accredited residential mental healthcare on Hawaii Island and is a leader in integrative, nature-based residential treatment for adolescents and young adults.

- Be part of a mission-driven team committed to fostering health, connection, and resilience

- Work in a collaborative, supportive environment where every role contributes to life-changing outcomes

- Enjoy competitive pay, great benefits

The Overnight RN is not a traditional RN role, but is responsible for maintaining medical oversight and ensuring the safety and well-being of adolescent and young adult residents during overnight hours. This role includes medication preparation and monitoring, behavioral observation, emergency response, facility readiness, and collaboration with daytime staff to ensure continuity of care. The Overnight RN  plays a critical part in upholding Pacific Quest’s high standards of integrative medical care in a structured residential treatment environment.

Accountabilities:

Ensure resident well-being during overnight hours

Maintain vigilance in monitoring and observation

 Key Responsibilities:

Perform 15-minute bed checks throughout the shift

Support resident safety through alertness and presence

Monitor for behavioral issues and escalate as needed

Assist with hygiene and bedtime routines for late-night arrivals

Accountabilities:

Deliver medical support within RN scope

Support medication safety and administration

Key Responsibilities:

Prepare and assist with medication for resident self-administration

Respond to medical concerns overnight

Provide basic medical interventions within license limitations

Participate in emergency or behavioral de-escalation situations

Accountabilities:

Maintain accurate records

Ensure clear shift-to-shift communication

Key Responsibilities:

Complete overnight incident and safety reports

Record observations and care in accordance with standards

Communicate effectively with daytime staff for continuity of care

Accountabilities:

Support overnight operations and site cleanliness

Ensure a safe and functioning environment

Key Responsibilities:

Perform security checks throughout the facility

Assist with resident transports or evacuations as needed

Strong communication and documentation skills

Experience in residential or youth settings (preferred)

Ensure all documentation, verbal communication, and electronic records are handled with discretion and in accordance with HIPAA, federal, and state privacy laws

This role requires extended periods of alertness overnight with intermittent activity

Uphold Pacific Quest policies and maintain alignment with Core Values:  Professionalism, Health, Connection and Resilience

Maintain active RN  license in the State of Hawaii

Current CPR/First Aid certification required from a classroom training

Maintain CPI certification (provided by PQ)

Attend required trainings and staff meetings

Meet all required certifications and standards

Ensure Company training requirements are kept current

Pass all background, drug, and health clearances

21+ years of age to meet Company auto insurance requirements

Maintain valid driver's license with clean driving record; annual driving clearance required

Pre-employment physical and TB clearance required; annual clearances thereafter

Computer skills, including proficiency in EMR systems

Must pass thorough background checks and drug screen

Full-time; typically 3 overnight shifts (11 hours each) + 1 short shift (7 hours) per week

Weekend and holiday availability required

Flexibility for required overtime and coverage as needed