LICENSED VOCATIONAL NURSE

Work with great people doing great things! Join Buckelew Programs' Helen Vine Recovery Center and play a pivotal role in making a meaningful impact on the lives of individuals facing mental health and substance use challenges in Marin County.

We are hiring a Licensed Vocational Nurse (LVN) to join our team. In this role, you will provide direct client care in a residential detox and substance use treatment program for individuals with alcohol and drug addiction issues, as well as co-occurring psychiatric disorders. Under the supervision of a licensed provider, you will support safe withdrawal management, medication services, and ongoing health monitoring in compliance with California Department of Health Care Services (DHCS) standards. This role is critical in ensuring client safety, comfort, and stabilization while in residential treatment and potentially undergoing detoxification.

RESPONSIBILITIES

Detox & Clinical Care

• Monitor and document withdrawal symptoms using standardized tools (e.g., CIWA-Ar, COWS)
• Perform intake nursing assessments and ongoing reassessments
• Obtain and monitor vital signs per detox protocol and physician orders
• Identify and promptly report signs of medical or psychiatric instability

Medication Administration

• Administer medications as ordered, including those used in withdrawal management and medication-assisted treatment (MAT)
• Monitor for side effects, adverse reactions, and effectiveness of medications
• Maintain accurate medication administration records (MAR) in compliance with California regulations

Client Monitoring & Safety

• Conduct regular wellness checks and ensure appropriate observation levels
• Respond to medical emergencies, including overdose, severe withdrawal, or co-occurring conditions
• Support infection control, universal precautions, and medication storage standards

Documentation & Compliance

• Complete timely and accurate clinical documentation in accordance with DHCS Title 9 and facility policies
• Assist with audits, incident reporting, and quality assurance activities
• Maintain confidentiality in compliance with HIPAA and 42 CFR Part 2

Collaboration & Support

• Communicate effectively with physicians, RNs, counselors, and case managers
• Participate in shift reports and multidisciplinary team meetings
• Provide client education on detox, medications, and health stabilization