Medical Detox & Residential Treatment Center — California (On-Site)
Overview
Our primary substance use disorder treatment center is seeking a licensed California Registered Nurse (RN) or LVN to lead nursing operations as Nurse Manager across medical detox and residential levels of care. This role ensures patient safety, clinical excellence, staff competency, and regulatory compliance in a high-acuity inpatient treatment environment.
Key Responsibilities
Nursing Leadership & Staff Development
Supervise, train, and develop RNs, LVNs/LPNs, and Client Care Techs/CNAs
Create and manage staffing schedules to maintain safe clinical ratios
Conduct competency evaluations, clinical coaching, and performance oversight
Lead ongoing training on withdrawal care, medications, and emergency response
Promote a trauma-informed, recovery-focused, and patient-centered culture
Clinical Oversight
Oversee nursing care delivery across Detox + Residential
Ensure accurate and timely medication administration, monitoring, and withdrawal management
Maintain emergency and escalation protocols for high-acuity clients
Ensure medical clearance, intake screenings, and nursing documentation meet standards
Review, validate, and approve nursing clinical documentation
Compliance & Quality Assurance
Maintain survey-readiness for Joint Commission (JCAHO) or CARF, if applicable
Ensure compliance with California DHCS, Title 9, and withdrawal management regulations
Oversee medication storage, controlled-substance counts, disposal, and documentation audits
Lead internal chart audits for nursing accuracy and risk mitigation
Update and maintain nursing policies, procedures, and regulatory alignment
Provide clinical collaboration with Utilization Review and Admissions for acuity and medical-clearance decisions
Interdisciplinary Collaboration
Partner with the Medical Director, Clinical Director, and Executive Leadership
Support admissions by ensuring timely nursing screenings and intake approvals
Maintain medical supply inventory and ordering oversight
Communicate clinical needs effectively across departments
Qualifications
Required
Active California LVN/RN License (in good standing)
Minimum 2+ years nursing leadership experience (Charge Nurse, Supervisor, or higher)
Experience in medical detox, residential SUD, or inpatient behavioral health
Strong knowledge of:
Withdrawal management and detox protocols
Psychotropic, SUD, and detox medications
ASAM levels of care for inpatient treatment
Ability to work on-site at a treatment facility in California
Valid drivers license
Preferred
Familiarity with KIPU EMR or similar clinical systems
Experience in accredited treatment centers (Joint Commission/CARF audit or survey support)
IV and phlebotomy skills a plus
Skills & Competencies
Strong clinical judgment in high-acuity withdrawal care
Documentation oversight and audit-readiness mindset
Staff training, coaching, and process improvement
Calm, decisive leadership in medical and crisis situations