Registered Nurse - Per Diem
Schedule: TBD
Location: 7309 Seneca Rd N Hornell, NY 14843
The Registered Nurse (RN), Integrated Care, provides compassionate, patient-centered care in a behavioral health setting that integrates substance use disorder (SUD), mental health (MH), and opioid treatment program (OTP/Methadone) services. The RN is accountable for ongoing assessment, coordination, and delivery of medical care while working closely with the multidisciplinary team. All care is provided in accordance with NYS OASAS, NYS OMH, and SAMHSA regulations, agency policy, and established standards of nursing practice.
Essential Job Functions
· Maintain a cordial, respectful, and welcoming presence with all clients at all times. Supporting client comfort, safety, dignity, privacy, and confidentiality throughout all interactions.
· Conduct comprehensive assessments including social, medical, psychiatric, and substance use history in collaboration with providers.
· Administer medications including Methadone and other MAT (Medication-Assisted Treatment) under protocol and monitor patients for adherence and side effects.
· Perform technical services such as EKGs, phlebotomy, collect vital signs, urine drug screening, and breathalyzers.
· Provide trauma-informed emergency care and interventions needed in crisis or life-threatening situations.
· Support daily operations including dosing, patient check-ins, and clinic workflow.
· Assist in medication ordering, deliveries, and prior authorization processes.
· Participate in scheduling support, appointment prep (e.g., I-STOP/PMP checks, labs), and follow-up planning.
· Manage specimens, test reports, and collaborate with external laboratories and providers as needed.
· Ensure the proper maintenance, storage, and security of controlled substances including Methadone, following all state/federal protocols.
· Review and interpret outside medical exams and labs, integrating into treatment planning.
· Offer follow-up instructions and support post-visits to enhance treatment engagement and health outcomes.
· Provide culturally competent, whole-person education regarding diagnoses, treatment options, medication use, and recovery support.
· Communicate client needs and changes in condition to the relevant team members in a timely and professional manner.
· Support medical intervention programs and treatment plans that reflect a whole-person, trauma-informed, and recovery-focused approach.
· Ensure the proper maintenance, storage, and security of controlled substances including Methadone, following all state/federal protocols.
· Ensure compliance with OASAS, OMH, SAMHSA, NYS Public Health Law, and 42 CFR confidentiality requirements.
· Function as a member of an interdisciplinary care team, supporting care planning, coordination, and communication across SUD, MH, and OTP/MAT services.
· Document patient encounters, medication administration, assessments, and care plans accurately and in a timely manner.
· Serve as a resource for staff and patients regarding SUD/MH diagnoses, MAT, and integrated medical care.
Secondary Job Functions
· Participate in interdisciplinary case discussions, clinical supervision, and performance improvement activities.
· Attend required trainings, staff meetings, and team huddles to ensure consistent communication and service integration.
· Assist with client engagement strategies to reduce no-show rates and improve treatment participation.
· Maintain status as a Qualified Health Professional (QHP) per regulatory definitions.
· Carries out additional responsibilities as necessary to support clinical operations and patient care
· Assist in the orientation and training of other new staff as needed.
Flexibility & Cross Training
· Participate in cross-training across all service lines, including Substance Use Disorder Outpatient (SUD OP), Mental Health Outpatient (MH OP), and Methadone Clinic services, to ensure a comprehensive understanding of agency protocols, workflows, and patient needs.
· Demonstrate flexibility and adaptability in daily assignments, including temporary reassignment within the RN’s designated county of work to meet patient care and service delivery needs.
Knowledge, Skills and Abilities
· In-depth knowledge of SUD, MH, and co-occurring disorders, including evidence-based treatment and harm reduction approaches.
· Familiarity with MAT protocols, including Methadone, Buprenorphine, and Naltrexone.
Physical Demands
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties. While performing the duties of this job, the employee is regularly required to be able to:
· Use a computer including keyboard and mouse operations; visual and/or auditory capacity.
· The employee may lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
The Registered Nurse must be able to prioritize situations and manage time, and may find that they are needed at irregular hours causing fatigue and stress. The RN may experience stress and stress related symptoms due to interacting with clients in crisis. S/he may be exposed to illness and unsanitary conditions so must take care to protect their own health. They may also have to manage physically threatening clients and be prepared to be responsible for their own safety, and the safety of others.
Qualifications:
- Associate’s Degree in Nursing (Bachelor’s preferred).
- Current New York State Registered Nurse license in good standing.
- Valid driver's license and reliable transportation.
- Minimum one year of experience in behavioral health, SUD, or a related clinical setting.
- Must pass criminal background and other pre-employment clearances.
This job description is intended to provide a description of essential job functions that are used in order to assess employee performance. It is not an all-inclusive statement of job responsibilities.
Pay: $32.00 - $38.00 per hour
Experience:
- Patient care: 1 year (Preferred)
- Medication administration: 1 year (Preferred)
- Clinical: 1 year (Preferred)
- Behavioral health: 1 year (Preferred)
License/Certification:
- Driver's License (Required)
- RN License (Required)
- BLS Certification (Required)
Work Location: In person
