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RAP SUD RESIDENTIALJob Description: Registered Nurse (RN)

Position Title: Registered Nurse (RN)
Department: Nursing / Medical Services
Reports To: Nurse Manager / Director of Nursing
Location: Washington, DC
Employment Type: Full-Time, Part-Time, or PRN
FLSA Status: Non-Exempt
Salary Range: $40.00–$50.00 per hour, depending on experience, qualifications, and shift assignment

Position Summary

The Registered Nurse (RN) is responsible for providing safe, compassionate, and evidence-based nursing care to individuals receiving substance use disorder (SUD) treatment in a residential setting. The RN supports clients throughout treatment by monitoring physical health, administering medications, assessing withdrawal symptoms, coordinating medical services, and collaborating with the interdisciplinary treatment team.

The RN ensures that nursing services are delivered in accordance with applicable District of Columbia regulations, professional nursing standards, organizational policies, physician orders, and applicable confidentiality requirements.

Essential Duties and Responsibilities

1. Nursing Assessment and Monitoring

• Conduct nursing assessments upon admission and as clinically indicated.
• Obtain and document vital signs, medical histories, allergies, current medications, and other relevant clinical information.
• Monitor clients for changes in physical condition, withdrawal symptoms, medication reactions, and other medical concerns.
• Recognize signs of medical deterioration and initiate appropriate interventions.
• Notify the appropriate medical provider and arrange emergency evaluation when indicated.

2. Medication Administration and Management

• Administer medications in accordance with valid orders, applicable laws, and organizational policies.
• Maintain accurate medication administration records (MARs).
• Monitor medication effectiveness, adverse reactions, and potential interactions.
• Maintain the security, storage, documentation, and inventory of medications.
• Report medication errors, discrepancies, and adverse events promptly.
• Support medication reconciliation and coordination with pharmacies and prescribing providers.

3. Substance Use Disorder and Withdrawal Management

• Monitor clients experiencing withdrawal using approved assessment tools and established protocols, as applicable to the program's authorized level of care.
• Recognize warning signs requiring immediate medical attention, including seizures, severe dehydration, altered mental status, and unstable vital signs.
• Communicate changes in client status promptly to the appropriate medical provider.
• Support care coordination for medications used in SUD treatment, including medications for opioid use disorder, when prescribed and within the RN's scope of practice.
• Provide education regarding overdose prevention, naloxone, medication adherence, and recovery-related health needs.
• Follow established procedures for emergency transfers and escalation of care.

4. Documentation and Regulatory Compliance

• Complete accurate, timely, and objective nursing documentation in the electronic health record (EHR).
• Document assessments, interventions, medication administration, provider notifications, and changes in client condition.
• Maintain compliance with HIPAA, 42 CFR Part 2 when applicable, and organizational confidentiality policies.
• Follow applicable DC Health, Department of Behavioral Health (DBH), and other regulatory requirements.
• Participate in quality assurance activities, incident reporting, audits, and corrective action plans as assigned.

5. Client Education and Care Coordination

• Educate clients about medications, chronic health conditions, infection prevention, nutrition, hydration, and general wellness.
• Coordinate with physicians, nurse practitioners, counselors, case managers, recovery support staff, and other members of the treatment team.
• Assist with referrals to primary care, specialty care, and other community health services.
• Promote respectful, trauma-informed, culturally responsive, and person-centered care.
• Protect client dignity, rights, and confidentiality at all times.

6. Emergency Preparedness and Safety

• Respond to medical emergencies within the RN's scope of practice and training.
• Maintain current CPR/BLS certification and other required emergency-response credentials.
• Follow infection-control procedures and maintain a safe clinical environment.
• Report suspected abuse, neglect, safety concerns, and reportable incidents in accordance with applicable requirements.
• Participate in emergency drills, staff training, and safety reviews.

7. Teamwork and Professional Responsibilities

• Attend required staff meetings, clinical reviews, and nursing supervision.
• Communicate effectively during shift handoffs and transitions of care.
• Complete assigned training and maintain professional competency.
• Report staffing, supply, equipment, or operational concerns to the appropriate supervisor.
• Perform other related duties consistent with the RN's scope of practice and program needs.

Minimum Qualifications

• Current, active Registered Nurse license valid in the District of Columbia.
• Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) from an accredited institution.
• Current CPR/BLS certification from an accepted provider.
• Experience in nursing, behavioral health, addiction treatment, residential care, or a related clinical setting preferred.
• Knowledge of medication administration, nursing assessments, documentation standards, and emergency response.
• Ability to maintain accurate records and communicate effectively with clients and interdisciplinary staff.
• Ability to work assigned shifts, including evenings, nights, weekends, or holidays, as required.

Preferred Qualifications

• Experience in substance use disorder treatment or behavioral health.
• Experience with withdrawal monitoring and escalation of care.
• Familiarity with medications for opioid use disorder and overdose prevention.
• Experience with electronic health records and medication administration systems.
• Knowledge of DC DBH requirements and applicable confidentiality standards.

Core Competencies

• Clinical judgment and critical thinking
• Medication safety and accuracy
• Professional communication
• Attention to detail and documentation
• Compassionate, trauma-informed care
• Teamwork and accountability
• Crisis recognition and response
• Ethical conduct and confidentiality

Physical Requirements

The position may require prolonged standing or walking, assisting with client mobility when appropriate, responding to emergencies, and lifting or moving supplies in accordance with safe-handling policies. Reasonable accommodations will be provided as required by applicable law.

Equal Employment Opportunity

RAP SUD Residential is an equal opportunity employer. Employment decisions are made without unlawful discrimination and in accordance with applicable federal and District of Columbia law.

Pay: $87,360.00 - $104,000.00 per year

Work Location: In person

Salary : $87,360 - $104,000