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About the Role
This position serves as the head nurse responsible for dispensing services within the Bayview Substance Use Disorder Services Programs. The role involves executing policies and procedures for dispensing methadone, a controlled substance, and providing direct and indirect services for the clinic's medication functions. Responsibilities include supervising methadone administration to registered inmates in Bay Area local and county jails and overseeing staff assigned to the methadone-dispensing unit.
Responsibilities
- Develop and provide onboarding, orientation, and ongoing training for nursing staff, including procedures for dispensing and administering methadone.
- Create and maintain efficient schedules and coverage for the nursing team to support dispensing operations seven days a week.
- Work with leadership team on implementing department-wide projects.
- Monitor staff adherence to Title 9 Regulations and administrative policies through observation, daily audits, and monthly observations.
- Reconciliation of medication inventory.
- Prepare monthly statistical information for Units of Service and unduplicated clients reports.
- Administer medicine according to physician’s orders to clients in a clinical setting and incarcerated clients of participating substance abuse clinics.
- Collaborate and work directly with physicians, counselors, jail medical staff, sheriff’s deputies and Methadone Treatment program personnel.
- Ensure that the dispensing unit has necessary supplies and equipment.
- Responsible for interdepartmental communications in the clinical setting with medical support staff.
- Prepare and measure methadone doses in accordance with written prescriptions and protocols.
- Dispense methadone safely and accurately to clients enrolled in the program.
- Monitor and document patient reactions to methadone, including withdrawal symptoms, overmedication, or adverse effects, and notify the provider.
- Maintain accurate methadone dispensing logs, inventory counts, and all required records.
- Ensure secure safekeeping of all controlled medications, ensuring proper safe closure and strict chain-of-custody procedures.
- Transport and deliver methadone to designated correctional facilities following secure transport protocols when assigned.
- Perform phlebotomy for routine, annual, and diagnostic laboratory testing.
- Conduct ECG/EKG testing, including correct lead placement, acquisition of tracings, and reporting abnormal findings.
- Obtain vital signs, complete health assessments, and accurately document clinical findings.
- Maintain a clean, safe, and compliant clinical environment in accordance with infection-control standards.
- Maintain strict confidentiality of clinic operations, patient information, and staff information in accordance with HIPAA and 42 CFR Part 2.
- Perform related or similar duties as required or assigned.
Requirements
- Regular and reliable job attendance.
- Valid California driver’s license, if required for assigned duties.
- Effective verbal and written communication skills.
- Able to meet federal, state and local standards following a comprehensive background screening and LiveScan Screening (if duties require).
- Demonstrate respect and understanding when maintaining professional relationships.
- Active, unencumbered Licensed Vocational Nurse (LVN) or Registered Nurse (RN) license in the State of California.
- Minimum of two years of clinical nursing experience within a substance use rehabilitation setting.
- Comprehensive understanding of Federal, State, and County regulations governing the handling and dispensing of controlled substances.
- Minimum of three years of supervisory or leadership experience in a healthcare or community setting.
- Demonstrate proficiency with Microsoft Office, Avatar, internet browsers, and electronic medical record systems, with the ability and willingness to learn new technologies.
- Candidates will be subject to a comprehensive background check clearance.
- The employee must be able to meet deadlines with time constraints.
- Familiarity with community-based healthcare models and delivery systems.
- Demonstrated knowledge of the San Francisco community and local health resources.
- Lived experience or professional background working collaboratively with diverse, underserved, and historically marginalized populations.
- Deep cultural humility and a demonstrated commitment to addressing minority health issues and the unique needs of diverse populations.
- Exceptional interpersonal and communication skills, fostering an inclusive and collaborative environment.
- Flexibility to work occasional weekends to support operational needs and continuity of care.
- Ability to work effectively in an open office environment surrounded by moderate noise and distractions.
- Frequently required to sit; occasionally walk and stand; travel from the building to other sites.
- Specific vision abilities required by this job include close vision, distance vision, depth perception, and the ability to adjust focus.
- Able to meet required state, federal, local and BVHP standards.
- Live Scan fingerprinting and TB clearance as well as any other medical vaccinations may be required.
- At least two COVID-19 vaccinations (preferred).
Skills
- Methadone dispensing
- Medication administration
- Staff supervision
- Schedule creation
- Regulatory compliance (Title 9)
- Medication inventory reconciliation
- Statistical reporting
- Patient monitoring
- Record keeping
- Documentation accuracy
- Confidentiality (HIPAA, 42 CFR Part 2)
- Secure medication safekeeping
- Chain-of-custody procedures
- Secure transport protocols
- Phlebotomy
- ECG/EKG testing
- Vital signs assessment
- Health assessments
- Infection control
- Microsoft Office proficiency
- Avatar proficiency
- Electronic medical record systems proficiency
- Interpersonal skills
- Communication skills
Location
- Bay Area
Work Type
- Full-time
- Onsite
Experience Level
- Minimum of two years of clinical nursing experience within a substance use rehabilitation setting
- Minimum of three years of supervisory or leadership experience in a healthcare or community setting
Education Level
- Licensed Vocational Nurse (LVN) or Registered Nurse (RN) license in the State of California