Lead Nursing Role in Exciting Psychiatric Environment!

Key Supervisory Responsibilities
Clinical Leadership and Shift Oversight: Directs daily nursing workflows, makes patient care assignments based on acuity, and serves as the clinical point of escalation for medical or psychiatric emergencies during the shift.
Staff Supervision and Development: Supervises registered nurses (RNs), licensed practical/vocational nurses (LPNs/LVNs), and behavioral health technicians (BHTs). Conducts performance evaluations, mentors staff, assists in onboarding new hires, and provides real-time coaching on clinical and psychiatric protocols.
Interdisciplinary Coordination: Collaborates closely with the Medical Director, attending physicians, psychiatric providers, licensed therapists, case managers, and intake coordinators to develop and evaluate individualized withdrawal management and stabilization plans.
Scheduling and Milieu Management: Ensures 24/7 nursing coverage aligned with state licensing ratios and facility budget constraints, resolving call-outs and maintaining a calm, therapeutic, and secure 16-bed milieu.
Clinical and Direct Care Duties
Withdrawal and Psychiatric Assessment: Administers, monitors, and validates standardized withdrawal scoring tools, including the Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar), Clinical Opiate Withdrawal Scale (COWS), and psychiatric risk screens for suicide, self-harm, aggression, or psychosis.
Medication Administration and Control: Oversees the storage, administration, counts, and documentation of scheduled medications, detox tapers, and psychiatric medications in strict compliance with DEA, federal, and state pharmacy guidelines.
Emergency Medical and Behavioral Response: Identifies early signs of complicated withdrawal (e.g., delirium tremens, seizures, hypertensive crises) and acute psychiatric decompensation. Directs emergency interventions, code responses, and medical transfers when higher levels of care are required.
Admission, Transfer, and Discharge Planning: Conducts clinical intake assessments, verifies appropriateness of admissions under American Society of Addiction Medicine (ASAM) criteria (typically Level 3.7 or 3.2-WM), and ensures thorough, safe discharge planning and medication reconciliation.
Quality Assurance and Compliance
Regulatory Standards: Ensures all nursing practices adhere to regulations set by state licensing bodies, the DEA, SAMHSA, and accrediting organizations such as The Joint Commission or CARF.
Quality Improvement and Auditing: Performs regular chart audits for electronic health record (EHR) documentation accuracy, oversees medication error reporting, tracks clinical indicators, and participates in facility quality improvement committees.
Policy Implementation: Assists leadership in drafting, reviewing, and updating standard operating procedures, clinical detox protocols, and infection control practices.

RN or BSN with supervisor experience