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Charge Nurse

Charge Nurse

Cayuga Health SystemIthaca, NY, USA
5 days ago
Job type
  • Full-time
  • Quick Apply
Job description

Charge Nurse- Cayuga Addiction Recovery Services Ithaca Outpatient- Full Time- Days

Position Summary :

The Charge Nurse is a key clinical leader in the outpatient substance use treatment program, responsible for coordinating day-to-day patient flow, supervising nursing and support staff during clinical operations, and ensuring the safe and effective delivery of care-including Medication-Assisted Treatment (MAT). The Charge Nurse serves as the on-site resource for clinical problem-solving, staff support, and patient advocacy, helping to maintain a recovery-oriented, trauma-informed environment for individuals receiving treatment for substance use disorders.

Key Responsibilities :

Clinic Flow and Operations

  • Oversee daily clinic operations to ensure efficient patient flow through triage, provider visits, counseling, MAT dosing, and discharge processes.
  • Act as the point person for immediate problem-solving related to staffing, scheduling, room utilization, patient concerns, and operational barriers.
  • Coordinate staffing assignments based on patient acuity, clinic volume, and available resources.
  • Communicate with providers, behavioral health staff, and administrative support to facilitate coordinated, team-based care delivery.

Clinical Leadership and Staff Support

  • Provide direct supervision and support to RNs, and LPNs, during clinic hours.
  • Serve as a clinical resource, assisting staff with complex patient situations, urgent issues, or questions about protocols.
  • Ensure staff adherence to nursing scope of practice, infection control policies, and patient safety standards.
  • Lead daily team huddles and debriefings as needed to review patient concerns, safety incidents, or workflow adjustments.
  • Participate in the onboarding of all new clinical staff ensuring all new staff have validated competencies.
  • Medication-Assisted Treatment (MAT) Coordination

  • Support the delivery of MAT services (e.g., buprenorphine, methadone, naltrexone) by verifying medication orders, monitoring administration, and ensuring proper documentation.
  • Monitor for safe medication storage, handling, and diversion prevention according to DEA and OASAS regulations.
  • Assist with managing patient emergencies, such as overdose response, withdrawal symptoms, or medical crises related to MAT.
  • Patient Advocacy and Communication

  • Address patient concerns or complaints in real time with empathy, professionalism, and a trauma-informed approach.
  • Advocate for patient needs with the interdisciplinary team to promote engagement and retention in treatment.
  • Promote harm reduction, recovery support principles, and cultural sensitivity in all patient interactions.
  • Compliance and Documentation

  • Ensure accurate and timely documentation in the electronic health record (EHR) for all clinical services provided during the shift.
  • Monitor clinic compliance with regulatory standards (OASAS, SAMHSA, DEA) and escalate concerns to the Nurse Manager.
  • Assist with preparing for regulatory audits by maintaining high standards of clinical and medication documentation.
  • Quality and Safety

  • Support quality improvement initiatives by identifying barriers to care, patient safety issues, or opportunities for workflow enhancement.
  • Report incidents, near misses, or patient grievances promptly and assist with immediate mitigation and documentation.
  • Ensure safe clinical practices related to infection control, sharps management, medication administration, and patient monitoring.
  • Qualifications : Required :

  • Current Registered Nurse (RN) license in good standing with the State of New York
  • Minimum of 2 years clinical nursing experience, preferably in behavioral health, substance use treatment, or ambulatory care settings
  • Current Basic Life Support (BLS) certification
  • Preferred :

  • Prior experience as a charge nurse, team lead, or preceptor
  • Experience with Medication-Assisted Treatment (MAT) protocols
  • Familiarity with electronic health record systems (Epic preferred)
  • Certification in Addiction Nursing (CARN) or Mental Health Nursing a plus
  • Skills and Competencies :

  • Strong clinical judgment and ability to prioritize in a fast-paced, dynamic environment
  • Excellent communication and interpersonal skills to facilitate teamwork and positive patient interactions
  • Conflict resolution skills and ability to de-escalate challenging situations
  • Knowledge of OASAS, DEA, and SAMHSA regulations pertaining to outpatient substance use treatment services
  • Commitment to trauma-informed, culturally competent, and recovery-oriented care
  • Location and Travel Requirements :

  • Onsite
  • Less than 25% Travel
  • Pay Range Disclosure :

  • $37.63 to $42 per hour
  • Job Posted by ApplicantPro

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    Charge Nurse • Ithaca, NY, USA

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