Licensed Vocational Nurse-WM - Women's Center Pomona

Job Summary
HealthRIGHT 360, a nonprofit organization and a family of programs, is committed to providing accessible and comprehensive healthcare services to vulnerable populations. Our mission is to tackle systemic barriers to healthcare and promote health equity for all. We offer a wide range of services, including mental health care, residential and outpatient substance use treatment, and primary health services. Additionally, we provide transitional support for individuals re-entering the community after involvement in the criminal justice system. By integrating physical and behavioral health, we empower individuals to overcome challenges by addressing social determinants of health, fostering resilience, and facilitating recovery.

Pomona Residential is a program of HealthRIGHT 360 and is contracted with the Department of Public Health's Substance Abuse Prevention and Control (SAPC) program. Pomona offers residential Drug Medi-Cal (DMC) services for an estimated 120 adult individuals with a future Withdrawal Management program to provide care for acute clients needing care. Pomona Residental collaborates closely with other Behavioral Health Center programs to ensure a comprehensive range of services for low-income and Medi-Cal-eligible individuals. The program serves residents of all Los Angeles County.

The Licensed Vocational Nurse (LVN) provides direct nursing care and clinical support to clients receiving services in a Withdrawal Management (WM/Detox) and Residential Substance Use Disorder (SUD) Treatment Program. Working under the supervision of a Registered Nurse, Nurse Manager, and licensed medical providers, the LVN plays a critical role in monitoring clients experiencing substance withdrawal, administering medications, supporting Medication Assisted Treatment (MAT), and promoting safe, effective, trauma-informed care.

This position has a primary focus on Withdrawal Management services while also supporting the ongoing health and wellness needs of clients in residential treatment. The LVN collaborates closely with medical providers, counselors, case managers, and behavioral health staff to ensure continuity of care and positive treatment outcomes.

KEY RESPONSIBILITIES
Clinical Responsibilities

Withdrawal Management (Primary Focus)
Monitor clients for signs and symptoms of withdrawal from alcohol, opioids, benzodiazepines, stimulants, and other substances.
Perform and document withdrawal assessments utilizing approved tools and protocols, including CIWA-Ar, COWS, and facility-specific guidelines.
Obtain and record vital signs, withdrawal scores, and other clinical observations and assessments within scope of practice and according to physician orders and program protocols.
Observe for signs of medical deterioration, overdose, seizure activity, delirium tremens (DTs), adverse medication reactions, and psychiatric emergencies.
Notify supervising RN or medical provider of significant changes in condition and assist with implementation of treatment interventions.
Administer medications prescribed for withdrawal management and symptom stabilization within the LVN scope of practice.
Support induction, maintenance, and monitoring of Medication Assisted Treatment (MAT) services.
Ensure a safe and therapeutic environment for individuals undergoing withdrawal and stabilization.
Assist with admissions, medical screenings, transfers, referrals, and discharge processes for withdrawal management clients.
Participate in crisis intervention and emergency response procedures as necessary.

Medication Management

Observe Self-Administration of medications safely and accurately in accordance with physician orders, nursing standards, and facility policies.
Maintain medication records, medication administration logs, controlled substance documentation, and medication inventories.
Monitor medication compliance, effectiveness, side effects, and therapeutic response.
Coordinate prescription refills and communicate medication-related concerns to supervising nurses and providers.
Assist with medication storage audits, destruction of expired medications, and compliance monitoring.
Support administration of injectable medications, including Vivitrol and Sublocade, as permitted by licensure and organizational policy.
Educate clients regarding medications, treatment adherence, and side effect reporting.

Client Care and Care Coordination

Participate in the assessment, planning, implementation, and evaluation of nursing care plans.
Observe, assess, and report physical, emotional, behavioral, and withdrawal-related changes in client status.
Collaborate with counselors, case managers, physicians, nurse practitioners, and psychiatric providers to coordinate care.
Support client engagement in treatment through compassionate, patient-centered, and trauma-informed interactions.
Promote client dignity, respect, confidentiality, and recovery-focused care.
Assist with discharge planning and linkage to ongoing medical and behavioral health services.

Clinical Documentation and Compliance

Maintain accurate, timely, and complete documentation in the electronic health record.
Document assessments, nursing interventions, medication administration, withdrawal monitoring, incidents, and client progress.
Complete incident reports, medication variances, and required regulatory documentation.
Adhere to HIPAA, confidentiality requirements, licensing regulations, accreditation standards, and program policies.
Follow infection control procedures, universal precautions, and workplace safety standards.

Quality Improvement and Staff Support

Participate in quality assurance and performance improvement activities.
Assist in maintaining compliance with state licensing, regulatory, and accreditation requirements.
Support audits, inspections, and chart review activities.
Assist in training staff on medication protocols, withdrawal monitoring procedures, documentation requirements, and infection control practices.
Participate in interdisciplinary meetings, case conferences, staff trainings, and supervision.

Safety and Compliance
• Perform periodic facility checks to ensure and maintain the safety and security of the facility.

Observe universal precautions, including correct handling of blood borne pathogens, storage of lab specimens, and disposal of infectious wastes.

• Audit medication room and destroy medications as needed per protocol and policy.

Coordinate the collection of Sharps container and medical waste and maintain log.

Documentation
• Document client treatment progress, incident reports, and medical follow ups.
• Complete all required paperwork, charting, records maintenance in a timely manner when providing direct services.
• Submit program and contractual reporting and documentation requirement in a timely manner.
• Maintain medication book for compliance with all funder requirements and update monthly.
• Maintain accurate and up-to-date client records and documentation, adhering to regulatory and HealthRIGHT 360’s standards.

Administrative Responsibilities

Attend required trainings, meetings, and organizational events.
Complete assigned continuing education and competency requirements.
Maintain current licensure and certifications.
Perform clerical, documentation, and program support duties as assigned.
Perform other related duties as assigned.

Qualifications

Education, Certification, and LicensureCompletion of an accredited LVN program.
Current LVN licensure in California. issued by the California Board of Vocational Nursing and Psychiatric Technicians (BVNPT).
Current Basic Life Support (BLS) certification.
Valid California Driver's License and access to reliable transportation preferred.

Experience

Minimum one year of nursing experience preferred.
Preferred experience in Withdrawal Management (Detox), Substance Use Disorder Treatment, Behavioral Health, Residential Treatment, Corrections, Community Health, or Psychiatric Services
Preferred experience working with clients with co-occurring mental health and substance use disorders preferred.

Preferred experience supporting Medication Assisted Treatment (MAT) services preferred.
Background Check and Other Requirements

Qualified candidates with a criminal record will be considered for employment.
Must be capable of obtaining and maintaining a satisfactory background check.
Applicants must not be on parole or probation due to funding regulations.
Must be capable of meeting health screening and tuberculosis testing requirements.
Must be capable of maintaining credential requirements.

PHYSICAL REQUIREMENTS

In an 8-hr workday, employee is required to perform work:

Sitting

3

Hr

Standing

3

Hrs

Walking

2

Hr

Driving

Occasionally

In an average month, employee must travel out of town:

☐ Often (>2x)

☐ Sometimes (<2x)

☒ Never

In an 8-hr workday, employee must:

Not at all

Occasionally
(1/4-2½ hrs.)

Frequently
(2½-5½ hrs.)

Continuously
(5½-8 hrs.)

Bend/stoop

☐

☐

☒

☐

Climb

☒

☐

☐

☐

Reach above shoulder level

☐

☒

☐

☐

Kneel

☐

☒

☐

☐

Balance

☐

☒

☐

☐

Push/pull

☐

☒

☐

☐

Squat

☐

☒

☐

☐

Crawl

☐

☒

☐

☐

Crouch

☐

☒

☐

☐

Lift*

☐

☒

☐

☐

Carry**

☐

☒

☐

☐

* Usual number
Maximum number

5
20

lbs
lbs

** Usual number
Maximum number

5
20

lbs
lbs

Job requires:

Working at heights

☐ Yes

☒ No

Explain

Operating heavy machinery

☐ Yes

☒ No

Type

Operating desk machines

☒ Yes

☐ No

Type

Computer, fax, printer, phone, medical devices, clerical devices such as calculator, office supply, etc.

Precise manual dexterity

☒ Yes

☐ No

Explain

Data entry, documentation, medication prep/administration, specimen collection, physical exams

Exposure to extreme heat, cold, humidity

☐ Yes

☒ No

Explain

Exposure to dust, fumes, gases, chemicals

☐ Yes

☒ No

Explain

Fumes/Gases - Low exposure to cleaning agents or medications
Chemicals – Low exposure to lab specimens, minor medication handling