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JOB TITLE:  Program Nurse Manager

Who are we?

Horizon Services, Inc. (HSI) is a nonprofit established in 1974 offers addiction treatment with the goal of reducing substance use related challenges for people from all walks of life, including those from some of the most disenfranchised and marginalized communities. We practice our values of Integrity, Respect, Diversity, and Quality to provide residential treatment, withdrawal management, and sobering programs to support the well-being of women, men, youth, LGBTQ, and BIPOC clients to live healthy, fulfilling and constructive lives. HSI is an inclusive workplace and a learning community where our collective experiences enrich each other’s growth.

This position, which must be held by a Registered Nurse (RN), serves as the clinical and operational lead for the Gateway Medical Sobering Center, with direct accountability for the oversight and performance management of all clinical and support personnel, including Licensed Vocational Nurses (LVNs), Emergency Medical Technicians (EMTs), and recovery staff. The RN is responsible for ensuring the safe clinical intake of individuals arriving via EMS and other referring parties, maintaining proper oversight and adherence to evidence-based practices throughout the sobering process. This leadership role encompasses full-spectrum personnel management—recruitment, onboarding, competency development, coaching, and performance evaluation—while ensuring alignment with program strategic objectives and regulatory mandates at the federal, state, and county levels as applicable. In partnership with the Horizon leadership team and the program’s Medical Director, the RN drives clinical excellence, promotes operational efficiency, and safeguards the integrity of care delivery systems, positioning the center as a model for low-barrier, trauma-informed sobering services. This is a high-impact supervisory role requiring strong clinical judgment and leadership acumen.

How can you make a difference in people’s lives?

In this role, you’ll make a difference in the lives of people with substance abuse challenges, and often with co-occurring conditions. You’ll use and grow your skills in compassionate care, crisis intervention and de-escalation, in a supportive and inclusive work environment. You’ll have the opportunity provide our community with substance abuse treatment to help people who are just discovering possibilities in their journey, going from a place of hopelessness to a place where they are valued and have the potential for a better life.

PRIMARY ACCOUNTABILITIES & RESPONSIBILITIES:

Accountabilities:

+ People Management- hire, train, and develop a high-performing direct service team

+ Client Care- ensure a high level of services to clients

+ Safety & Security of Staff and Clients

+ Quality Assurance & Compliance- follows and enforces program policies and procedures

Responsibilities:

People Management

+ Write and update job descriptions to ensure work is relevant and appropriate job expectations are established.

+ Recruit, interview, and hire direct service positions in coordination with direct supervisor

+ Coordinate and maintain all direct service staff schedules with support and collaboration from leadership to ensure minimum facility coverage and minimize overtime hours

+ Daily review of time cards, correct missed punches and approved time off requests as appropriate

+ Provide new hire orientation and training for all direct service staff.

+ Provide ongoing performance feedback, from recognition to disciplinary actions, to direct service staff, deliver quarterly reviews, set goals & expectations and professional development processes with input from Supervisor

+ Interpret, consistently apply, and ensure compliance with the company’s employee handbook

+ Oversee process for answering phones and provide reception coverage to furnish information/referrals to clients and potential clients

+ Identify team training needs and conduct/coordinate skills development training.

+ Provide schedule coverage for all direct service staff duties and responsibilities as needed

+ Provide on-call consultation and support for direct service staff during non-regular work hours

Client Care

+ Management of medication storage and dispensing operations; including oversight of ongoing maintenance, inspection, training for staff, documentation, and inventory management

+ Implements Medical Sobering’s operational workflow through team leadership of employee base, including:

+ Screening – Collecting proper screening information including vital signs to determine one’s eligibility in the program

+ Intake & Assessment – Reviewing drug / alcohol use severity, conducting brief health assessments

+ Stabilization – Conducting rigorous monitoring by leveraging patient monitoring technology

+ Withdrawal Risk Management – Linking to the designated prescriber to begin withdrawal risk mitigation through the provision of Medication Assisted Treatment (MATs) as appropriate

+ Discharge – Linking case manager team members into the treatment process to ensure clients are connected to the broader system of care and/or other supports

+ Review and establish procedures to ensure quality care for clients consistent with applicable regulatory standards and program policies and assist in improvement of services as needed

+ Provide crisis support intervention and de-escalation of conflict as needed, while also providing training for staff on de-escalation best practices

+ Monitor client services from intake to discharge and ensure program orientation is provided for all new clients within required time frame

+ Develop knowledge of community resources related to health, mental health, financial support, case management, and housing;

+ Assess, prioritize, and plan case management referrals and facilitate connecting to off-site resources and care. Assist clients in accessing outside services, as needed/assigned

+ Prepare statistical and narrative reports to demonstrate results of sobering stabilization and impact of services.

Safety & Security of Staff and Clients

+ Oversees proper deployment and utilization of patient monitoring technology

+ Provide periodic inspection of grounds and facility to assure security and safety

+ Monitor clients to ensure appropriate supervision and knowledge of clients and activities

+ Facilitate conflict resolution meetings with staff and clients as needed

+ Punctuality and attendance to perform duties as scheduled

Comply and enforce polices and procedures

+ Enforce/reinforce policies and procedures of the programs and assist in creation of updated policies and procedures

+ Participate in regular staff meetings, clinical supervision, and trainings

+ Receive, acknowledge and address client complaints in a timely manner as needed

+ Ensure adequate documentation of services by direct service staff, perform random audit of files in partnership with the program’s Compliance Manager

+ Maintain a working knowledge of recovery and evidence-based practices, as well as contract requirements

+ Other support and supervisory duties as assigned by Supervisor

DISC Behavior/Communication Strengths Preferred

+ Driven : Having a hard-charging approach, showing a sense of urgency and focusing on swift results, which is crucial for leadership and decision-making.

+ Daring : Being comfortable with taking risks and pitching bold ideas. This trait is important for

innovation and driving change within an organization.

+ Forceful : Is outspoken, assertive, and willing to advocate strongly for beliefs. This trait is needed in roles where strong leadership and decision-making are required.

+ Accommodating : be adaptable and open to others' input, this trait balances assertiveness.  Frank; communicates directly and gets to the point quickly. This honesty and clarity are valuable for effective leadership and transparent communication.

+ Skeptical : questioning and cautious when evaluating new ideas. This trait helps in making well-considered decisions, ensuring that potential risks are carefully analyzed

SUCCESS COMPETENCIES FOR POSITION (competencies required to effectively perform the job)  FUNCTIONAL/TECHNICAL SKILLS & KNOWLEDGE :

(knowledge and skills required to effectively perform the job)

+ Builds Effective Teams - Builds strong-identity teams that apply their diverse skills and perspectives to achieve common goals. Establishes common objectives and a shared mindset. Creates a feeling of belonging and strong team morale. Fosters open dialogue and collaboration among the team.

+ Service Delivery – Provide a range of brief, focused prevention, treatment and recovery services, as well as longer-term treatment and support for clients with persistent illnesses. Applies a person based approach not disciplinarian and rules-driven

+ Problem Solving – uses logic and methods to solve difficult problems with effective solutions…looks beyond the obvious and doesn’t stop at the first answer.

+ Optimizes Work Processes – Knows the most effective and efficient processes to get things done, with a focus on continuous improvement and delivery of services. Identifies and creates the processes necessary to get work done with highest quality. Separates and combines activities into efficient and clear workflow. Seeks ways to improve processes, from small tweaks to complete reengineering.

+ Experience with co-occurring in a residential setting

+ Demonstrate ability to engage and support clients with challenging behaviors

+ Able to manage emotions and reactions to different situations. Stays calm and clear under pressure.

+ Ability to work effectively both individually and as part of a diverse team.

+ Experience with evidence based practices and de-escalating clients

+ Ability to communicate effective cross-functionally – knows who needs to know what.

+ Able to exercise good judgment and maintain healthy boundaries with clients.

+ Able to stay awake and alert during shift

+ Good computer skills: word, data entry, write reports

+ Must be able to physically assist beneficiaries who are undergoing seizure or other major withdrawal symptoms to include ambulatory escort to a Medical Center.

What else is required?

+ New Mexico Registered Nurse (RN)

+ 3+ years of experience working in an outpatient clinical setting, residential treatment facility, community mental health facility, and/or drug/alcohol treatment facility

+ 2+ years of experience supervising, managing, and evaluating staff in a residential treatment facility, community mental health facility, and/or drug/alcohol treatment facility

+ 2+ years of experience training staff on variety of skills, including (but not limited to) verbal de-escalation, group milieu management/therapy

+ 2+ years of experience engaging clients in group-based activities and providing positive programming for clients

+ 2+ years of experience providing crisis intervention services in mental health treatment and drug and alcohol treatment facility

+ 3+ years of experience working with diverse populations including people with disabilities

+ 1+ years of experience managing budgetary needs and expenses

+ Required: CPR/First Aid certification

+ Valid New Mexico driver’s license with a good driving record and car insurance

Compensation and Benefits

We are proud to offer a comprehensive benefits package to all full-time and part-time employees over 20 hours per week.

+ Generous contribution medical, dental, Life and LTD for the employee and 50% for any dependents medical and dental coverage.

+ PTO and Holiday pay.

+ Retirement benefits after 6 months of service.

+ Training and CEU opportunities.

Salary:   $87K-91K/ annually based on experience and qualifications. Available for a full-time position.

Horizon Services, Inc. is an Equal Opportunity Employer.

https://www.horizonservices.org

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