Registered Nurse (RN) Supervisor, ORCA Center - Swing Shift

Description

Job Title: Nurse (RN) Supervisor, DESC Opioid Recovery and Care Access (ORCA) Center

Schedule:

• Before ORCA Center Opens (anticipated in summer-fall 2025): Monday – Friday, 8:30 am – 5:00 pm; clinical care on DESC’s Opioid Treatment Network team.
• After ORCA Center Opens (subject to change as needed): After ORCA opens, the supervisor will work a swing shift with some weekends required.

Shift Differential: $0.50 per hour for swing shifts

Supervised by: Senior Nurse Manager, Nursing Director 

Insurance Benefits: Medical, Dental, Life, Long-term Disability 

Other Benefits: Employee Assistance Program (EAP), Flexible Spending Account (FSA), ORCA card subsidy, Paid Time Off (34 days per year), Retirement Plan 

A cover letter is required to submit your application. Within the letter, please describe your interest and qualifications for the position.

Job Overview:

This role will provide direct clinical care within the DESC Opioid Recovery and Care Access (ORCA) Center and supervises ORCA RNs and MAs. The ORCA Center is estimated to start clinical services in late summer to fall 2025 and will eventually be open 24 hours per day, 7 days per week, including holidays. It will offer four overlapping types of services, delivered by a team of prescribers, nurses, medical assistants and peer specialists, with operational leadership support:

• Care to individuals in stable condition who have experienced an opioid overdose, brought to the ORCA Center by first responders or transferred from local emergency departments.
• Rapid initiation of medications for opioid use disorder (MOUD), including buprenorphine (sublingual and long-acting injectable) and methadone (under the “72-hour rule”, or Code of Federal regulations Title 21 §1306.07 (b)), for people with opioid use disorder (OUD), regardless of whether an opioid overdose has recently occurred.
• Harm reduction counseling and OUD-related physical and behavioral health services, such as hepatitis C testing and treatment and HIV pre-exposure prophylaxis.
• Follow-up care, at the ORCA Center or at times field-based, with individuals who have started MOUD to ensure support in MOUD continuation.

Before the ORCA Center opens, this role will focus on supporting the DESC Opioid Treatment Network team, an outpatient OUD treatment team, to provide care for clients with OUD and related health conditions. After the ORCA Center’s opening, responsibilities will transition to the Center’s clinical operations.

About DESC:

DESC is a multi-service agency that specializes in providing permanent supportive housing, emergency shelter, residential crisis services, and comprehensive behavioral health outpatient services for people with long-time experiences of homelessness and serious behavioral health disabilities. We utilize harm reduction, trauma informed care, and housing first practices, striving to deliver high-quality, outcomes-oriented, flexible services that accommodate consumers’ unique needs. The ORCA Center builds upon DESC’s successful and innovative clinic- and field-based outpatient OUD treatment team and will collaborate closely with this team.

PRIMARY RESPONSIBILITIES:

Clinical Care

• Provide evidence-based treatment for OUD, including initiation and management of buprenorphine (sublingual and long-acting injectable) and, according to DESC protocols, methadone initiation.
• Conduct harm reduction counseling and education related to infectious diseases such as syphilis, hepatitis C, and HIV (including PrEP) along with other acute and chronic conditions.
• Manage and follow treatment protocols for conditions commonly seen in individuals with OUD, such as skin and soft tissue infections and linkage to mental health care.
• Perform assessments and engage in follow-up visits for individuals starting or continuing MOUD.
• Provide counseling and education about treatment options to clients and work together with them to set and monitor goals.
• Follow state and federal guidelines, as well as program-specific policies and procedures for opioid dependent patients in collaboration with prescribing providers and dispensing pharmacies.
• Be able to use critical thinking, clinical judgment, patience and flexibility in frequent contacts with clients.
• Provide ongoing assessment of mental status and the positive impact and side effects of treatment.
• Be available for drop-in clients as well as those with scheduled visits, keep posted hours, and perform community outreach.?
• Assess clients for a range of health care needs and facilitate link