79 Best office rn Jobs in Rochester, New York (May 2026)

Open Interviews- Nurses ( LPN, RN, Floater)

13 days ago

Rochester

Job Description:\n\n Registered Nurse JOB TITLE: Registered Nurse DEPARTMENT/PROGRAM: Medical Services SUPERVISOR: Nurse Manager PAY GRADE: 82 $32.00 - $38.30 (commensurate with education and experience) FLSA STATUS: NON EXEMPT JOB SUMMARY: Under the general direction of the Nurse Manager, the Registered Nurse will conduct general assessments as well as an evaluation for sick/injured clients. The Registered Nurse medically and psychiatrically manages the clients in their care working with all disciplines to promote positive medical outcomes. The RN will demonstrate and be accountable to the Agencies Mission, Vision, Values, Guiding Principles and Strategic Plan. ESSENTIAL FUNCTIONS:Exercises full compliance with the Agency’s Code of Conduct, all Agency Policies and Procedures.Maintains confidentiality and security for all client and staff related materials and/or records.Under the general supervision of the Director of Nursing and medical director, the detox registered nurse is responsible for the monitoring, treatment and safety of individuals aged 16+ receiving medically supervised treatment for substance use withdrawal in an integrated behavioral health detox setting that serves substance use disorder and comorbid psychiatric conditions. Assists with a patient intake as needed under the guidance of the Intake Coordinator. Administers prescribed medications and treatments in accordance with the 7 rights of medication administration and in accordance with written protocols including routine and PRN medications. Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from normal and assess the condition of patient, and/or monitors unlicensed staff in obtaining vital signs as directed. Accurately transcribes physician orders in accordance to written policyCommunicates with pharmacy staff to obtain medications, conducting prior authorizations as needed to ensure continued careAssists case managers in providing a comprehensive transition of care upon discharge.Assesses acute symptoms of withdrawal, psychiatric status, and/or medical needs. Accurately documents assessments, and effectively communicates nursing assessments to the interdisciplinary treatment team including medical and psychiatric providers. Assists in the behavioral management of patients which included verbal redirection and active listening. Functions as a role model to reinforce the development of adaptive behaviors.Implements crisis management technique to de-escalate clients and peer to peer interactions when necessary to maintain safety of the milieuUtilizes compassionate psychotherapeutic intervention to assist patients in regaining or improving coping skills and prevent further disability.Provides appropriate level of patient education to improve client’s level of understanding regarding illness, treatments, patient rights and responsibilities, and the acquisition of adaptive coping behaviors.Provides special attention/monitoring of those patients at risk for suicidal attempts or leaves against medical advice. Minimum QualificationsNYS Registered Nurse licenseBachelor degree preferredAt least 1 year of experience working with direct care of substance use disorder patients, psychiatric experience a plus Ability to establish effective working relationships with other staff, patients and referral sourcesMaintain compassion and empathy as well as clear boundaries with patients under the influence of alcohol and other drugs POSITION SPECIFICS: Skills: CPR/First Aid, BLS Certified Narcan training a plus Physical Demands: Standing/Walking: Standing and walking is required for the majority of time spent on campus. Nurses must be able to walk around campus throughout shift (including hills, stairs, and inclement weather conditions)Lifting: Regular lifting of medical supplies, medications, patient supplies, and patient charts, all weighing up to twenty pounds is required. Bending: Bending is required when administering patient care. One must be able to bend to touch the floor to remove environmental hazards. Kneeling: Squatting is required when operating medical equipment and performing aspects of patient care, such as CPR COMPETENCIES: Leading SelfCharacter and Courage (Integrity and Trust)Do the right thing, because it is the right thing, even when no one is looking. Truth to Power.Customer FocusBuild positive relationships through communication and collaborative problem solving.Commitment to Diversity, Inclusion, Justice and EquityBelieve in the dignity and humanity of all people to reach their full potential. Staff Signature: LICENSED PRACTICAL NURSE JOB TITLE: Licensed Practical Nurse-Per Diem POSITION GRADE: 79 [ salary range: 23hr-27hr commensurate with education and experience] FSLA: Non Exempt DEPARTMENT/PROGRAM: Living Hope Treatment Center SUPERVISOR: Nurse Manager; on shift may report to or Lead Nurse JOB SUMMARY: Under the general direction of the Nurse Manager, the Licensed Practical Nurse is responsible to promote the health and wellness of all the clients served at Living Hope Detox, and provide the care requirements in accordance with regulating bodies. The LPN is a licensed nurse whose duties will include the following: perform nursing assessments within NYS scope of practice on new intakes, obtain health and psychiatric records, complete communicable risk assessments, obtain vital signs, heights, weights and waist circumference as applicable, manage the providers’ schedules, order and administer medications, accept pharmacy deliveries, and perform any duties, within the scope of their license, requested by the RN. Additionally, the LPN will document accordingly using the Villa forms and if needed, will be co-signed by the RN on duty. Also, the nurse may be asked to participate in any orientation for new hires and provide observations for the nursing students in the area. The nurse will demonstrate and be accountable to the Agencies Mission, Vision, Values, Guiding Principles and Strategic Plan. ESSENTIAL FUNCTIONS:Actively and compassionately interacts with patients to encourage engagement in treatment after completion of detoxification. Administering medications, treatments, inoculations, and tests as allowed by law. Implements verbal physician orders and authenticates in writing, within a reasonable time, in the patient record Maintains a safe environment applying principles of medical asepsis and applying infection control techniques and universal precautions. Accurately obtains vital signs and health monitoring data.Executes prescribed treatments and medical interventions, including transcribing and administering routine and prescribed medications in accordance with procedures established by the Medical Director and Nursing Supervisor. Records patient observations and activities in patient records accurately and timely in accordance with nursing standards and organizational policy and procedure. Screens and provides first response, including obtaining health history.Performs CLIA waivered tests according to regulationsAccurately documents nursing data in an electronic clinical record.Maintains confidentiality and security for all client and staff related materials and/or records.Demonstrates, promotes and practices cultural competency toward clients, families and staff.Exercises full compliance with the Justice Center’s Code of Conduct for People with Special Needs.Proficient in Microsoft Software such as Word, Excellus, Outlook, etc.Effectively communicates with a multidisciplinary team.Exercises full compliance with Agency Code of Conduct, all Agency policies and procedures and Federal and State laws and regulations. Attends regularly scheduled staff meetings. Follows all policies and procedures with regard to patient information protection, including alcohol-drug patient confidentiality (42 CFR) and HIPAA (45 CFR). 11. Attends training on chemical dependency as required by employer. Maintains and demonstrates a current working knowledge of applicable clinical procedures and nursing care based on company policy and State and Federal guidelines. Other duties as assigned. POSITION SPECIFICS: Education: NYS LPN licensure Experience: Graduate of an accredited School of Nursing and current licensure in New York State as Licensed Practical Nurse. 1 year post-licensure preferably with psychiatric mental health or substance use patients, preferably in an acute setting. Skills:Experience with electronic medical record documentation and all basic nursing skills within the scope of a licensed practical nurse.Maintain a valid New York State Driver’s license at all times. Able to read, analyze, and interpret policies and directions and present information effectively, both orally and in writing. Ability to deal with chemically dependent individuals non-judgmentally and with caring and compassion. Demonstrated ability to establish effective working relationships with other staff as well as with referral sources. Ability to read, analyze, interpret and evaluate information presented in research reports, professional publications, referral documents and similar materials. Ability to write clearly and cohesively and to present information effectively both orally and in writing. Ability to define problems, collect data, establish facts and draw valid conclusions from a wide variety of data and deal with several abstract and concrete variables. Physical Demands: The following lists physical demands an employee will perform on a regular basis: standing, walking, sitting, bending, stooping, squatting, kneeling, crouching, reaching, pushing, pulling, twisting, writing, carrying and climbing stairs. While performing the duties of this job, the employee is regularly required to: sit; use hands to finger, handle or feel objects, implements or office equipment; talk and hear; stand and walk, reach with hands and arms; stoop or kneel. Employee must occasionally lift up to 50 pounds and be able to assist an adult weighing 100-200 pounds. Specific vision abilities required by this job include close, distance and color vision and the ability to adjust focus. Employee may be required to move chairs, beds, and medical equipment, move patients in bed (with or without assistance) and to change bed linens, help clients from floor to chair or bed, and assist with bathing. COMPETENCIES: Leading SelfCharacter and Courage (Integrity and Trust)-Do the right thing, because it is the right thing, even when no one is looking. Truth to Power.Customer FocusBuild positive relationships through communication and collaborative problem solving.Commitment to Diversity, Inclusion, Justice and EquityBelieve in the dignity and humanity of all people to reach their full potential. Staff Signature: Date Signed: JOB TITLE: LPN/RN Relief Floater – Per Diem DEPARTMENT/PROGRAM: Living Hope Treatment Center/ Medical Services SUPERVISOR: Nurse Manager PAYGRADE: $40/hour- RN $30/hour-LPN FLSA STATUS: Non-Exempt JOB SUMMARY: Under the general direction of the program nurse manager, the LPN/RN Relief Floater supports both Medical Services and Living Hope Detox programs by providing high-quality, compassionate nursing care to clients aged 16+. The Relief Floater promotes client health and wellness, completes medical and psychiatric assessments within the appropriate NYS scope of practice, administers medications, monitors withdrawal symptoms, performs health screenings, and supports client stabilization in an integrated behavioral health and substance use treatment setting. This position functions as a flexible clinical resource, floating between programs and units as needed to ensure adequate coverage, continuity of care, and safe milieu management. The nurse will demonstrate and be accountable to the Agency’s Mission, Vision, Values, Guiding Principles, and Strategic Plan. ESSENTIAL FUNCTIONS: Client Care & AssessmentConducts nursing assessments within scope of practice for sick/injured clients and new intakes. Obtains health histories, psychiatric records, communicable disease risk assessments, vital signs, heights, weights, and waist circumference as appropriate.Assesses clients for withdrawal symptoms, psychiatric instability, and medical needs; accurately documents findings and communicates them to the interdisciplinary team.Provides first response to medical or psychiatric issues, using crisis management techniques to de-escalate clients and interactions when needed.Monitors, supports, and provides extra attention to clients at risk for suicidal behavior or leaving against medical advice. Encourages engagement in treatment and models adaptive coping behaviors for clients transitioning out of detox. Medication & Treatment ResponsibilitiesAdministers prescribed medications and treatments in accordance with the 7 Rights of Medication Administration and agency protocols.Transcribes and verifies provider orders accurately and timely.Executes prescribed interventions, including both routine and PRN medications. Performs CLIA-waived tests and documents results per regulatory requirements.Manages medication ordering, storage, and pharmacy deliveries; completes prior authorizations if needed.Maintains infection control standards, universal precautions, and medical asepsis. Documentation & CommunicationAccurately documents all assessments, interventions, and observations in electronic clinical records.Ensures all required documentation meets agency, state, and federal requirements including HIPAA and 42 CFR Part 2.Effectively communicates with multidisciplinary treatment teams, including medical, psychiatric, case management, and intake staff.Participates in discharge planning and care-transition coordination.Safety, Compliance & Professional StandardsMaintains confidentiality and security of all client and staff information.Fully complies with the Agency Code of Conduct, Justice Center Code of Conduct, and all state/federal regulations.Maintains cultural competency and demonstrates empathy, compassion, and professionalism when working with clients with substance use or psychiatric disorders.Participates in required staff trainings and meetings.Provides support during new hire orientation and supervises nursing students as appropriate. POSITION SPECIFICS: Education:Required: Active NYS LPN or RN license. Experience: Minimum 1 year experience in direct care, preferably with substance use, mental health, or acute care populations.Experience with electronic medical records required. Skills:Strong clinical skills within the LPN/RN scope of practice, including medication administration, withdrawal monitoring, crisis intervention, and documentation.CPR/First Aid/BLS required; Narcan training preferred.Excellent written and verbal communication abilities.Ability to maintain professional boundaries and demonstrate compassion with clients experiencing withdrawal, psychiatric symptoms, or co-occurring disorde

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