Licensed Vocational Nurse

Harmony Health is a Tribally owned wellness clinic that treats a broad-spectrum population of Native and Non-Native patients. Harmony is established to provide those with substance use disorders whole person care: primary care, infectious disease, and mental health care. We are building a team of dedicated and compassionate individuals who align with this mission. Harmony Health brings an innovative model of highly individualized, compassionate care to patients with -substance use disorder. From the moment someone walks through the door of our state-of-the-art outpatient facility, they will encounter our thoughtfulness and intention for a humanizing and respectful experience with us. The comforting and safe setting of our nature-inspired facility and the friendly, professional attitude of our staff help to define our journey with each patient—and with each other—from day one. Each employee at Harmony Health creates their own ripple effect in the larger circles of the families and communities that we touch. We are currently seeking a Licensed Vocational Nurse (LVN) to support our clinic in Perris, CA. This position will report to the Nursing Manager and will work in collaboration with clinic leadership and OTS leadership. Indian Preference applies. Qualified Indian (American Indian or Alaskan Native) applicants will receive preference in accordance with 25 U.S.C. § 5323 and 25 U.S.C. § 472a. POSITION SUMMARY The Licensed Vocational Nurse (LVN) provides direct, individualized nursing care to patients receiving treatment for opioid use disorder and co-occurring conditions. Working under the direction of a Registered Nurse or licensed provider, the LVN administers medication, collects and reports patient data, performs point-of-care testing, and supports care coordination. Dispensary duties vary by state, as described below. We are looking for a skilled, compassionate nurse who excels in clinical accuracy, patient advocacy, and de-escalation. The ideal candidate maintains strict compliance with controlled substance regulations while fostering a welcoming, dignified, and safe environment for all patients. \n KEY RESPONSIBILITIES Responsibilities include, but are not limited to, the following: Medication Administration & Dispensing Administer MOUD and other medications by approved routes, including injections and vaccines, per provider orders, state and federal regulations, and clinic protocols. Administer OTP medication and, where permitted by state law, dispense it in the dispensary (see California Scope of Practice) Independently verify the patient, active order, medication, dose, and documentation before every administration or dispensing. Perform focused pre-dose safety screening and observations within LVN scope and approved protocols, including identification of possible intoxication, sedation, respiratory compromise, or other contraindications; hold or defer medication when required by approved protocols, immediately notify the RN or authorized prescribing practitioner, and document findings, actions, and disposition. Comprehensive nursing assessments, independent triage, and care planning remain the responsibility of the RN or authorized provider. Document and escalate withheld, delayed, missed, or refused doses to the prescribing provider per protocol. Prepare, label, verify, and release take-home doses only as ordered; take-home eligibility, dose changes, and prescribing are determined by the OTP Medical Director or an authorized OTP practitioner under 42 CFR Part 8 and the program's written delegation framework. Maintain accurate medication administration and dispensing records, perpetual inventory records, and controlled-substance accountability documentation in accordance with applicable DEA requirements, including 21 CFR Parts 1304 and 1306, state regulations, and approved OTP procedures; immediately report discrepancies, initiate required reconciliation and escalation procedures, document unresolved discrepancies before shift handoff, and never defer escalation of an unresolved discrepancy to the next shift Deliver authorized medication doses when assigned (for example, doses for patients in custody; in California, only after documented site-specific compliance approval of the dose preparation, release, and transfer process), following chain-of-custody, security, storage, and transport procedures under approved OTP policy, DEA requirements, and state rules; document each transfer of custody and report any delay, loss, or discrepancy immediately. Submit referrals for specialty care (for example, prenatal, infectious disease, and primary care), follow up for continuity of care, and assist with patient transfers into or out of the program. Patient Care & Clinical Support Collect and report patient data, including vital signs, withdrawal scores (e.g., COWS/CIWA), and health history; comprehensive assessments, triage decisions, and care plans are completed by the RN or provider with LVN input. Perform point-of-care testing, specimen collection, and TB skin testing per clinic policy and state scope. Report abnormal and critical results to the provider immediately and document follow-up as assigned. Assist providers with examinations and routine procedures. Reinforce patient education on MOUD, overdose prevention, and naloxone as directed. Recognize and respond to medical emergencies, including opioid overdose. Care Coordination, Documentation & Compliance Submit referrals for specialized care and follow up on attendance; assist with patient transfers into and out of the program. Order medical supplies, maintain inventory, and record use per regulations; maintain the dispensing room and medical equipment. Maintain complete, accurate, and timely EHR documentation, including medication and dosing records. Comply with HIPAA, 42 CFR Part 2, 42 CFR Part 8, state nursing regulations, and accreditation standards. Participate in huddles, case conferences, and quality improvement initiatives. Fulfill mandatory reporting obligations under California law and the Indian Child Protection and Family Violence Prevention Act, and follow clinic procedures for reporting suspected abuse or neglect. Other duties as assigned within LVN scope of practice and clinic policy. QUALIFICATIONS Required Qualifications Graduate of an accredited vocational or practical nursing program Active, unrestricted California LVN license (Board of Vocational Nursing and Psychiatric Technicians) Minimum 1 year of clinical nursing experience Active American Heart Association (AHA) Basic Life Support (BLS) certification Continuing education as required by the board of licensure. Ability to successfully complete employment-related background screening, occupational health requirements, and any legally permissible drug screening, consistent with applicable federal, state, and tribal laws and clinic policy Ability to provide health clearance and tuberculosis (TB) clearance. Valid driver's license, current auto insurance, and an acceptable driving record, as medication delivery may be assigned. Preferred Qualifications California: BVNPT-recognized IV therapy and blood withdrawal certification (Business and Professions Code § 2860.5; 16 CCR §§ 2542–2547.5) 1+ years of experience in an OTP or substance use disorder setting Active American Heart Association (AHA) ACLS Experience working with tribal health programs or multicultural communities. Bilingual fluency in English and Spanish or a language native to the community served SKILLS The ideal candidate embodies the following: Precision in medication administration, record-keeping, and controlled substance handling Strong observation, crisis intervention, and de-escalation skills Empathetic listening and cultural humility Ability to stay calm and professional in high stress situations Commitment to patient dignity, confidentiality, and safety \n $32.98 - $39.42 an hour \n Physical Demands and Work Environment The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this classification. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this classification, the employee is frequently required to stand, walk, sit, stoop, kneel, bend, use hands to keyboard or type, handle materials used in performing the essential functions of the classification, and reach with hands and arms. The employee will be asked to perform repetitive behaviors (e.g., typing and data entry). The employee must occasionally lift and/or move up to 25 pounds (think boxes of paper). Specific vision abilities required by this classification include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. Sufficient clarity of speech and hearing abilities required by this classification includes those which permit the employee to discern verbal instructions and communicate effectively in person, by telephone. While performing the duties of this classification, the employee works in an office setting where the noise level in the work environment is usually moderate. The employee must also analyze and evaluate situations and adopt effective courses of action. We support our team through a competitive salary and benefits package and opportunities for continuing education and professional advancement. Harmony Health Center staff will also be cross trained to meet the needs of patients and to make each day a success. On-the-job training will empower team members, as we believe the excellence of the clinic and the professional development of our staff complement one another. Please visit www.harmony.health for more information.