Detox & Residential Nurse (RN / LPN) — All Shifts
About Us
Bridgecrest Recovery is a substance use disorder (SUD) treatment center being built in Dubuque, Iowa, to serve individuals and families across Iowa and the Tri-State region. We will open with medically monitored detox (withdrawal management) and residential treatment, with partial hospitalization (PHP) planned as we grow. We are in the final stage of Iowa state licensure and will partner first with Iowa Medicaid's managed care plans, followed by commercial payers.
Our mission is to provide compassionate, evidence-based care for people affected by substance use and co-occurring mental health conditions, and to build a team culture grounded in safety, dignity, accountability, and long-term recovery.
Why Join Bridgecrest Recovery
Be Part of the Founding Team: Help open a new program and set the standard for how patients are cared for.
Meaningful Work: Support people through one of the hardest and most important moments of their recovery.
Supportive Team: Work alongside a Medical Director, Director of Nursing, clinicians, and technicians who collaborate closely on every patient.
Role Description
Our nurses provide direct care to patients in medically monitored detox (withdrawal management) and residential treatment. Nurses monitor withdrawal symptoms, administer medications, complete nursing assessments, respond to medical concerns, and work closely with the treatment team to keep patients safe and comfortable. We are hiring both Registered Nurses (RNs) and Licensed Practical Nurses (LPNs), with duties assigned within each license's scope of practice under Iowa law.
Location: Dubuque, Iowa (on-site)
Reports to: Director of Nursing
Patient Care & Withdrawal Monitoring
Complete admission and ongoing nursing assessments (RN) and data collection and reassessment within scope (LPN).
Monitor vital signs and withdrawal symptoms using standardized tools such as CIWA-Ar and COWS, and escalate changes according to protocol.
Administer medications as ordered, including withdrawal management medications and MOUD/MAUD, and document accurately in the EHR.
Respond to medical emergencies, including overdose response with naloxone, and support emergency transfers when needed.
Provide patient education on medications, withdrawal, and health and safety.
Medication Management & Documentation
Follow controlled substance procedures, including counts, storage, reconciliation, and waste documentation.
Maintain timely, accurate nursing documentation that supports medical necessity and meets licensing, payer, and accreditation standards.
Communicate with prescribers, pharmacy, and lab partners as directed.
Team Collaboration
Participate in shift handoffs, treatment team meetings, and care coordination with clinicians, technicians, and admissions.
Help create a calm, respectful, trauma-informed environment for patients and families.
Minimum Qualifications
RN: Active, unrestricted Registered Nurse license in Iowa, or a multistate RN license under the Nurse Licensure Compact.
LPN: Active, unrestricted Licensed Practical Nurse license in Iowa, or a multistate LPN license under the Nurse Licensure Compact.
Current BLS/CPR certification (or ability to obtain before start).
Ability to work in a 24/7 setting, including nights, weekends, and holidays as scheduled.
Commitment to non-judgmental, compassionate care for people with substance use disorders.
Preferred Qualifications
1+ year of experience in detox/withdrawal management, substance use treatment, psychiatric, emergency, or medical-surgical nursing.
Experience with CIWA-Ar and COWS protocols and MOUD/MAUD (buprenorphine, naltrexone).
Experience in an ASAM Level 3.7 or 3.5 program.
Certified Addictions Registered Nurse (CARN) or interest in addiction nursing certification.
Experience with electronic health records in a behavioral health setting.
Schedule
Full-time, part-time, and PRN positions available.
Day, evening, and night shifts available in our 24/7 program.
Weekend and holiday rotation required.
Compensation & Benefits
Competitive hourly pay with shift differentials.
Comprehensive benefits package.
Final compensation will be based on experience, licensure, and overall fit for the role.
Equal Opportunity Employer
Bridgecrest Recovery is an Equal Opportunity Employer. We welcome applicants of all backgrounds and do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. People in recovery are encouraged to apply.