Job Description

Join Pacific Quest and make a difference! Pacific Quest provides licensed and accredited residential mental healthcare on Hawaii Island and is a leader in integrative, nature-based residential treatment for adolescents and young adults.
Why You’ll Love Working Here: - Be part of a mission-driven team committed to fostering health, connection, and resilience- Work in a collaborative, supportive environment where every role contributes to life-changing outcomes- Enjoy competitive pay, great benefits

The Overnight RN is not a traditional RN role, but is responsible for maintaining medical oversight and ensuring the safety and well-being of adolescent and young adult residents during overnight hours. This role includes medication preparation and monitoring, behavioral observation, emergency response, facility readiness, and collaboration with daytime staff to ensure continuity of care. The Overnight RN plays a critical part in upholding Pacific Quest’s high standards of integrative medical care in a structured residential treatment environment.

Resident Safety & Supervision

Accountabilities:

• Ensure resident well-being during overnight hours
• Maintain vigilance in monitoring and observation

Key Responsibilities:
• Perform 15-minute bed checks throughout the shift
• Support resident safety through alertness and presence
• Monitor for behavioral issues and escalate as needed
• Assist with hygiene and bedtime routines for late-night arrivals

Medical Monitoring and Care

Accountabilities:

• Deliver medical support within RN scope
• Support medication safety and administration
  
  

Key Responsibilities:

• Prepare and assist with medication for resident self-administration
• Respond to medical concerns overnight
• Provide basic medical interventions within license limitations
• Participate in emergency or behavioral de-escalation situations

Documentation and Communication

Accountabilities:

• Maintain accurate records
• Ensure clear shift-to-shift communication

Key Responsibilities:

• Complete overnight incident and safety reports
• Record observations and care in accordance with standards
• Communicate effectively with daytime staff for continuity of care

Facility Readiness and Operations

Accountabilities:

• Support overnight operations and site cleanliness
• Ensure a safe and functioning environment

Key Responsibilities:

• Perform security checks throughout the facility
• Assist with resident transports or evacuations as needed

Competencies

• Strong communication and documentation skills
• Experience in residential or youth settings (preferred)
• Ensure all documentation, verbal communication, and electronic records are handled with discretion and in accordance with HIPAA, federal, and state privacy laws
• This role requires extended periods of alertness overnight with intermittent activity
• Uphold Pacific Quest policies and maintain alignment with Core Values: Professionalism, Health, Connection and Resilience

Skills and Qualifications

• Maintain active RN license in the State of Hawaii
• Current CPR/First Aid certification required from a classroom training
• Maintain CPI certification (provided by PQ)
• Attend required trainings and staff meetings
• Meet all required certifications and standards
• Ensure Company training requirements are kept current
• Pass all background, drug, and health clearances
• 21+ years of age to meet Company auto insurance requirements
• Maintain valid driver's license with clean driving record; annual driving clearance required
• Pre-employment physical and TB clearance required; annual clearances thereafter
• Computer skills, including proficiency in EMR systems
• Must pass thorough background checks and drug screen

Work Schedule

• Full-time; typically 3 overnight shifts (11 hours each) + 1 short shift (7 hours) per week
• Weekend and holiday availability required
• Flexibility for required overtime and coverage as needed

Physical Demands

• With or without reasonable accommodation, the physical and mental requirements of this job may include the following: seeing, hearing, speaking, and writing clearly. Occasional reaching with hands and arms, stooping, kneeling, crouching, frequent sitting, standing and walking, may be required for long periods of time and may involve climbing stairs and walking up inclines and on uneven terrain. Additional physical requirements may include some lifting and or moving up to 25 pounds.

Pacific Quest is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Pacific Quest is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request reasonable accommodation to participate in the job application or interview process, contact Human Resources at hr@pacificquest.org.