Job Description

Registered Nurse (RN)
Full‑Time | Roanoke, VA
Schedule: 12:00 PM – 8:00 PM, Monday–Friday
Every other Saturday: 8:00 AM – 1:00 PM

As a Registered Nurse (RN) at our Roanoke, VA location, you will play a vital role in coordinating and delivering medical and nursing care for patients in a substance use treatment setting. In the absence of the Director of Nursing, you will assist with overseeing nursing operations while providing direct patient care and ensuring compliance with all state and federal regulations.

Why Pinnacle

• Competitive compensation and comprehensive benefits
• Collaborative, team‑based clinical environment
• Generous Paid Time Off (PTO)
• Opportunities for professional growth and advancement
• Company‑sponsored training and certification opportunities
• Meaningful work supporting recovery and long‑term patient outcomes

Benefits

• Shift differential for nights and weekends
• 18 days Paid Time Off (PTO)
• 401(k) with company match
• Comprehensive benefits package including medical, dental, vision, short‑term disability, long‑term disability, and accident insurance
• Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP)
• Discounted tuition and scholarship opportunities through Capella University

Requirements

• Current Registered Nurse (RN) license in the state of employment
• Minimum of one (1) year of experience in substance use disorder and/or mental health treatment
• Experience with chemical addiction and/or mental health conditions, including psychopharmacology
• Current CPR (Cardiopulmonary Resuscitation) certification
• Ability to triage and assist in medical emergencies

Preferred Qualifications

• Three (3) years of experience working with individuals with chemical addiction and/or mental health disorders, including psychopharmacotherapy

Responsibilities

• Screen and assess patients for co‑existing medical conditions and risk factors impacting level of care
• Administer medications and treatments as ordered in compliance with state and federal regulations
• Ensure accurate and timely documentation of medication administration
• Implement and follow physician and Medical Director treatment plans
• Facilitate patient education groups related to substance use, infectious diseases, medical conditions, and mental health
• Administer, interpret, and document Mantoux (PPD) testing as required
• Monitor patient responses to medications and treatments, documenting effectiveness and adverse reactions
• Communicate nursing care needs, condition changes, and urgent concerns to providers
• Order and maintain medical supply inventory in compliance with regulations
• Maintain complete and accurate medical records, including charts, medication logs, progress notes, and physician orders
• Coordinate appointments, lab work, and follow‑up care with providers and patients
• Educate patients on hygiene, lab results, HIV/AIDS testing, and general medical concerns
• Collaborate with physicians and treatment teams regarding treatment or behavioral changes
• Provide referrals for specialized or community‑based medical services and track follow‑up
• Assist with patient transitions between levels of care
• Support training and education of team members related to medical care
• Maintain required continuing education credits per Board of Nursing standards
• Assist physicians during physical examinations as needed
• Maintain cleanliness and organization of medication rooms and medical equipment
• Attend team meetings and complete required training
• Perform other duties as assigned

Join our team. Join our mission.