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.