Join McAlister Institute, a 48-year beacon in San Diego's Recovery Community.

The Nurse Practitioner (NP) plays a key role in delivering high-quality, compassionate medical care to individuals undergoing detoxification, treatment, and recovery. This position oversees clinical services within the IMS program and collaborates closely with multidisciplinary teams to ensure integrated, client-centered care. The NP ensures compliance with all IMS and DHCS standards while supporting a safe, trauma-informed, and culturally competent environment.

Benefits for YOU:

• 13 paid annual holidays, including your birthday; 12 paid vacation days, paid sick leave
• Public Service Loan Forgiveness eligibility
• 403(b) Retirement Plan + up to 6% Employer Match
• Health Insurance available the first of the month following 30 days of employment (Sharp)
• EAP

Key Responsibilities:

• Uphold and promote the mission, philosophy, values, and direction of McAlister Institute. 
• Work closely with the Associate Director of IMS to align services with program goals. 
• Complete medical assessments, histories, and physical exams for all admissions. 
• Monitor health status and oversee self-administered medications via eMAR.
• Assess withdrawal symptoms and apply appropriate protocols. 
• Prescribe and manage withdrawal, psychotropic, and MAT medications per state regulations. 
• Order and interpret labs relevant to SUD populations. 
• Approve IMS admissions, readmissions, and discharges. 
• Provide client education on SUD and MAT. 
• Maintain accurate, timely clinical documentation. 
• Ensure compliance with IMS policies, procedures, and DHCS guidelines. 
• Participate in audits, quality improvement efforts, and quarterly medication reviews. 
• Contribute to staff training, promote best clinical practices, and support/guide IMS staff (LVN’s, RN’s, MA’s, Coordinators). 
• Help develop referral pathways with external providers. 
• Perform other assigned duties as needed.

• Current, valid California Nurse Practitioner License in good standing. 
• Current BLS/ACLS (or ability to recertify within 2 months). 
• Strong knowledge of addiction medicine, withdrawal management, and MAT. 
• Excellent clinical judgement, communication, documentation, and teamwork skills. 
• Ability to manage multiple priorities and maintain accurate records. 
• Clean driving record with at least two years of driving experience. 
• Frequent travel between program sites is required. 
• Bilingual (English/Spanish) preferred.
• Ability to pass all pre-employment screenings, including references, education verification, a criminal background check with at least one year clear of probation or parole, a drug test, and a TB test.

Equal Opportunity Employer:

McAlister Institute is committed to creating a diverse environment and we are proud to be an equal-opportunity employer. All qualified applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition (cancer and genetic characteristics), genetic information, or denial of medical and family care leave, any other non-job-related factors, and other characteristics protected by local, state, or federal anti-discrimination law covering employment.

Reasonable Accommodations:

McAlister Institute is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the jobs@mcalisterinc.org., for more information. Please include your name and position you are applying for.

Work Authorization Requirement:

Applicants must be legally authorized to work in the United States at the time of application. McAlister Institute does not participate in visa sponsorship programs, including H1-B visas, and will not provide sponsorship for any employment-based visas.

Pre-Employment:

All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from McAlister Institute employment as we are subject to County of San Diego contractual hiring requirements). A pre-employment physical examination, and post-offer background check is required. Candidates must have at least one year clear of probation or parole, a drug test, and a negative TB test.

General Information & Considerations:

Placement on the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications.

Current McAlister Institute employees may receive priority consideration for positions when they meet essential qualifications.