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Ciwa Jobs (NOW HIRING)

JourneyPure at The River

LPN-Inpatient

Murfreesboro, TN

$22.75 - $31/hr

Perform initial and ongoing assessments for detox and residential patients, including vitals, CIWA/COWS scoring, and withdrawal monitoring. * Provide patient education related to medications ...

JourneyPure at The River

LPN-Inpatient

Murfreesboro, TN · On-site

$23.25 - $31.50/hr

Perform initial and ongoing assessments for detox and residential patients, including vitals, CIWA/COWS scoring, and withdrawal monitoring. * Provide patient education related to medications ...

Helen Ross McNabb Center

BHUCC LPN

Knoxville, TN

$21.75 - $29.75/hr

Follows and understands CIWA protocol when BAL is above 0.000 and administers correct detox medication per protocol. * Communicate with other healthcare professionals during recovery partnership and ...

JourneyPure at The River

LPN-Inpatient

Murfreesboro, TN · On-site

$23.25 - $31.50/hr

Perform initial and ongoing assessments for detox and residential patients, including vitals, CIWA/COWS scoring, and withdrawal monitoring. * Provide patient education related to medications ...

Armada Recovery

Registered Nurse

Akron, OH

Monitor patients for withdrawal symptoms using approved tools (e.g., CIWA, COWS) * Perform routine and PRN vital signs and clinical assessments * Identify changes in patient condition and intervene ...

JourneyPure at The River

LPN-Inpatient

Murfreesboro, TN · On-site

$23.25 - $31.50/hr

Perform initial and ongoing assessments for detox and residential patients, including vitals, CIWA/COWS scoring, and withdrawal monitoring. * Provide patient education related to medications ...

Helen Ross McNabb Center

BHUCC LPN

Knoxville, TN · On-site

$21.75 - $29.75/hr

Follows and understands CIWA protocol when BAL is above 0.000 and administers correct detox medication per protocol. * Communicate with other healthcare professionals during recovery partnership and ...

Bestica Healthcare

RN CMU

Portsmouth, NH · On-site

Can NOT take patients post Cath lab unless radial artery used, Chest pain r/o, CHF, COPD Cardiac management, chest tubes, hi-flow and Bi-pap, Thoracentesis, PD, Trachs, Pacemakers, Cardiac Cath, CIWA ...

Helen Ross McNabb Center

BHUCC LPN

Knoxville, TN

$21.75 - $29.75/hr

Follows and understands CIWA protocol when BAL is above 0.000 and administers correct detox medication per protocol. * Communicate with other healthcare professionals during recovery partnership and ...

JourneyPure Bowling - Green

LPN-Inpatient

Bowling Green, KY · On-site

$22 - $29.75/hr

Perform initial and ongoing assessments for detox and residential patients, including vitals, CIWA/COWS scoring, and withdrawal monitoring. * Provide patient education related to medications ...

JourneyPure Bowling

LPN-Inpatient

Bowling Green, KY · On-site

$22 - $29.75/hr

Perform initial and ongoing assessments for detox and residential patients, including vitals, CIWA/COWS scoring, and withdrawal monitoring. * Provide patient education related to medications ...

Cardinal Recovery

RN

Warren, OH

$31 - $36/hr

Monitor withdrawal based on CIWA, COWS or CINA. * Implement treatment plans and update them as the patient's condition improves. * Educate patients on their conditions, in a way they understand.

Raisso

LPN

Rapid City, SD · On-site

$27 - $36.50/hr

Cardiac rhythm interpretation, IV starts, Blood product administration, CIWA, drain/tube management, indwelling and straight catheter insertion/management, continuous bladder irrigation, chest tube ...

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Ciwa information

What is the difference between Ciwa vs Certified Insurance Wholesaler?

AspectCiwaCertified Insurance Wholesaler
Required CredentialsTypically no formal certification required, but industry knowledge essentialCertification often preferred or required, such as CIC or other insurance designations
Work EnvironmentInsurance agencies, brokerages, or independent settingsInsurance wholesale brokerages, insurance markets, or brokerage firms
Employer & Industry UsageUsed by insurance agents and brokers to refer to a specific role or certificationCommonly used in the insurance wholesale industry for specialized roles

The main difference is that Ciwa refers to a role or certification within the insurance industry, often emphasizing industry knowledge, while a Certified Insurance Wholesaler is a formal certification indicating expertise in wholesale insurance distribution. Both are relevant in insurance sales and brokerage environments, but the certification provides a recognized credential for professional advancement.

What is a CIWA?

CIWA nurses are healthcare professionals trained to use the Clinical Institute Withdrawal Assessment for Alcohol (CIWA) protocol. They assess and monitor patients experiencing alcohol withdrawal, using the CIWA-Ar scale to determine the severity of symptoms and guide treatment. Their role is crucial in ensuring patient safety by administering medications, monitoring vital signs, and adjusting care plans as needed. CIWA nurses work in hospitals, detox centers, and other healthcare settings where alcohol withdrawal management is required.

What skills and qualifications are needed to thrive as a Clinical Information Workflow Analyst (CIWA)?

To thrive as a Clinical Information Workflow Analyst (CIWA), you need a strong background in healthcare operations, data analysis, and process improvement, often supported by a degree in health informatics, nursing, or a related field. Familiarity with electronic health records (EHR) systems, workflow mapping tools, and possibly certifications like Lean Six Sigma or Epic certification is valuable. Strong communication, problem-solving, and collaboration skills help bridge clinical needs with IT solutions and drive workflow enhancements. These skills are essential for optimizing healthcare processes, improving patient outcomes, and ensuring regulatory compliance.

What are common challenges faced by CIWA nurses when assessing and managing patients with alcohol withdrawal?

CIWA nurses often encounter challenges such as rapidly changing patient symptoms, difficulty in accurately assessing withdrawal severity, and managing patients who may be uncooperative or at risk for complications. Effective communication with physicians and the healthcare team is essential to ensure timely interventions and medication adjustments. Additionally, maintaining patient safety while balancing multiple assessments can be demanding, but teamwork and adherence to protocols help support positive outcomes.
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Ciwa jobs near you
Infographic showing various Ciwa job openings in the United States as of August 2026, with employment types broken down into 5% As Needed, 54% Full Time, 14% Part Time, 1% Temporary, 24% Contract, and 2% Nights. Highlights an 100% Physical job distribution.

LPN-Inpatient

JourneyPure at The River

Murfreesboro, TN

$22.75 - $31/hr

Full-time, Other

Medical, Dental, Vision, Retirement, PTO

Posted 23 days ago

Job description

LPN-Inpatient

Our mission is to help people become healthy and stay healthy. Our high standards attract well-known behavioral health professionals from across the country. Their commitments to ethics and patient success are backed by the highest accreditation in the industry.

The Licensed Practical Nurse (LPN) is responsible for delivering high-quality, compassionate nursing care to individuals undergoing substance use and mental health treatment in a residential and detox setting. This role ensures patient safety, medication accuracy, and clinical documentation in accordance with facility policy, state regulations, and nursing best practices. The Night Shift LPN works 7p–7a, full-time, every other weekend, and collaborates closely with recovery staff, on-site medical providers, and the multidisciplinary care team to maintain a therapeutic and supportive environment.

Benefits:

  • 401(k) (After 90 days of continuous employment)
  • Paid Time Off (PTO)
  • Health, Dental, & Vision insurance (Offered after 60 days of employment)
  • Compensation: 

Primary Responsibilities

Patient Care & Monitoring

  • Perform initial and ongoing assessments for detox and residential patients, including vitals, CIWA/COWS scoring, and withdrawal monitoring.
  • Provide patient education related to medications, treatment plans, and health needs.
  • Respond promptly to medical or behavioral emergencies and follow facility protocols.

Medication Management

  • Complete accurate and timely medication passes during assigned hours.
  • Administer medications, insulin, and PRNs according to provider orders and facility policy.
  • Perform narcotic counts, verify controlled substances, and document all discrepancies per policy.
  • Ensure proper storage, labeling, and security of all medications.

Documentation & Compliance

  • Maintain detailed, accurate, and timely documentation in the EMR.
  • Record assessments, medication administration, interventions, and patient responses.
  • Ensure compliance with state regulations, OSHA requirements, and facility standards.
  • Participate in audits, quality improvement initiatives, and shift hand-off communication.

Collaboration & Communication

  • Work closely with Recovery Coaches to coordinate patient movement and med-pass flow.
  • Communicate changes in a patient’s condition to the on-call provider and nursing leadership.
  • Support the multidisciplinary team by reporting safety risks, patient concerns, and compliance issues.

Other related duties as assigned. 

Qualifications

  • Active Licensed Practical Nurse (LPN) license in good standing in the state of practice
  • Current CPR/BLS certification required
  • 1+ year of nursing experience preferred
  • Experience in behavioral health, substance use treatment, detox, or residential care strongly preferred
  • Experience administering medications and maintaining accurate EMR documentation
  • Knowledge of CIWA/COWS assessments and withdrawal protocols preferred
  • Strong communication and teamwork skills

JourneyPure is an Equal Opportunity Employer