Licensed Practical Nurse (LPN) – Spravato Treatment in Sewell, New Jersey at Redefine Management, LLC

At Redefine Healthcare, we are committed to providing every patient with the highest quality of care and compassion. With a dedicated team of Neurosurgeons, Interventional Pain Management Specialists, Orthopedists, Psychiatrists, Physical Therapists, Chiropractors, and Vascular specialists, we pride ourselves on delivering coordinated, comprehensive care across a growing range of specialties.

The Licensed Practical Nurse (LPN) provides direct patient care and clinical support to physicians and other healthcare professionals within an outpatient pain management and orthopedic practice. This position is responsible for assisting with patient assessments, medication administration, clinical procedures, patient education, and coordination of care. The LPN works collaboratively with providers and clinical staff to ensure efficient daily operations while maintaining the highest standards of patient safety, professionalism, and quality of care.

Job Title: Licensed Practical Nurse (LPN)

Pay Rate: $30- 32/ hour depending on Experience

Hours: 40 hours per week

Job Type: Full-time

Benefits: Paid time off, sick time, health insurance (medical, dental, vision, accident, and critical illness), life insurance, 401(k) with Company match, yearly bonus, CE and certification reimbursement.

Patient intake, education, and enrollment

• Confirm REMS Patient Enrollment Form completion (patient and provider portions) and informed consent before a patient's first dose; initiate and maintain REMS enrollment and related administrative documentation throughout treatment
• Provide and reinforce patient education on the SPRAVATO program, the self-administration process and the overall course of treatment; re-educate patients as needed
• Communicate and reconfirm the no-driving/companion-transportation policy at scheduling, pretreatment contact and check-in

Pre-administration and dosing-day care

• Positively identify the patient using three identifiers; verify the medication order, dose and expiration date
• Review the chart for contraindications (aneurysmal vascular disease, arteriovenous malformation, prior intracerebral hemorrhage, hypersensitivity to esketamine/ketamine); obtain and document baseline vitals; perform urine HCG testing and pregnancy screening as required
• Educate the patient on self-administration technique and directly observe self-administration to confirm correct, complete dosing
• Continuously observe the patient for a minimum of 2 hours post-dose; obtain blood pressure checks at 40 minutes and 2 hours; determine discharge readiness per the Monitoring Protocol

Adverse reaction response

• Recognize and respond to minor and severe reactions per the ADR Protocol; administer Standing Order medications within LPN scope of practice and the physician's standing orders.
• Participate in the severe reaction procedure, including activating EMS; administer epinephrine or anaphylaxis only pursuant to a physician's order given at the time of the event
• Complete ADR and incident reports for every reaction

Documentation, scheduling and REMS recordkeeping

• Complete the Spravato Monitoring Form at every dosing visit, the treatment log and the medication kit inventory log; submit required REMS forms within the required timeframe

• Schedule and track SPRAVATO dosing visits and each patient's progress through the treatment program; manage patient correspondence related to SPRAVATO treatment (e.g., appointment reminders, follow-up outreach); escalate missed visits or gaps in care to the prescribing physician

Controlled-substance handling and site readiness

• Maintain CIII-compliant secure storage and inventory control for esketamine; comply with Redefine's Drug Diversion Prevention Program, including background-screening requirements and mandatory reporting of known or suspected diversion or impairment

• Confirm emergency response equipment and medications (including epinephrine and other ADR-response supplies) are stocked, accessible and within expiration before each day's first dose; support REMS site-certification and audit readiness

Other Duties

• Perform other duties as assigned.

• Active, unencumbered New Jersey LPN license
• Current BLS/CPR certification
• Ability to pass Redefine's pre-employment background check, consistent with the Drug Diversion Prevention Program (no disqualifying criminal history or DEA/licensure action related to controlled substances)
• Completion of SPRAVATO REMS-required site/staff training before performing dosing-day duties independently
• Comfort and competence administering intramuscular, sublingual and oral medications under a physician's standing order, within the scope of practice for LPNs under New Jersey law
• Strong attention to detail in a high-documentation, controlled-substance environment

• Prior experience in behavioral health, psychiatry, pain management or a procedural/ infusion based
• outpatient setting
• Experience with REMS-regulated medications, controlled-substance recordkeeping or drug diversion programs
• Advanced Cardiac Life Support (ACLS) certification

Redefine Healthcare is an equal opportunity employer. We do not discriminate in hiring or employment on the basis of race, creed, color, national origin, nationality, ancestry, age, sex (including pregnancy, childbirth and breastfeeding), gender identity or expression, affectional or sexual orientation, marital status, civil union or domestic partnership status, familial status, religion, disability, atypical hereditary cellular or blood trait, genetic information, liability for service in the Armed Forces, or use of a guide or service animal, consistent with the New Jersey Law Against Discrimination (NJLAD) and applicable federal law.

Employment with Redefine Healthcare is at-will. This job description does not create an employment contract, express or implied, and does not guarantee employment for any specific duration or that employment will continue. Either the employee or Redefine Healthcare may end the employment relationship at any time, with or without cause or notice, except as otherwise required by law.