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Northern California Behavioral Health System

Inpatient and outpatient behavioral health care

Inpatient Psychiatric Registered Nurse

Full-TimeUpdated on 10/17/2026
$63 - $75/hr
Senior
Santa Rosa, CA, USA
In PersonRelocation packages are available.
Medical, Clinical & VeterinaryNursing & Frontline Patient Care

About the job

Requirements
  • Hold a current California Registered Nurse license.
  • Hold current Cardiopulmonary Resuscitation certification or obtain it during the initial orientation period.
  • Complete a verbal de-escalation and physical intervention program approved by the Chief Nursing Officer.
  • Have knowledge and experience of psychiatric diagnoses and associated risks, medications, biological systems, the nursing process, treatment planning, inpatient hospital unit operations, and leadership. New RN graduates may meet these requirements with a psychiatric rotation during nursing school or psychiatric experience in another role.
  • Have at least five years of psychiatric experience.
  • Have English proficiency.
  • Pass initial and annual competency evaluations in suicide prevention, safe use of restraints, de-escalation interventions, medication knowledge, code blue and emergency interventions, infection prevention, and appropriate use of seclusion and restraints.
  • Demonstrate the ability to apply knowledge and competency in daily nursing practice and maintain working knowledge of commonly used policies, policy changes, and where to find additional policies and information.
  • Meet the physical requirements of the role, including sustained standing and other movements; moving objects; oral communication; hearing and visual acuity; exerting up to 100 pounds occasionally and/or 20 pounds frequently; and providing manual and mechanical restraints to patients who may be physically acting out or dangerous.
Responsibilities
  • Assess inpatient needs and nursing staff resources, and complete inpatient and unit assignments based on acuity, treatment-plan goals, and unit operations.
  • Assess inpatients, provide direct care to assigned patients, document care and assessments, prepare and administer medications as needed, and complete necessary documentation at the end of each shift.
  • Provide clinical summaries to team members at treatment-team meetings, shift reports, and other hand-offs, and maintain continual oversight of inpatients and inpatient psychiatric unit operations.
  • Work with nursing and other clinical staff to plan and document patient care, including inpatient problems, hospitalization goals, short-term goals, and team interventions to support patients in returning to a reasonable mental health status and a lower level of care.
  • Provide patient care using knowledge of mental health diagnoses, standards of care, evidence-based practice, medications including psychotropic medications, mental health patient risks, National Patient Safety Goals, and models of care.
  • Apply the nursing process and process-improvement principles throughout the organization by assessing needs, collecting data, defining problems, setting goals, initiating interventions, and evaluating interventions.
  • Complete timely incident reports and submit them to the Nurse Manager or RN House Supervisor.
  • Identify staffing needs based on the staffing plan and acuity assessments.
  • Provide direct clinical oversight to nursing staff during the shift in conjunction with the Nurse Manager, RN House Supervisor, or Director of Nursing, as appropriate.
  • Coordinate team members’ immediate response during psychiatric crises and provide leadership.
  • Perform other related duties as assigned.

About the company

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Northern California Behavioral Health System

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NCBHS provides inpatient and outpatient behavioral health care at two Northern California campuses: Sacramento Behavioral Healthcare Hospital (SBHH) with 117 beds and an interventional psychiatry clinic, and Santa Rosa Behavioral Healthcare Hospital (SRBHH) with 144 beds. It operates within Signature Healthcare Services, linking it to a network of 19 psychiatric hospitals for coordinated regional care. Services cover adolescents and adults with depression, anxiety, bipolar disorder, psychosis, and co-occurring substance use disorders, delivered by a multidisciplinary team that creates individualized care plans. The goal is to support recovery through continuous, patient-centered care across the full behavioral health continuum.

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What believers are saying

  • California’s June 1, 2026 staffing rules reward compliant freestanding psychiatric operators.
  • Prop 1 funding surpassed $5.8 billion by August 11, 2026, expanding treatment capacity.
  • Sonoma County broke ground August 26, 2026 on a youth campus, reinforcing regional demand.

What critics are saying

  • NLRB case 20-CA-379243 against Sacramento Behavioral Healthcare Hospital closed after discharge and retaliation allegations.
  • CDPH fines hit $30,000 daily and force capacity cuts for ratio violations beginning June 2026.
  • County-built beds in Sonoma and Prop 1 projects intensify competition, threatening occupancy by 2027.

What makes Northern California Behavioral Health System unique

  • Sacramento opened in 2021 as Northern California’s first new psychiatric hospital in 30 years.
  • SRBHH and SBHH combine 261 beds, plus interventional psychiatry clinics and PHP/IOP.
  • Lake County renewed SRBHH acute inpatient contract on February 24, 2026.

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Benefits

  • Health Insurance
  • Vision Insurance
  • Dental Insurance
  • 401(k) Retirement Plan
  • Health Savings Account/Flexible Spending Account
  • Life Insurance
  • Disability Insurance
  • Paid Holidays
  • Paid Vacation
  • Paid Sick Leave
  • Tuition Reimbursement