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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
Entry, Junior, Mid
Santa Rosa, CA, USA
In Person
Medical, Clinical & VeterinaryNursing & Frontline Patient Care

About the job

Requirements
  • Current California registered nurse license.
  • Current Cardiopulmonary Resuscitation (CPR) certification, or obtain certification during the initial orientation period.
  • Complete a verbal de-escalation and physical intervention program approved by the Chief Nursing Officer.
  • Knowledge and experience in psychiatric diagnoses and associated risks, medications, biological systems, the nursing process, treatment planning, inpatient hospital unit operations, and leadership. New registered nurse graduates may meet these requirements if they completed a psychiatric rotation during nursing school or have psychiatric experience in another role.
  • English proficiency.
  • Pass initial and annual competency evaluations covering 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; stooping, kneeling, crouching, reaching, walking, pushing, pulling, lifting, carrying, tactile perception, oral communication, and visual acuity.
  • Exert up to 100 pounds of force occasionally and/or up to 20 pounds frequently.
  • Be able to provide manual and mechanical restraints for patients who are physically acting out and potentially 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’ status; provide direct care to an assigned group; document care and assessments; prepare and administer medications as needed; and complete required documentation at the end of each shift.
  • Provide clinical summary information to team members during treatment-team meetings, shift reports, and other handoffs; maintain continual oversight of inpatients and inpatient psychiatric unit operations.
  • Work with nursing and other clinical staff to plan and document patient care; document inpatient problems, hospitalization goals, short-term goals, and team interventions in the multidisciplinary treatment plan to help patients return to a reasonable mental health status and transition to a lower level of care.
  • Provide patient care using knowledge of mental health diagnoses, standards of care, evidence-based practice, psychotropic medications, risks for mental health patients, National Patient Safety Goals, and models of care.
  • Apply the nursing process and process-improvement principles across patient and hospital needs by assessing, collecting data, defining problems, setting goals, initiating interventions, and evaluating interventions; complete timely incident reports and submit them to the Nurse Manager or registered nurse House Supervisor.
  • Identify staffing needs based on the staffing plan and acuity assessments.
  • Provide direct clinical oversight to nursing staff throughout the shift in conjunction with the Nurse Manager, registered nurse House Supervisor, or Director of Nursing, as appropriate.
  • Coordinate team members’ immediate response during inpatient 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