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Northern California Behavioral Health System

Inpatient and outpatient behavioral health care

Assistant Director of Nursing

Full-Time
$145k - $170k/yr
Expert
Bachelor's, Master's
Santa Rosa, CA, USA
In Person
Medical, Clinical & Veterinary

About the job

Requirements
  • A master's degree in Nursing or a related field with at least one year of experience in administration, or two bachelor's degrees in Nursing or a related field with at least two years of experience in Nursing Administration, is preferred.
  • A minimum of two years of experience working in psychiatric nursing is preferred.
  • Current licensure as a Registered Nurse in California is required.
  • Current Cardiopulmonary Resuscitation (CPR) certification is required, or must be obtained within the initial orientation period.
  • Completion of a verbal de-escalation and physical intervention program as approved by the Chief Nursing Officer.
  • Maintain patient confidentiality at all times.
  • Demonstrate proficiency with Microsoft Office applications, including Outlook, Word, Excel, and PowerPoint, and/or relevant equipment.
  • Prioritize projects, work relatively independently, manage multiple tasks, and meet deadlines.
  • Demonstrate written and verbal communication skills and interpersonal skills for working with people from varied backgrounds and educational levels.
  • Work independently and as part of a team.
  • Use good judgment, problem-solving, and decision-making skills.
  • Demonstrate the ability to lead, influence, and motivate others and work collaboratively.
  • Work effectively in a fast-paced, expanding organization.
  • Use standard office equipment and access, input, and retrieve information from a computer; use a keyboard with manual and finger dexterity and wrist-finger speed sufficient for extended repetitive work.
  • Communicate effectively in person or by telephone with a diverse population, and give and follow detailed verbal and written instructions accurately.
  • Perform complex mental and basic arithmetic functions; interpret complex laws, regulations, and policies; and collect, interpret, or analyze complex data and information.
  • Have close-range vision to see object details, coordinate multiple tasks simultaneously, and reach forward, up, down, and to the side.
  • Sit or stand for at least one hour at a time and repeatedly come and go from the work area during the day; lift up to five pounds.
Responsibilities
  • Organize programs, policies, and procedures to assess, evaluate, and meet the needs of patients receiving inpatient psychiatric services, psychiatric outpatient care, and transitional psychiatric services.
  • Plan, supervise, and coordinate care provided by Registered Nurses, Licensed Vocational Nurses, Licensed Psychiatric Technicians, and other mental health workers.
  • Plan and assign staffing ratios based on patient needs, acuity, staff competency, and regulatory requirements.
  • Implement standards of nursing practice in behavioral healthcare and review and revise them annually as needed to reflect changes in nursing practice.
  • Address and support cultural practices when they do not harm others or interfere with the planned course of therapy.
  • Ensure clear, concise, and current written policies and procedures are available to assist staff and minimize risk factors.
  • Perform patient-care duties in a manner that optimizes patient safety and reduces the likelihood of medical and healthcare errors.
  • Support and maintain a culture of safety and quality.
  • Recommend personnel-policy changes to ensure reasonable hours and acceptable working conditions for patient-care coverage.
  • Initiate and participate in problem-solving and policy-forming conferences for psychiatric patient-care services, coordinating with other departments to ensure continuity and collaboration of services.
  • Participate in facility decision-making with the Governing Body, Management, Medical Staff, and Clinical Leaders.
  • Coordinate with departments to ensure infection-prevention and control practices are carried out.
  • Plan and recommend new equipment or modifications needed to provide quality patient care.
  • Serve on professional staff committees concerning patient care.
  • Plan and coordinate budgeting requirements for staff, work, supplies, and equipment with the respective service managers.
  • Control costs to ensure approved departmental budgets are used effectively.
  • Implement an ongoing program to measure, assess, and improve the quality of nursing care delivered to psychiatric patients.
  • Ensure each nursing department's performance-improvement program interfaces with and supports the nursing department program.
  • Ensure nursing leaders review monthly performance-improvement compliance with established indicators and take corrective action when negative outcomes are identified.
  • Collaborate with facility leaders to develop, implement, review, revise, and monitor facility-wide performance-improvement activities.
  • Plan and conduct departmental meetings, house-supervisor meetings, and staff in-service education programs, and maintain meeting records.
  • Facilitate patients' access to the appropriate level and setting of care.
  • Perform related duties as requested.
  • Uphold the organization's ethics and customer-service standards.
  • Maintain knowledge of occupational health hazards, participate in further training, and understand the associated risks.

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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Simplify's Take

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