Lead Registered Nurse

Position Title

Lead Registered Nurse (RN)

Marshall Street clinic, Redwood City (Case management programs) and Zanker Road clinic, San Jose (Mental Health outpatient programs)

Medical Director

Regular, full‑time, non‑exempt

Monday – Friday; onsite; alternating between the Marshall Street and Zanker Road sites

$65‑70 & Benefits

Caminar is a leading behavioral health organization that supports thousands of youths and adults across multiple counties in Northern California and the San Francisco Bay Area. With decades of experience since our founding in 1964, we provide comprehensive mental health and substance use treatment, and wrap‑around services, delivered through evidence‑based, whole‑person care. Our mission is to build strength and stability through comprehensive mental health and substance use treatment delivered through evidence‑based, whole‑person care.

Working under the Medical Director, the Lead RN provides clinical nursing leadership across outpatient psychiatry; ensuring scope‑aligned, high‑reliability delivery of LAIs, labs, vitals, and nursing documentation. The Lead RN supervises LVNs and leads clinical triage and first escalation prior to MD/NP involvement. The Lead RN continuously focuses on clinical workflows to streamline, improve, and optimize processes across sites, emphasizing quality and audit readiness.

• Provide oversight of performance of all nursing team members and facilitate scope‑appropriate triage for LVNs.
• Serve as the primary nursing escalation point prior to prescriber involvement.
• Effectively and consistently monitor medication side effects/safety and coordinate timely escalation.
• Ensure timely and accurate LAI, labs, vitals, and nursing assessments.
• Standardize cross‑site workflows; maintain audit readiness.
• Participate in case conferences, QA reviews, and performance huddles.
• Provide direct client care when needed, namely if there is a shortage of nurse coverage in the clinic.
• Supervise, coach, and onboard LVNs; reinforce Title 16 scope.
• Educate nursing team on psychotropic monitoring, harm reduction, and chronic disease supports.
• Track core nursing KPIs (LAI adherence; labs/vitals completion; documentation accuracy; timeliness) and work with nurses to optimize performance.
• Review nursing team metrics on billable service volume and revenue, working with each team member to optimize service delivery to clients.
• Support coverage planning/scheduling with leadership.
• Partner with Medical Director and/or Chief Clinical Officer on policy and workflow updates.
• Remain flexible and willing to float between clinics/locations based on clinical and team demand.

• Active California RN license (required).
• ≥ 2 years psychiatric/community mental health experience (preferred).
• Working knowledge of LAIs, psychotropic monitoring, HTN/DM/metabolic risk.
• Proficiency in using EHR platforms and software.
• Experience overseeing services that involve recovery‑oriented, trauma‑informed, culturally responsive care.
• Demonstrated experience exhibiting strong clinical judgment, particularly in situations that require triage and escalation.
• At least 3 years of direct experience supervising and overseeing a team of LVNs; demonstrated aptitude in people management.
• Experience implementing workflows and participating in ongoing improvement of processes.

• Occasionally required to push/pull objects up to 50 lbs., and to lift/carry objects up to 25 lbs.
• Must be able to walk, stand, and sit for extended periods.
• Frequent exposure to varied office and mixed (residential/office) environments.
• Use of a computer, phone, and fax machine.

• Must be able to meet and receive a criminal records clearance as required by Title XXII and Caminar practices.
• May require valid California driver license, reliable vehicle and insurance if driving responsibilities exist.
• Must pass post‑offer pre‑employment medical and drug tests as required under state licensing regulations.
• May need to obtain and maintain First Aid and CPR certification.

• Medical, Dental, and Vision coverage; employee and dependent options.
• Flexible Spending Account for health care costs.
• Employee Wellness Program; gym reimbursement.
• Life, Long‑term Disability, and AD&D Insurance at no cost.
• Paid Time Off: twelve holidays and generous sick/vacation benefit.
• 401(k) retirement plan with employer match at one year of service.
• Commuter benefits and Employee Assistance Program.

Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time based on business need. This job description is subject to change at any time.

Caminar is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.