House Supervisor-RN, Full-Time (Sacramento)

Northern California Behavioral Health System•Sacramento, CA

1d•$106,704 - $134,709

About The Position

Northern California Behavioral Health System is a behavioral healthcare organization focused on compassionate inpatient mental health services, patient-centered care, teamwork, and staff development. The House Supervisor provides nursing leadership to support smooth hospital operations and safe, responsive, coordinated care. The position coordinates communication across nursing, clinical, and operational teams and has a direct impact on patient flow, staffing oversight, and care quality. Two positions are available, both on the NOC shift: Tuesday–Thursday or Thursday–Saturday. The House Supervisor oversees admissions and discharges, unit operations, shift reporting, incident follow-up, supply inventory, and staffing. The role directly supervises nursing staff, supports orientation and ongoing education, monitors clinical issues involving high-acuity patients, coordinates tests and transfers, and responds to patient and family concerns. The position reports to the Chief Nursing Officer.

Requirements

Current Registered Nurse license in the State of California.
Current BLS certification, or ability to obtain it during the initial orientation period.
Current Handle with Care certification, or ability to obtain it during the initial orientation period.
Knowledge and experience with psychiatric diagnoses and associated risks, medications, biological systems, the nursing process, treatment planning, and leadership.
Complete required initial and annual competencies, including suicide prevention, de-escalation, safe restraint use, medication safety, code blue response, infection prevention, and appropriate use of seclusion and restraints.
Advanced competencies in patient-care management, staffing systems, and internal reporting.
Expert knowledge of hospital policies, procedures, unit operations, and regulatory requirements.

Nice To Haves

BSN degree preferred.

Responsibilities

Work with Assessment and Referrals to oversee admissions and discharges, including timely assessments and inpatient admissions.
Oversee unit operations, including timely completion and review of multidisciplinary treatment plans, review of refrigerator, emergency cart, point-of-care testing and legal tracking logs, and accuracy of patient Kardex records.
Audit all seclusion and restraint interventions on the assigned shift.
Monitor office, medical, and patient-care supply inventory and request replenishment as needed.
Alert the Administrator on Call about urgent or extreme events, including AWOL patients, urgent ambulance transfers, patient or staff injuries, and incidents involving law enforcement.
Gather and compile daily shift and routine reporting data; prepare shift reports, review them with the oncoming Nurse Manager or House Charge, and forward copies to the CNO.
Prepare and investigate incident reports accurately and promptly, and follow up with staff education to help prevent recurring incidents.
Maintain a clutter-free working environment.
Oversee staff assignments and staffing levels based on census and acuity; coordinate with the Staffing Coordinator, report staffing concerns to the Nurse Manager or Administrator on Call, and document approved overtime on employee time adjustment forms.
Directly supervise nursing staff on the assigned shift and provide performance feedback; contribute to introductory and annual employee evaluations prepared by the Director of Nursing or Nurse Managers.
Support the CNO, Director of Nursing, Nurse Manager, and RNs in providing clinical staff orientation and ongoing education, including education on hospital policies, procedures, and healthcare regulations.
Ensure accurate and timely shift-to-shift reports.
Monitor clinical issues involving high-acuity patients or patients with unusual problems.
Coordinate off-site tests, emergency room visits, admissions and discharges, laboratory processes, work orders, and audits.
Address and resolve patient and family complaints; work with the Nurse Manager when a complaint may become a grievance and alert the Internal Patient Advocate.
Complete required initial and annual competencies and apply knowledge of hospital policies, procedures, unit operations, and regulatory requirements in daily practice.
Provide staff education as needed on hospital policies, procedures, unit operations, and regulatory requirements.