Nursing Manager

OneTogether Solutions•Perris, CA

3d•$130,000 - $145,000•Onsite

About The Position

Harmony Health is a Tribally owned wellness clinic serving Native and Non-Native patients with substance use disorders through whole-person care, including primary care, infectious disease care, and mental health care. The Nursing Manager supports the clinic in Perris, California, and owns the nursing service line, including nursing staffing and performance, nursing policy and practice, dispensary nursing practice, controlled-substance compliance, competency programs, and nursing quality outcomes. The role provides clinical nursing oversight of RNs and LVNs, administrative and competency oversight of Medical Assistants, and administrative supervision of front-office Patient Services Representative staff. Direct patient care is provided only as needed to maintain safe operations. The position reports to the Director of Nursing. Until a Director of Nursing is in place or when that position is vacant, administrative reporting is to the Clinic Medical Director, while nursing professional-practice authority rests with the OTS Vice President of Nursing. The position works within the clinic's dyad leadership model and collaborates with clinic leadership and OTS leadership. The Medical Director retains OTP regulatory accountability. The role oversees nursing operations, controlled-substance inventory and compliance, clinical procedures and quality, infection control, employee health, emergency preparedness, and escalation of patient-safety and nursing-practice concerns. It also provides budget input and may provide direct patient care and dosing coverage as needed. Harmony Health describes its care as individualized, compassionate, and focused on a humanizing and respectful patient experience.

Requirements

Active, unrestricted California RN license from the Board of Registered Nursing.
Bachelor of Science in Nursing (BSN).
At least 5 years of clinical nursing experience.
At least 2 years of nursing leadership experience, including hiring, scheduling, and performance management.
Experience with controlled-substance handling, inventory, and recordkeeping.
Active American Heart Association Basic Life Support (BLS) certification.
Ability to complete employment-related background screening, occupational health requirements, and legally permissible drug screening consistent with applicable laws and clinic policy.
Ability to provide health clearance and tuberculosis clearance.
Valid driver's license.
Strong leadership, team-building, and accountability skills.
Expertise in controlled-substance compliance and survey readiness.
Data-driven approach to quality, staffing, and process improvement.
Clear, collaborative communication with providers, operations leaders, and staff.
Sound judgment under pressure.
Commitment to patient dignity, privacy, and safety.

Nice To Haves

Master's degree in Nursing, Healthcare Administration, Business, or Public Health.
At least 2 years of experience in an OTP or substance use disorder setting.
Experience leading a team through DEA, state, or accreditation surveys.
Just Culture certification or formal nursing leadership training.
Experience working with tribal health programs or multicultural communities.
Bilingual fluency in English and Spanish or a language native to the community served.

Responsibilities

Direct hiring, performance management, and corrective action for nursing, Medical Assistant, and front-office staff within approval limits and Tribal employment policies; front-office supervision is administrative only.
Recommend final written warnings, terminations, RN Supervisor hires, and new positions to the designated approver.
Build and manage nursing, Medical Assistant, and front-office schedules, staffing levels, and coverage.
Implement nursing orientation, competency validation, and annual skills verification.
Provide administrative supervision of Medical Assistants while ensuring their technical services remain under required licensed-practitioner supervision.
Apply Just Culture principles and develop future nursing leaders.
Oversee nursing practice in the dispensary as permitted by California law, including medication administration and assigned dispensary coverage.
Oversee controlled-substance inventory, counts, reconciliation, and diversion prevention; escalate suspected theft or significant loss, support investigations, and prepare required reports for registrant review and submission.
Maintain separation between nursing duties and prescribing and OTP Medical Director authority, including the written delegation framework for take-home determinations.
Maintain readiness for DEA, state, SAMHSA, and accreditation inspections.
Develop and maintain site nursing procedures with the Medical Director and in alignment with OTS nursing standards.
Maintain standardized procedures with the Medical Director where required for California RN functions that overlap medical practice.
Own nursing workflows for critical laboratory-result escalation and closed-loop follow-up.
Ensure incidents are reported, reviewed, and closed, and carry QAPI action items to completion.
Track nursing quality metrics and report results to the dyad.
Lead infection control, employee health, and emergency preparedness.
Provide budget input for nursing staffing, supplies, and equipment.
Escalate urgent patient-safety issues to the on-site provider or Medical Director and then notify nursing leadership.
Escalate nursing-practice, licensure, and standards concerns through the Director of Nursing, when in place, and the OTS Vice President of Nursing.
Provide direct patient care and dosing coverage as needed; management of the nursing service line is the primary duty.
Fulfill mandatory reporting obligations under California law and the Indian Child Protection and Family Violence Prevention Act, and follow clinic procedures for reporting suspected abuse or neglect.
Perform other duties consistent with the role and clinic policy.