Clinical Services Manager I - Nursing - BHRS-Limited Term (Open)

Note: This recruitment schedule was amended on January 27, 2025 to extend the Final Filing Date. This recruitment has been changed to "Continuous."

San Mateo County Health's Behavioral Health and Recovery Services (BHRS) Division has an exciting opportunity for an experienced Clinical Services Manager (CSM) of nursing in Behavioral Health and Recovery Services. This position has a leadership component and will be part of the Management leadership team.  This CSM Nursing Manager will provide clinical supervision, consultation and training to the Community Mental Health nurses who provide services to adult outpatient and field-based teams.  In addition to the leadership role, this position will provide direct services to the Older Adult System of Integrated Services (OASIS) and the Collaborative Care Team (CCT).  The OASIS team is a community field-based mental health services program who serves older adults with serious mental illness, co-occurring disorders, and complex medical conditions at their place of residence.  The Collaborative Care Team (CCT) is a field-based specialty team providing clinical services to adult clients placed at our contracted facilities out of county. This specialty team serves clients who are diagnosed with serious mental illness and have complex behavioral health needs (substance use, psychiatric, and medical) and require a high level of support.  
 
The clinical nurse manager role is a new role that is a being piloted for 1 year.  The Clinical nurse manager will provide clinical supervision for the Community Mental Health nurses, participate in the overall management of division and inter-division nurse issues, provide clinical supervision, train and provide orientation to a dedicated and experienced nursing team.  The Clinical Nurse Manager Will Co-Chair the Infection Control Committee (ICC). The Clinical nurse Manager will report to the Deputy Director of Adult and Older Adult Services and receive clinical supervision and training from The BHRS Medical Director or their designee.  Direct client care assignments will be assigned by the unit supervisors of the designated field-based team.
 
The CSM nursing manager direct care role, will provide nursing support to both the OASIS team and the CCT team by providing psychiatric assessments, clinical case management services, medication therapy and individual, group and family counseling. They will work with acute hospitals and community resources to coordinate clients' clinical care and recovery services.  

This Limited Term assignment is currently for a duration of one year however, based on need it can be extended up to three years. 
 
This position will have an office located at 2000 Alameda De Las Pulgas but will travel throughout San Mateo County and out of county.
 

• A Master's degree in Psychiatric Nursing.
• A minimum of one-year experience in an outpatient community mental health setting.
• Skill in establishing and maintaining productive working relationships with consumers, families, and contract providers.
• Skills and knowledge of principles and practices of supervision which includes development of medical/nursing policies, procedures and protocols.
• Ability to organize, coordinate and evaluate nursing services to ensure quality client care and conform to all prescribed standards. 
• Ability to analyze nursing service delivery problems and develop recommendations and consult with executive management to resolve concerns. 
• Experience training nursing staff and experience providing clinical supervision 
• Knowledge of current psychiatric nursing practice including psychopharmacology and the medical issues associated with serious mental illness.
• Knowledge of the behavioral health needs of adults with serious mental illness and co-occurring disorders.
• Knowledge of the principles of psychiatric rehabilitation and recovery.
• Experience in providing individual and group skill-based psychoeducation. 
• Experience in the geriatric population and experience in collaborating with older adult services providers in the community.
• Great organization skills.
• Attention to detail.
• Excellent written and verbal communication skills.
• Willingness to work as a team member. 
• Experience working within a multi-disciplinary team as a direct service provider.
• Bilingual Spanish skills preferred.

Duties may include, but are not limited to, the following:

• Provide clinical supervision to nursing staff.
• In collaboration with Medical Director and Deputy Director of Adult and Older Adult Services will monitor adherence to medical/nursing policies, procedures and protocols and develop nursing policies, procedures and protocols as needed. 
• Provide orientation, training and clinical supervision to Community Mental Health Nurses providing services in outpatient/field-based settings. 
• Work in collaboration with the administrative supervisors of the Community Mental Health Nurses.
• Provide medication support, including administration of psychiatric injectable medications to clients with prescribed psychiatric medications in clients’ homes or other community settings.
• Provide medication support, monitoring of anti-psychotic medications (i.e. Clozaril/Clozapine) which includes weekly lab value reviews and working with the assigned psychiatrist to monitor the client.
• Review client’s lab values and address critical results as needed.
• Conduct psychiatric admission assessments.
• Develop care plan with the client.
• Participate in case conferences, complex case conferences and provide care coordination and collaboration with all members of the client’s treatment team, including partners in primary care, specialty care, private providers, Health Plan of San Mateo and Community based organizations (CBOs).
• Provide case management, linkage and referrals to programs and services to meet the client’s housing, financial and other psychosocial needs.
• Participate in program conferences, staff development, and professional growth activities.
• Provide crisis intervention services including evaluating clients and referring clients to appropriate resources.
• Observe, record, and report clinically significant changes in the client's condition.
• Conduct home visits when needed and appropriate.
• Provide physical and mental health information services on a formal or informal basis.
• Participate in the development, implementation and evaluation of mental health service programs.
• Provide psychoeducation to clients and families. 
• Travel to clients’ homes, board and care facilities and other community locations in and out of San Mateo County. 
• Perform related duties as assigned.

• Nurse Practice Act.
• Principles and practices of nursing and clinical systems, including safety and infection control practices.
• Principles and practices of community health care including current trends in research, treatment, prevention, education and related services.
• Principles and practices of program management, including planning, implementation, and evaluation.
• Principles of budget preparation and monitoring.
• Principles of personnel training, supervision and evaluation.
• State and other regulatory requirements for assigned unit or program.
• Emergency Medical Services Act (EMS), relevant EMS regulations and functions, and public safety/law enforcement organizations, if assigned to EMS.
• Principles and practices of public health, public health nursing, epidemiology, communicable disease control and prevention, emergency preparedness response and environmental health, if assigned to disease control and prevention and public health nursing programs.
• Non-profit public/private entities, community/faith-based organizations and related state and federal agencies, as well target population for assigned program, if assigned to public health nursing programs.
• Treatment and intervention practices for acute psychiatric population, if assigned to psychiatric nursing.
• Third-party reimbursement systems, revenue streams, and other principles relevant to the financial management of operating rooms, if assigned to perioperative nursing.

• Organize, direct, coordinate and evaluate nursing services that ensure quality patient care and conform to all prescribed standards.
• Work cooperatively with other County departments and public and private organizations, including private medical providers.
• Analyze service delivery problems accurately, develop recommendations and take appropriate action to resolve them.
• Develop, evaluate and maintain accurate records; prepare complex and detailed written reports, procedures and contracts.
• Communicate effectively with administrative, medical, professional, clinical and citizen groups.
• Train staff and coordinate activities of contractors, volunteer groups and staff, as appropriate.
• Conduct field public health investigations; administer immunizations, TB skin tests, and chemoprophylaxis; and perform venipuncture and collect diagnostic specimen, if assigned to disease control and prevention and public health nursing programs.
• Maintain medical stability of acute and chronic conditions in a 24/7, non-medical setting, if assigned to correctional health nursing.
• Lead multi-disciplinary patient care conferences, if assigned to psychiatric nursing.
• Provide unit management and support during evening, off hours and weekends, if assigned to administration and designated as nursing supervisor.
• Surgical scheduling systems, if assigned to medical-surgical nursing.

Open. Anyone may apply. Responses to the supplemental questions must be submitted in addition to our regular employment application form. A resume will not be accepted as a substitute for the required employment application and supplemental questionnaire. 
 
The examination will consist of an interview (weight: 100%). Depending on the number of applicants, an application appraisal of education and experience may be used in place of other examinations, or a screening committee may select those applicants whose education and/or experience appear to best meet the needs of the position based solely on the information provided in the application materials. Because of this screening process, all applicants meeting the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination. All examinations will be given in San Mateo County, California, and applicants must participate at their own expense.

IMPORTANT: Applications for this position will only be accepted online. If you are currently on the County's website, you may click the "Apply" button. If you are not on the County's website, please go to https://jobs.smcgov.org/ to apply. Online applications must be received by the Human Resources Department before midnight on the final filing date.

This is a continuous recruitment which may close at any time. The final filing date will be posted 5 days in advance in the County of San Mateo Human Resources Department.

Apply immediately. This recruitment is open on a continuous basis and selections may be made at any time within the process.

About the County 
San Mateo County is centrally located between San Francisco, San Jose, and the East Bay. With over 750,000 residents, San Mateo is one of the largest and most diverse counties in California and serves a multitude of culturally, ethnically, and linguistically diverse communities.

The County of San Mateo, as an employer, is committed to advancing equity to ensure that all employees are welcomed in a safe and inclusive environment. The County seeks to hire, support, and retain employees who reflect our diverse community. We encourage applicants with diverse backgrounds and lived experiences to apply. Eighty percent of employees surveyed stated that they would recommend the County as a great place to work.

Salary : $170,269 - $212,846