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CA
Lead Registered Nurse
CaminarSan Jose, United Statesfull_timeVerifiedPosted 15 Jan 2026
About the role
Position Title: Lead Registered Nurse (RN) Program/Dept: Marshall Street clinic, Redwood City (Case management programs) and Zanker Road clinic, San Jose (Mental Health outpatient programs)
Reports to: Medical Director
Classification: Regular, full-time , non-exempt Shift: Monday - Friday
Location: onsite; alternating between the Marshall Street and Zanker road sites Salary Range: $65-70 & BenefitsAbout Us: 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. Caminar's vision is to be a beacon of safety, compassion, and fulfillment, supporting all those in our communities who need it most. Our mission is to build strength and stability through comprehensive mental health and substance use treatment delivered through evidence-based, whole-person care. Caminar values diversity. People of all races, ethnicities, countries of origin, faiths, abilities, sexual orientations, and gender identities are welcome here. To learn more, please visit www.caminar.org.
Reports to: Medical Director
Classification: Regular, full-time , non-exempt Shift: Monday - Friday
Location: onsite; alternating between the Marshall Street and Zanker road sites Salary Range: $65-70 & BenefitsAbout Us: 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. Caminar's vision is to be a beacon of safety, compassion, and fulfillment, supporting all those in our communities who need it most. Our mission is to build strength and stability through comprehensive mental health and substance use treatment delivered through evidence-based, whole-person care. Caminar values diversity. People of all races, ethnicities, countries of origin, faiths, abilities, sexual orientations, and gender identities are welcome here. To learn more, please visit www.caminar.org.
Position Summary: Under supervision of the Medical Director, the Lead Registered Nurse (Lead RN) provides clinical nursing leadership across outpatient psychiatry; ensuring scope-aligned, high-reliability delivery of LAIs, labs, vitals and nursing documentation. Supervises LVNs and leads clinical triage and first escalation prior to MD/NP involvement. The Lead RN will also continuously focus on clinical workflows to streamline, improve, and optimize processes across sites. They will emphasize quality and audit readiness.
Essential Duties & Responsibilities: Clinical Leadership & Triage- 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 in these areas.
- 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
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