Description

THE POSITION
Tri-City Mental Health Authority (Tri-City) is actively recruiting for a Nurse Practitioner Supervisor, an Advanced Practice Registered Nurse (APRN) who provides and oversees mobile, community-based psychiatric and substance use disorder (SUD) services for individuals with serious mental illness (SMI), substance use disorders, and co-occurring conditions who may be disengaged from traditional clinic-based care.

Under the direction of the Medical Director, the Nurse Practitioner Supervisor serves in a dual clinical and supervisory capacity, providing direct psychiatric and substance use disorder services while supervising an interdisciplinary field-based team that includes Clinicians, Outreach Coordinators, Peer Support Staff, and Licensed Psychiatric Technicians (LPTs).

The Nurse Practitioner Supervisor will initially provide direct prescribing and field-based psychiatric services alongside the team and will transition prescribing responsibilities to an additional Nurse Practitioner as the program scales. Services are delivered in non-traditional settings such as encampments, shelters, streets, parks, and other community locations, utilizing harm-reduction, trauma-informed, and engagement-focused approaches.

A significant portion of work time is field-based. The position may require some evening, and non-traditional hours based on program needs and crisis response demands.

The Nurse Practitioner Supervisor demonstrates increasing clinical autonomy, advanced psychopharmacological expertise, and leadership in both clinical care and team supervision, contributing to program development, quality improvement, and interdisciplinary coordination.

Essential duties include, but are not limited to, the following:

Clinical Care and Prescribing

• Conduct comprehensive psychiatric evaluations, including mental health histories, psychosocial assessments, SUD assessments, and risk evaluations.
• Diagnose psychiatric and substance use disorders using DSM criteria and clinical judgment.
• Develop, implement, and monitor individualized, integrated treatment plans.
• Prescribe, manage, and monitor psychotropic and SUD-related medications, including assessing effectiveness, adverse effects, and drug interactions.
• Provide individual, group, and/or family psychotherapy, psychoeducation, motivational interviewing, and crisis intervention.
• Conduct crisis assessments and interventions in the field, including coordination with emergency and inpatient services when indicated.
• Order and interpret laboratory tests and other diagnostic procedures.
• Document all clinical services accurately and timely in the Electronic Health Record (EHR).
  
  Supervision and Program Leadership
  
  
• Provide clinical and operational supervision to interdisciplinary Assertive Field-Based teams.
• Support staff development through coaching, case consultation, field mentoring, and performance feedback.
• Ensure staff practices are compliant with licensure scope, clinical protocols, documentation standards, and safety procedures.
• Participate in field-based service delivery alongside staff to model best practices in engagement, harm reduction, and clinical care.
• Assist in program development, workflow design, staffing models, and service expansion
  planning.
• Collaborate with leadership on staffing needs, including the transition to additional Nurse
• Practitioner coverage as program volume increases.
  
  Collaboration and Quality Improvement

• Collaborate with psychiatrists, behavioral health providers, case managers, outreach teams, and external partners.
• Participate in case conferences, multidisciplinary team meetings, quality improvement initiatives, and staff training activities.
• Contribute to development and refinement of clinical protocols, field-based practices, and harm-reduction approaches.
• Maintain current knowledge of emerging research, best practices, and regulatory requirements.
  
  Administrative and Compliance
  
  
• Ensure HIPAA, HITECH, and confidentiality compliance.
• Adhere to all Tri-City policies, procedures, and ethical standards.
• Perform other duties as assigned within scope of practice and licensure.

Requirements

Education:

• Master’s Degree in Nursing (MSN) required; Doctor of Nursing Practice (DNP) preferred, with psychiatric/mental health/substance abuse emphasis.

Experience:

• Demonstrated experience providing psychiatric care to individuals with serious mental illness and/or substance use disorders.
• Experience in community mental health, substance abuse treatment, street medicine, emergency psychiatry, or public behavioral health strongly preferred.
• Prior supervisory or leadership experience in healthcare or behavioral health settings is desirable.
• Bilingual proficiency in English and Spanish is preferred.

Licenses and Certifications:

• Current and active California Registered Nurse (RN) license.
• Current and active California Nurse Practitioner (NP) certification.
• Eligibility for and maintenance of California BRN 103 Nurse Practitioner certification under B&P Code §2837.103, including completion of all applicable transition-to-practice requirements.
• National certification as a Psychiatric-Mental Health Nurse Practitioner (PMHNP).
• DEA registration for prescribing controlled substances.
• Certain positions may require employees to travel independently throughout designated service areas to attend meetings, conduct Authority business, provide services, or perform other job-related duties. When driving is required as part of the assignment, employees may be required to possess and maintain a valid California Driver’s License, an acceptable driving record, and proof of current vehicle registration and insurance when operating a personal or Authority vehicle.