Nursing Supervisor

The Nursing Supervisor coordinates the direct care activities of the nursing team and allied health professionals (LVNs, CMAs, and MAs) to ensure the consistent delivery of safe, evidence-based, patient-centered care. Reporting to the Clinic Medical Director, this role combines hands-on clinical nursing practice—including triage, patient education, medication administration, and dispensing—with supervisory oversight, workflow standardization, and competency-based training.

We are looking for an organized, compassionate Registered Nurse who thrives in a team-based ambulatory environment. The ideal candidate balances strong clinical judgment, data-driven process improvement, and regulatory compliance with deep empathy, cultural humility, and a humanizing approach to addiction medicine.

The Clinic is led through a dyad leadership model consisting of the Executive Clinic Director and the Medical Director. The Nursing Supervisor works closely within this leadership framework to align nursing workflows, clinical operations, and integrated care delivery with overall clinical governance and medical standards.

Responsibilities include, but are not limited to, the following:

Nursing Leadership & Staff Supervision

• Supervise, mentor, and coordinate daily workflow for nursing staff and allied health professionals (LVNs, CMAs, and MAs) within a patient-centered care model
• Oversee competency-based educational programming, orientation, and skills verification for nursing and clinical support staff
• Facilitate team adherence to professional nursing values, value-based care behaviors, and evidence-based ambulatory care protocols
• Support clinical staff productivity, prioritize daily clinic assignments, and participate in performance evaluations and clinical coaching

Direct Patient Care & Clinical Operations

• Deliver direct nursing care to patients undergoing treatment for opioid use disorder and co-occurring medical conditions
• Conduct physical and psychological assessments, triage calls and walk-in needs, perform patient education, and assist providers during physical examinations
• Administer and dispense medications (including MOUD/OTP dosages and vaccines) in strict accordance with physician orders, state/federal regulations, and clinic policies
• Maintain the dispensing room and medical equipment, ensuring accurate recording, perpetual inventory control, and security of controlled substances
• Demonstrate expertise in recognizing and managing opioid overdoses, initiating emergency response protocols, and providing rapid crisis intervention

Workflow Standardization & Quality Improvement

• Serve as a content expert in standardized clinical workflows, monitoring team execution and evaluating data to drive process improvements
• Assist clinic leadership in gathering quality metrics, auditing documentation, and enhancing care coordination processes
• Ensure care plans and treatment protocols are followed consistently across all multidisciplinary team members
• Participate in multidisciplinary case conferences, clinical team huddles, and quality improvement initiatives

Compliance, Safety & Interdisciplinary Collaboration

• Maintain strict compliance with HIPAA, 42 CFR Part 2, CARF standards, state Board of Nursing regulations, and tribal governance policies
• Maintain complete, concise, and accurate electronic health records (EHR) for all patient interactions, triage encounters, and medication dispensing
• Collaborate closely with providers, counselors, administrative staff, and community partners to optimize patient access, retention, and outcomes
• Uphold patient safety and infection control standards, adapting promptly to changes in clinic safety protocols

Required Qualifications

• Graduate of an accredited Registered Nurse (RN) program
• Active, unrestricted Registered Nurse (RN) license in the State of California with no pending disciplinary actions or probation
• Minimum 5 years of clinical nursing experience
• Active American Heart Association (AHA) Basic Life Support (BLS) certification (or ability to obtain prior to start date)
• Proficiency with Electronic Health Record (EHR) systems, Microsoft Office Suite, data gathering, and workflow analysis tools
• Ability to pass background screening, drug screen, and any applicable state, federal, or tribal credentialing requirements
• Ability to provide health clearance and tuberculosis (TB) clearance
• Valid driver's license

Preferred Qualifications

• Bachelor of Science in Nursing (BSN) degree
• 1+ years of nursing leadership, supervisory, or charge nurse experience in an ambulatory or outpatient clinic setting
• 2+ years of recent clinical nursing experience in a substance use disorder treatment setting or licensed Opioid Treatment Program (OTP)
• Active American Heart Association (AHA) Advanced Cardiac Life Support (ACLS) certification
• Experience working within tribal health programs, Indian Health Service (IHS) facilities, or multicultural settings
• Bilingual fluency in English and Spanish

The ideal candidate embodies the following:

• High level of clinical assessment acumen, nursing judgment, and crisis management skills
• Expertise in clinical process improvement, workflow development, and standardization
• Strong leadership, mentorship, and interpersonal communication capabilities
• Ability to stay calm, focused, and kind in high-stress, fast-paced clinical environments
• Passion for supporting patients with substance use disorders through empathetic, non-judgmental care
• Exceptional organizational skills with the ability to manage multiple concurrent clinical priorities
• Absolute commitment to patient dignity, privacy, safety, and ethical nursing practice

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this classification. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this classification, the employee is frequently required to stand, walk, sit, stoop, kneel, bend, use hands to keyboard or type, handle materials used in performing the essential functions of the classification, and reach with hands and arms. The employee will be asked to perform repetitive behaviors (e.g., typing and data entry). The employee must occasionally lift and/or move up to 25 pounds (think boxes of paper). Specific vision abilities required by this classification include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Sufficient clarity of speech and hearing abilities required by this classification includes those which permit the employee to discern verbal instructions and communicate effectively in person, by telephone. While performing the duties of this classification, the employee works in an office setting where the noise level in the work environment is usually moderate. The employee must also analyze and evaluate situations and adopt effective courses of action.

We support our team through a competitive salary and benefits package and opportunities for continuing education and professional advancement. Harmony Health Center staff will also be cross trained to meet the needs of patients and to make each day a success. On-the-job training will empower team members, as we believe the excellence of the clinic and the professional development of our staff complement one another.

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