Lead Licensed Vocational Nurse (LVN)

Sierra Meadows Behavioral Health; Fresno (CA); On-site; USD 68,000 - 79,000; Full time

Job summary

A leading behavioral health provider in Fresno seeks a Lead Licensed Vocational Nurse (LVN) to oversee clinical operations in a residential treatment center. The role includes managing patient care processes, ensuring compliance with regulations, and collaborating with clinical teams to support diverse patient needs. This full-time position is essential for maintaining the high standard of care in a supportive, inclusive environment.

Benefits

Compensation for mileage, food, and lodging

Qualifications

• Minimum of one (1) year in mental health or behavioral health.
• Experience working with culturally diverse communities.
• Proficiency in word processing and database applications.

Responsibilities

• Lead nursing, medication, and patient care processes for quality and safety.
• Monitor staff in assessing and documenting patient conditions.
• Ensure compliance with regulations and maintain thorough medical records.

Skills

Cultural Responsiveness

Accountability

Attention to Detail

Teamwork

Communication

Education

Completion of LVN program

Job description

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Full-time Description

Join the Central Valley’s Leading Behavioral Health Team –

Are you passionate about supporting individuals in need and making a real impact in the behavioral health field? Join Sierra Meadows Behavioral Health, the Central Valley’s premier provider of comprehensive, compassionate care! We are dedicated to offering high-quality services across a range of specialized programs to improve the lives of those we serve.

Since our founding in 2019, we have steadily expanded in the Fresno/Clovis area, and we’re seeking dynamic individuals to help further our mission of supporting our community with integrity, professionalism, and care.

Our Growing Family Of Companies Includes

• Sierra Meadows Behavioral Health – Comprehensive care for adults through a 12-bed inpatient program and outpatient services.
• Ascend Behavioral Health – Specialized mental health services for adolescents, featuring a 6-bed inpatient program and outpatient care.
  
  

General Description Of The Position

The Lead Licensed Vocational Nurse (LVN) at Tatum Psychology Employment Group plays a vital leadership role within the Residential Treatment Center – serving as a key point of accountability for ensuring the safety, clinical quality, and operational efficiency of the facility.

Essential Functions

• Clinical Oversight & Patient Care
• Lead and oversee all nursing, medication, and patient care processes to ensure quality and safety.
• Maintain responsibility for patient health, including supervision of nursing services.
• Monitor and support staff in assessing and documenting patient conditions, behaviors, and progress.
• Facilitate communication with the clinical team regarding care adjustments and patient needs.
• Conduct daily medication audits, order labs, and recommend care improvements in collaboration with the clinical and nursing team.
• Documentation & Reporting
• Complete accurate and timely documentation of nursing assessments, interventions, and patient responses.
• Maintain thorough medical records in compliance with regulatory standards.
• Report changes in patient condition to clinical staff and contribute to interdisciplinary communication.
• Support quality assurance through proper documentation and participation in internal reviews.
• Communication & Collaboration
• Serve as a liaison between nursing staff, Program Managers, and clinical leadership to ensure coordinated, patient-centered care.
• Collaborate with the Program Manager, Nurse Practitioner, and on-duty staff to address patient needs and support treatment planning.
• Promote effective communication through regular updates, team coordination, and timely escalation of concerns.
• Regulatory Compliance & Legal Knowledge
• Ensure compliance with Title 22, Title 9, and facility policies in all nursing practices.
• Maintain knowledge of legal and ethical nursing standards, including HIPAA, patient rights, and mandated reporting.
• Monitor staff adherence to regulations, support audits, and address compliance issues as needed.
• Educate staff adherence to regulations, support audits.
• Professional Development
• Utilizes educational opportunities within the facility and other avenues to maintain clinical expertise to promote personal growth and development.
• Responsible for knowledge of legal aspects of nursing.
  
  

Additional Functions

• Performs other duties as may be assigned.
• Follows and supports TPEG policies and procedures.
• Works collaboratively and cooperatively with internal and external partners.
• Represents TPEG, Inc., by embodying the mission, vision and values of the organization.
• Travels occasionally during the workday and on occasional overnight stay. (Compensation for mileage, food and lodging provided.)
• Maintains regular attendance at work and company activities and demonstrates punctuality regarding deadlines.
• Displays creativity and vision in recommending new tactics and strategies.
• Expands and updates job knowledge through educational opportunities and professional learning.
  
  

The description of job functions reflects general details as necessary to describe the principal duties, the level of knowledge and skill typically required, and the scope of responsibility, but should not be considered an all-inclusive listing of work requirements. Individuals may perform other duties as assigned, including work in other functional areas to cover absences or relief, to equalize peak work periods or otherwise to balance the workload. Employees who hold this position may be asked to perform other duties as assigned.

Requirements

ESSENTIAL COMPETENCIES:

• CULTURAL RESPONSIVENESS: Actively demonstrates a commitment to supporting equity and inclusion, and serves as an advocate with colleagues, partners, and communities.
• ACCOUNTABILITY: Takes responsibility and ownership for successfully accomplishing work and agency objectives, and delivering results. Sets high standards of shared performance for self and others.
• ACCURACY AND ATTENTION TO DETAIL: Ensures work is thoughtfully completed, accurate, and error-free to the highest degree possible.
• PLANNING, ORGANIZATION, AND PRIORITIZATION: Assesses the work to be performed and considers how it should be organized and accomplished, with appropriate priorities and realistic time parameters.
• RECORDKEEPING AND DOCUMENTATION: Gathers, organizes, and maintains records, following confidential information and security protocols as needed. Accurately documents relevant/essential actions, processes, and practices.
• TEAMWORK: Works collaboratively with others to achieve shared goals and make decisions.
• COMMUNICATION: Maintains a high standard of written and verbal communication skills, and ability to present to diverse audiences, specifically individuals of differing abilities and racially, ethnically, and socioeconomically diverse communities.
  
  

Minimum Qualifications

• EDUCATION: Completion of LVN program
• LICENSURE: Actively registered with the California Board of Vocational Nursing
• RELATED EXPERIENCE: Minimum of one (1) year in mental health or behavioral health.
• OTHER EXPERIENCE / SKILLS REQUIRED:
• Experience working with culturally diverse individuals and communities or have otherwise demonstrated a commitment to strengthening engagement of a diverse community and skill in communicating with diverse populations.
• Familiarity with equity and/or diversity initiatives within an organization.
• Written and oral communication skills sufficient to perform essential functions.
• Demonstrated ability to make decisions independently and use initiative to accomplish complex assignments with general instruction and guidance.
• Demonstrated ability to exercise judgment and integrity on the job with confidentiality, tact, and diplomacy.
• Demonstrated ability to organize time and other resources to perform multiple tasks.
• Demonstrated ability to complete work accurately and in a timely manner with attention to detail.
• Demonstrated ability to work well with others and to provide effective team leadership.
• Proficiency in word processing and database and/or spreadsheet applications.
• Physical and mental attributes sufficient to perform essential functions.
• Demonstrated ability to recognize merit, excellence and intelligence in staff and potential employees.
• Valid Driver's License
  
  

Preferred Qualifications

• Proficient in English Language
• Proficient communicator
  
  

Working Conditions

• Work settings vary from offices, program sites, and stakeholder locations
• Travel modes can include the use of company or personal transportation
  
  

Salary Description $68,640+ / YR

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Mental Health Care

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