Nurse Manager II

Sacramento County; Sacramento (CA); On-site; USD 110,000 - 150,000; Full time

Job summary

Sacramento County is seeking a Nurse Manager II to direct and coordinate nursing services across county-operated facilities. The role includes program development, evaluation, staff supervision, and collaboration with multiple divisions and external partners.

The position requires a current California RN license, five years of full-time RN experience with at least three years in supervision or management, and strong skills in budgeting, regulatory compliance, and program administration.

Qualifications

• Possession of a current valid Registered Nurse license issued by the State of California.
• Five (5) years of full-time paid experience as a Registered Nurse or Public Health Nurse, including three years in supervision/management.

Responsibilities

• Direct, manage, supervise, and coordinate nursing staff and program services across facilities.
• Develop, monitor, and interpret budgets and other financial documents.
• Plan, organize, and evaluate program activities and services.
• Coordinate with divisions, departments, outside agencies, and the public to ensure effective program delivery.
• Ensure compliance with applicable federal, state, and local laws, codes, and regulations.
• Provide leadership, training, and supervision to staff; handle disciplinary issues as needed.
• Perform duties of subordinate nursing staff as required.

Skills

Staff supervision

Budgeting & financial oversight

Program development & evaluation

Leadership & mentoring

Contract negotiations & monitoring

Communication skills

Staff training

Regulatory compliance

Project management

Operational planning

Tools

Word processing

Spreadsheets

Databases

Specialized health software

Job description

The Position

This is a continuous filing exam. Next filing cut-offs are at 5:00 pm on: 9/9/2026, 9/23/2026 (Final).

Under general direction, the Nurse Manager II directs, manages, supervises, and coordinates the activities and operations for various program services and groups of professional and paraprofessional staff providing health care services for contracted and/or county-operated facilities including, program development and implementation, program monitoring and evaluation, nursing activities, and program service coordination; and coordinates assigned activities with other divisions, departments, outside agencies, and the general public.

Examples Of Knowledge And Abilities

Knowledge of

• Principles and practices of management and organizational theory, including planning, organizational design, business finance, business development, project management, and organizational effectiveness
• Principles and practices of supervision, discipline, leadership, mentoring, and training
• Applicable federal, state, and local laws, codes, and regulations
• Operational characteristics, services, and activities of assigned programs and functions
• Office procedures, methods, and equipment including computers and applicable software applications such as word processing, spreadsheets, databases, and other specialized applications related to area of assignment
• English usage, spelling, grammar, and punctuation
• Health care organizational structure and program components
• Principles and practices of program administration including budget preparation and monitoring, including budgets involving grants, contracted services, and state and federal funding
• Standard program evaluation methods and report writing procedures
• Operational characteristics, services, and activities of assigned programs and functions
• Professional nursing principles, procedures and techniques including extensive knowledge of California Board of Nursing Practice Act within the CA Business and Professional Code
• Administrative principles applicable to the organization and functions of the program area to which assigned
• Clinical systems; research methods; and program planning and evaluation
• Techniques of contract negotiations and monitoring.

Ability to

• Select, supervise, train, and evaluate staff in assigned health care specialty areas
• Plan, coordinate, assign, and review the work of subordinate staff
• Investigate and resolve disciplinary issues
• Work independently, prioritize work, coordinate activities and meet critical deadlines
• Develop, monitor and interpret budgets and other financial documents
• Plan, manage, and complete complex work assignments
• Develop and maintain cooperative, effective working relationships with others
• Work effectively with diverse populations and workforce
• Communicate clearly and concisely, both verbally and in writing
• Interpret and apply applicable federal, state, and local laws, codes, and regulations
• Apply customer service skills, including the identification of customer needs and follow up to ensure customer commitments have been met
• Influence and persuade others to take a desired action and/or direction
• Interpret and summarize a variety of data and information
• Exercise discretion and maintain confidentiality of information
• Assign, develop and implement programs suited to the needs of the clients in specialized program areas
• Coordinate assigned health care programs with other health care agencies
• Perform the duties of all subordinate nursing staff as needed

For Mental Health Treatment Center locations

• Ability to participate in an every 5-week rotation of providing 24/7 Executive Team On-call coverage for 7 days in a row
• Ability to report to work site as needed for emergencies during your designated Executive Team member On-call week
• Ensure the welfare and safety of staff and patients in a high-risk setting
• Report Unusual Occurrences to Department of Healthcare Services (DHCS), our regulatory and licensing agency within the required timeframe
• Develop and revise facility Policies and Procedures, including Infection Control Policies and Procedures
• Provide leadership and oversight of biennial DHCS licensing audit
• Respond to, participate in and provide leadership oversight during psychiatric and medical emergencies

Employment Qualifications

Minimum Qualifications

Possession of a current valid Registered Nurse license issued by the State of California;

Five (5) years of full-time paid experience as a Registered Nurse or Public Health Nurse. This experience must include three years of supervisory and/or management experience.

Note: If the word “experience” is referenced in the minimum qualifications, it means full-time paid experience unless the minimum qualification states that volunteer experience is acceptable. Part-time paid experience may be accumulated and pro-rated to meet the total experience requirements.

Note: If the minimum qualifications include an educational or certificate/license requirement, applicants must submit proof of requirements with the application. Failure to submit proof of requirements may result in disqualification from the examination. Unofficial transcripts are acceptable. For guidelines on submitting acceptable proof of educational requirements, please click here or speak to someone in our office before the cut-off date listed in this notice.

General Qualifications

Criminal History and Background Checks: The County may access criminal history information on candidates who have accepted a conditional offer of appointment for this class consistent with the provisions of Board of Supervisors Resolution No. 82-602, Personnel Policies, and applicable federal and state laws. The County shall not consider for employment any candidate who has been convicted of a felony or misdemeanor that relates to or impacts the candidate’s ability to perform the job duties of this class unless it is determined that mitigating circumstances exist. For purposes of accessing criminal history information, the candidate will be fingerprinted. A subsequent arrest notification may be obtained.

The County may also conduct a background check on the candidate prior to appointment to a position within this class. The background check may include personal and professional reference checks, credit history checks where authorized by Labor Code section 1024.5, Social Security Number verification, professional license/registration verification, military service information and driving history. Information obtained in the course of this background check will be considered by the appointing authority in the selection process. In obtaining such information, the County will comply with applicable consent and disclosure practices in the Fair Credit Reporting Act and the California Investigative Consumer Reporting Agencies Act.

Driver License Requirement: A valid California Driver License, Class C or higher, may be required at the time of appointment. Failure to obtain or maintain the appropriate California Driver License, or comply with state and federal requirements for utilization, may constitute cause