Nurse Shift Supervisor

Casa Palmera; San Diego (CA); On-site; USD 65,000 - 79,000; Full time

Job summary

Casa Palmera in Del Mar, CA is seeking a nursing supervisor capable of coordinating care across nursing, medical, and clinical teams. The role emphasizes compassionate, patient-centered planning, safety, and accountability within a residential treatment setting.

You will supervise nursing staff, manage schedules for weekend coverage, and lead individualized care plans for patients with mental health and substance use needs.

Qualifications

• Must be a graduate of an approved nursing program and hold a current license from a state board.
• One year experience preferred in mental health, substance use, or eating disorders.
• Ability to draw blood required.
• CPI certification within 90 days of hire.
• CPR, AED, and First Aid certification required.
• Must possess a valid Driver’s License in good standing.
• Eating Disorder Division: Obtain Serv Safe certification within 90 days of hire.

Responsibilities

• Develops and initiates individualized Nursing Care Plans reflecting each patient’s needs within license scope.
• Completes comprehensive admissions assessments including chemical dependency and suicide history.
• Coordinates emergency medical care for medical and psychiatric emergencies.
• Promotes patient-centered care, education, and advocacy for patients and families.
• Provides orientation and training to new nursing staff and supports team development.
• Supervises nursing care as shift supervisor and assists with scheduling to ensure coverage.
• Maintains infection control and ensures safe medication administration and documentation.
• Ensures compliance with DBH/TJC/CARF guidelines and regulatory standards.

Skills

RN licensure

LVN/LPN

Driver's license

CPR certification

CPI certification

First Aid certification

Education

Nursing license

Job description

Position Summary:

Guided by the leadership of the Director of Nursing, this role serves as a vital connector between nursing, medical, and clinical teams—ensuring seamless, compassionate, and coordinated care. Acting as a trusted liaison, this position supports and empowers nursing staff while advancing a culture of clinical excellence, safety, and accountability.

Through thoughtful planning, implementation, and evaluation of nursing care, this role helps shape a healing environment where every patient is seen, supported, and cared for with intention. By delivering exceptional care—grounded in thorough assessment, continuous monitoring, and clear communication with the treatment team—you play a critical role in improving outcomes and supporting each patient’s journey toward recovery.

Key Responsibilities:

Patient Care & Clinical Support

• Develops and initiates individualized Nursing Care Plans that reflect each patient’s medical and psychological needs, as appropriate within scope of license.
• Completes comprehensive medical assessments upon admission, including chemical dependency and suicide history, documenting all findings appropriately.
• Assesses psychological and medical concerns, prioritizing needs and communicating with appropriate clinical staff and leadership.
• Provides primary first aid and determines need for physician notification, ensuring timely and appropriate intervention.
• Coordinates emergency medical care for medical and psychiatric emergencies.
• Promotes restoration of health through patient-centered care, education, and advocacy for both patients and families.
• Maintains safety and security of patients, staff, and medications at all times.
• Maintains, adheres to, and promotes infection control measures in alignment with best practices.

Medication Administration & Management

• Implements physician orders and administers medications as prescribed in accordance with DBH and facility policies.
• Oversees administration, maintenance, and documentation of medications, including proper disposal of medications after discharge.
• Ensures Medication Administration Records (MARs) are completed accurately in the electronic medical record system.
• Counts narcotics daily and ensures all narcotic logs are completed each shift in compliance with policy and regulatory standards.
• Administers TB testing in accordance with Department of Health, facility, and DBH policies.

Collaboration & Patient Education

• Collaborates with physicians, psychiatrists, and medical staff to ensure appropriate and coordinated medical interventions.
• Meets regularly with medical staff to discuss patient treatment and progress.
• Communicates effectively with BHT staff and serves as a critical link to the clinical team in delivering patient care.
• Works collaboratively with the multidisciplinary team to resolve patient concerns while maintaining the ability to function autonomously.
• Provides orientation and training to new nursing staff, supporting team development and clinical excellence.
• Facilitates therapeutic nursing and health groups to promote patient education and engagement.
• Demonstrates leadership, cultural humility, and the ability to communicate effectively across diverse educational and cultural backgrounds.
• Demonstrates respect, empathy, professionalism, and a non-judgmental approach in all patient and team interactions.

Documentation & Compliance

• Adheres to all DBH policies and procedures and ensures compliance with TJC/CARF regulatory guidelines.
• Provides clear, accurate, and timely clinical documentation that meets organizational and regulatory standards.
• Ensures completion of documentation requirements in accordance with medical record review processes and timelines.
• Completes reports on unusual incidents in alignment with policy and regulatory expectations.
• Ensures admissions and discharge protocols are followed and documented appropriately.

Professional Practice

• Conducts self in a manner that reflects DBH mission, vision, and values at all times.
• Serves as shift supervisor for nursing care in collaboration with the Director of Nursing, leading staff and delegating responsibilities in a positive and professional manner.
• Assists with scheduling nursing staff and supports staffing needs, including covering shifts to ensure appropriate nursing coverage.
• Demonstrates tact, initiative, resourcefulness, enthusiasm, and professionalism in all aspects of the role.
• Maintains regular and predictable attendance as an essential function of the position.
• Performs additional duties as assigned to support program needs and patient care.

Residential Treatment Only:

• Provides transportation services including patient transportation/supervision, medical appointments, etc. (must be pre-qualified to drive a company vehicle)
• Substance and Mental Health Use Disorder Division:
  • Monitoring of CIWA/COW scores for patients on detoxification protocols.
  • Knowledge of detoxification medication, withdrawal symptoms, and medical complications that can occur in detox.
  • Provide assistance to Utilization Review in communicating pertinent nursing information

Knowledge, Education, and Experience:

• Must be a graduate of an approved nursing program with a current licensure from an appropriate state licensing board. RN preferred; LVN/LPN required. In programs that employ RN’s, RN licensure is required.

• One year experience preferred working in mental health, substance use, or eating disorders field.
• Ability to draw blood required.
• Obtain CPI certification within 90 days of hire.
• Obtain CPR, AED, and First Aid certification.
• Must possess a current Driver’s License in good standing.
• *Eating Disorder Division: Obtain Serv Safe certification within 90 days of hire.

Employment Status: Full time, temporary 3 months

Schedule: Saturday-Monday 7pm-7:30am

Work location: Del Mar, CA

Compensation range: $47-57 hourly