Registered Nurse Manager

Terra Behavioral Health is building something different — a modern behavioral health platform grounded in integrity, human connection, and operational excellence. We’re clinician-led and founder-driven, combining deep clinical roots with disciplined, scalable systems that honor both people and performance.

The Opportunity

We are seeking a skilled, experienced, and compassionate Registered Nurse to serve in a hybrid Lead RN / Nurse Manager role within our residential treatment program. This position blends hands-on clinical care with nursing leadership and supervision, offering a unique opportunity to remain deeply connected to patients while also shaping nursing practice, standards, and culture.

In this role, you will function as a lead floor RN while also overseeing and supporting the nursing team. You will play a critical role in ensuring safe, consistent, and high-quality nursing care for clients with psychiatric, medical, substance use, and co-occurring needs at our 2 residential and 1 outpatient site in Temecula.

Working in close partnership with the Medical Director, Clinical Leadership, and Operations, you will help build a nursing model that is structured, collaborative, and deeply human — one that reflects Terra’s commitment to both clinical excellence and employee-centered leadership.

This role is ideal for a nurse who enjoys direct patient care, values teamwork and accountability, and is ready to take on meaningful leadership responsibility in a growing organization.

What You’ll Do

At Terra, nurses are not just clinical responders — they are essential to the client experience, the heartbeat of the milieu, and champions of safety, dignity, and compassionate care.

Direct Clinical Care & Nursing Practice

· Provide skilled, trauma-informed nursing care including assessments, ongoing evaluations, and treatment plans for clients with Mental Health, SUD, and Co-Occurring conditions.

· Support safe detoxification/withdrawal management protocols (as applicable) under physician/psychiatrist/NP guidance.

· Administer medications with precision, following Terra’s safety protocols and regulatory requirements.

· Monitor for medical or psychiatric changes in condition and intervene promptly and appropriately.

Safety, Risk Management & Crises

· Respond to medical and psychiatric emergencies with strong clinical judgment, calm, and clarity.

· Support the milieu through de-escalation, crisis intervention, therapeutic communication, and safety planning.

· Ensure compliance with all medication, storage, infection control, and nursing standards.

Collaboration & Care Coordination

· As a key member of the interdisciplinary team, collaborate closely with therapists, medical providers, case managers, and behavioral health technicians to provide cohesive, integrated care.

· Participate in clinical rounds and interdisciplinary discussions to support client progress, safety, and outcomes.

· Communicate clearly and compassionately with clients, families, and team members.

· As needed driving duties

Documentation & Compliance

· Complete timely, accurate nursing notes, assessments, and MAR documentation that meet DHCS, Joint Commission, and Terra standards.

· Bring a disciplined, detail-oriented approach to every aspect of nursing practice.

· Follow all scope-of-practice guidelines, medication protocols, and regulatory expectations.

Leadership

· Hire, train, onboard, mentor and supervise nursing team.

· Lead scheduling to ensure appropriate staffing at the facility.

· Oversee nursing policies, procedures, and practices ensure consistency of care, client experience, and regulatory compliance.

Culture & Milieu Management

· Help create a therapeutic environment where clients feel safe and staff feel supported.

· Ensure nursing department operates effectively providing great care & exceptional nursing services.

· Embrace feedback, training, and development as part of a culture committed to continuous improvement.

· Embody Terra’s values — truth, integrity, humility, and heart — in every interaction.

· Contribute ideas and observations that strengthen our systems and elevate the care we deliver.

What You Bring

· Active California RN License

· Valid Driver’s License

· CPR certified or willing to complete CPR certification prior to hire

· 2+ years experience working in residential, inpatient, or structured mental health and substances use treatment settings

· 1+ year nursing leadership experience

· Strong patient-centered assessment, treatment planning, and crisis response skills

· Ability to remain grounded, collaborative, and client-centered in fast-paced or emergent situations.

· Values that align with Terra: integrity, transparency, humility, accountability, and heart.

How we work at Terra

· We move with urgency, clarity, and intention.

· We lead with truth — even when it’s uncomfortable.

· We honor clinicians and protect clinical integrity.

· We operate with accountability and follow-through.

· We build systems that are agile, disciplined, and built to scale.

· We choose high performance AND humanity.

· We solve problems together — no egos, no silos.

Ideal Candidate- RN - Nurse Manager - Psychiatric Nurse - Addiction Nursing - Substance Use Nurse - Nurse Leader - Nurse Lead

Pay: $115,000.00 - $140,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Opportunities for advancement
• Paid time off
• Vision insurance

Experience:

• Behavioral Health/Substance use treatment: 2 years (Preferred)

License/Certification:

• Active California RN License (Required)
• Drivers License (Required)

Work Location: In person