Nurse Manager

Location: Skid Row, Downtown, Los Angeles CA

Position Purpose

The Nurse Manager is responsible for the overall clinical and programmatic oversight of two nurse-led community respite programs operating within multi-service Harm Reduction Health Hubs located in Skid Row, Los Angeles. These programs provide low-barrier, compassionate, and evidence-based care to individuals experiencing homelessness and people dealing with substance abuse.
This Nurse Manager is responsible for overseeing the day-to-day clinical operations of the community respite programs and ensuring the delivery of high-quality, harm reduction–focused care. This position provides direct clinical supervision to RNs, LVNs, EMTs, and CNAs, and is responsible for staff onboarding, training, scheduling, and performance management. Additional duties include medication and clinical supply inventory management, coordination of staffing coverage, and oversight of quality improvement and quality assurance (QI/QA) activities to ensure compliance with organizational policies, regulatory requirements, and evidence-based standards of care.
This position requires a strong commitment to providing patient-centered, non-judgmental care to individuals from marginalized communities, including people experiencing homelessness, individuals with substance use disorders, individuals engaged in sex work, and those with current or prior involvement in the carceral system.

About The Crocker Care Campus & Harm Reduction Model

The Harm Reduction Health Hubs located in Skid Row operate through a collaborative partnership among three agencies and provide integrated, low-barrier health and supportive services. The Hubs offer a range of resources, including outdoor rest and programming spaces, shower and laundry facilities, drop-in services, harm reduction and overdose prevention counseling, safe supply distribution, an opioid treatment program (methadone), a low-barrier medical clinic, and community respite services.
The community respite programs provide short-term, non-congregate shelter with on-site clinical support for individuals experiencing acute physical or behavioral health needs that can be safely managed in a community-based setting. Services support individuals recovering from acute intoxication or overdose, initiating medication-assisted treatment, seeking post-assault care, and managing acute illnesses or injuries that do not require emergency department or inpatient hospital care.

Principal Responsibilities

• Provide compassionate, low-barrier nursing care in alignment with harm reduction principles.
• Provide clinical supervision, mentorship, and support to nursing staff (RNs, LVNs, EMTs, CNAs) in day-to-day operations.
• Monitor and assess patient acuity levels daily to ensure appropriate care assignments and workload distribution across the nursing team.
• Utilize clinical judgment to identify high-risk or medically complex clients requiring escalated oversight or RN-level intervention.
• Collaborate with staff to adjust assignments based on real-time changes in acuity and client needs.
• Maintain clear documentation of acuity assessments and incorporate into shift handoffs, huddles, and care planning.
• Escalate concerns to the Clinical Director when acuity patterns indicate the need for staffing adjustments or additional clinical support.
• Develop, manage, and adjust nursing team schedules to ensure adequate staffing coverage that aligns with patient care needs and acuity levels.
• Coordinate shift assignments based on staff competencies, and workload balance, promoting fairness and efficiency.
• Anticipate and address staffing gaps by collaborating with Program Directors to arrange supplemental coverage, including agency or float staff as needed.
• Provide clear, concise, and respectful communication regarding clinical directives, protocols, and organizational expectations.
• Model accountability and professionalism, setting clear expectations and holding staff accountable while offering constructive feedback and support.
• Perform triage, patient assessments, and develop individualized care plans.
• Conduct nurse-only visits, including wound care (for complex chronic wounds), medication reconciliation/management, phlebotomy (for patients with challenging venous access), and complex care coordination.
• Administer medications and provide essential nursing services per established protocols and standards.
• Monitor patients in observation beds, responding promptly to changes in condition and ensuring appropriate interventions.
• Offer health education and risk reduction counseling, including safe drug use practices and overdose prevention.
• Administer Narcan and train participants/staff in overdose response and harm reduction strategies.
• Act as a clinical lead during medical emergencies or crisis response in the field or facility setting.
• Participate in quality improvement, data tracking, and compliance activities.
• Oversee supply management for clinical and provide finding to Program Director (clinical only)
• Assist with the onboarding, training, and evaluation of new clinical team members.
• Oversee and Maintain accurate and timely documentation in the electronic health record (EHR).
• Periodical chart Auditing of team documentation
• Will be exposed high demand situations including overdose response and behavioral health crises
• Participate in quality improvement, data tracking and compliance activities.
• Assist with the onboarding, training, and evaluation of new clinical team members.
• Implement and monitor infection control practice and handlings
• Work collaboratively with social workers, case managers, and harm reduction specialists to address physical health, mental health, and substance use needs.
• Support participants in navigating the healthcare system

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