Position Title
Licensed Psychologist – Skilled Nursing Facilities (Multi-Facility Coverage) Reports ToRegional Vice President of Operations (RVPO) Vice President of Clinical Operations (VPCO) Medical Director (clinical collaboration) Position TypeFull-Time (Multi-Facility Coverage) Travel required within assigned Northern California region
Position Summary:
The Licensed Psychologist provides behavioral health evaluation, diagnosis, treatment, and consultation services to residents across multiple Skilled Nursing Facilities (SNFs). The role supports regulatory compliance (CMS, CDPH), QAPI initiatives, and interdisciplinary care planning, with a focus on: Substance Use Disorders (SUD) Serious Mental Illness (SMI) Dementia-related behaviors Adjustment disorders and psychosocial stressors The Psychologist plays a key role in ensuring timely behavioral health interventions, reducing rehospitalizations, improving quality measures, and supporting survey readiness and compliance monitoring.
Key Responsibilities:
1. Clinical Assessment & Diagnosis Conduct initial and ongoing psychological evaluations for: New admissions (especially TAPS-triggered residents) Behavioral changes or acute events Utilize standardized tools: TAPS (Tobacco, Alcohol, Prescription Substance)PHQ-9, BIMS, MoCA (as applicable) Provide DSM-5-based diagnoses and clinical impressions Determine risk level (Low / Moderate / High behavioral risk)2. Treatment Planning & Intervention Developindividualized behavioral health care plansin collaboration with IDT:MatrixCare-ready documentation Provide: Psychotherapy (brief, solution-focused, supportive) Behavioral interventions Coping strategies
Address:- Aggression, agitation, wandering, refusal of care
- Substance-seeking behaviors
- Depression, anxiety, trauma3. Interdisciplinary Team (IDT) Collaboration
- Participate in:
- Care plan meetings
- Behavioral health rounds
- Post-incident reviews (falls, altercations, substance events)
- Provide recommendations to:
- DON, Social Services, Nursing, Activities
- Supportroot cause analysis (RCA)and intervention planning4. Behavioral Health Program Support
- Assist facilities with:
- TAPS compliance workflows
- Behavioral Health Rapid Response protocolsSUD monitoring programs
- Develop and refine:
- Behavioral care pathways
- De-escalation strategies
- Non-pharmacological interventions5. Regulatory & Compliance Support
- Ensure documentation meets:
- CMS F-Tags (e.g., F740–F745 Behavioral Health)
- Title 22 (California SNF regulations)CDPH survey expectations
- Provide documentation that is:
Survey-ready
Legally defensible
Assist during:
SurveysIDR processes
Compliance monitor reviews6. Staff Education & Training
Provide training to:
Nursing staff (RN/LVN/CNA)
Social Services
Leadership team
Topics include:
Managing difficult behaviors
Substance use disorder awareness
Suicide risk identification
Trauma-informed care
Support DSD with competency validation7. Crisis Intervention
Respond to:
Suicidal ideation or attempts
Aggressive or violent behavior
Acute psychosis
Provide:
Immediate assessment
Recommendations for transfer (if needed)
Clearance documentation for return from acute care8. Documentation Requirements
Complete timely documentation including:
Initial evaluations (within facility-defined timeframe)
Progress notesIDT recommendations
Risk assessments
Ensure:
Clarity, accuracy, and regulatory compliance
Integration into EMR (e.g., MatrixCare)9. Quality Improvement (QAPI) Participation
Participate in QAPI initiatives related to:
Behavioral health outcomes
Reduction in antipsychotic use
Rehospitalization rates
Provide data insights and recommendations
Assist with behavioral health dashboards and trending
Qualifications:
Education Doctoral degree (PhD or PsyD) in Psychology from an accredited institution LicensureActive, unrestricted license as a Psychologist in the State of California ExperienceMinimum 1 year of experience in: SNF, subacute, or geriatric settings (preferred) Behavioral health or substance use treatment Experience with: Dementia care Post-acute / long-term care populations
Core Competencies: Strong knowledge of:
- Geriatric psychology
- Substance Use Disorders (SUD)
- Behavioral interventions in SNF settings
- Familiarity with:
- CMS regulations and survey processQAPI frameworks
- Ability to:
- Work independently across multiple facilities
- Communicate effectively with interdisciplinary teams
- Provide clear, defensible clinical documentation
- Work Environment
- Multi-site SNF coverage across Northern California
- Combination of:n-site facility visits
- Potential telehealth services (if applicable)
- Travel required between facilities
- Additional Expectations
- Maintain confidentiality (HIPAA compliance)
- Adhere to facility and corporate policies
- Support organizational mission, vision, and core values
- Participate in regional clinical meetings as assigned
Salary Range: $140,000.00 to $160,000.00 per year depending on experience
Mariner Healthcare reserves the right to discontinue any bonus program at anytime.