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Milieu Manager (Nursing) (Santa Rosa)

Northern California Behavioral Health System

Santa Rosa, California, United States permanent

Posted: January 9, 2026

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Quick Summary

We are seeking a Milieu Manager (Nursing) to join our team in Santa Rosa, California. The ideal candidate will have experience in psychiatric care and a strong understanding of the local mental health system.

Job Description

ABOUT US:

Formerly Aurora Santa Rosa Hospital, SRBHH was opened in 2016 and is regarded as an integral part of the greater Santa Rosa and Northern California mental health system of care. Conveniently located in the North Bay, this hospital consists of 144 acute psychiatric inpatient beds.

Santa Rosa Behavioral Healthcare Hospital (SRBHH) is regarded as an integral part of the greater Santa Rosa and Northern California mental health system of care.

Conveniently located in the North Bay, SRBHH serves adolescents and adults. We treat both mental health and co-occurring psychiatric and substance abuse conditions.

POSITION TITLE: Milieu Manager

PAY RANGE: $37-$44 Per Hour

REPORTS TO: Director of Nursing

DESCRIPTION OF POSITION:

The Milieu Manager supports the nursing staff and oversees the MHTs/Lead MHTs on the floor in maintaining a therapeutic milieu by performing routinely assigned tasks and carrying out patient care activities within the scope of training and experience. Supports a therapeutic setting; ensures safety and well-being of patients.

KEY RESPONSIBILITIES:

• Assists in the planning, facilitating and evaluating of MHT activities with oversight of unit safety and programming.
• Continually monitors and enforces compliance with unit/program rules.
• Demonstrates the ability to employ de-escalation and therapeutic interventions as needed.
• Responsible for management of the patient environment and oversight of completing unit safety checks.
• Available to staff, providing regular performance training and feedback; develops professional skills and encourages growth.
• Complete and deliver reviews as assigned for MHT’s and MHT Leads.
• Assists in training, planning, facilitating and evaluating of MHT activities with oversight of unit safety and programming.
• Provides structure and safety to the milieu environment as directed by hospital and unit procedures.
• Assists with New Employee Orientation, assists with development of MHT career track and participates in the development and selection of MHT and MHT Lead preceptors.
• Completes training, certification and re-certification, as well as tracking for annual compliance utilizing HWC, or the facility’s current approved training program for verbal de-escalation and manual holds, as deemed necessary by the Director of Nursing, to assist the education department.
• Conducts video review and provides education and coaching for improper technique.
• Engages in verbal de-escalation and manual holds to model appropriate technique, initiates debriefing and fosters environment for training, education and technique improvement.
• Participates in observation, data collection and reporting, compliance monitoring, process improvement, tracking and documentation for Quality Assurance and Performance Improvement.
• Assists with quality measures to improve healthcare quality and safety in the Nursing DepartmentUnit assignment as an MHT, if deemed appropriate by the Director of Nursing.
• Provides services that support MHTs, nurses, clinical services staff, activity therapists, and other departments in various activities.
• Acts in the best interest of the patient and Santa Rosa Behavioral Healthcare Hospital at all times.
• Carries out clerical and administrative assignment to support patient care and department and organization operations.
• Completes orientation and competency assessments as required for position.
• Assists in providing education, orientation and competency completion with MHT’s and MHT Lead’s.
• Upholds the Organization's ethics and customer service standards.
• This job description is not intended to be all-inclusive. Employee may perform other related duties as required to meet the ongoing needs of Santa Rosa Behavioral Healthcare Hospital.
• Assists in shadowing MHT’s and MHT Lead’s, as assigned.
• Participates in MHT and MHT Lead interviews, as assigned.
• Other related duties, as requested.


Requirements:
POSITION Requirements:

Education/Licensure

• Bachelor’s degree required.
• Minimum five (5) years in an inpatient/outpatient psychiatric/mental health setting with understanding psychiatric patient care techniques.
• In lieu of Bachelor’s degree, must have a minimum of eight (8) years in an inpatient/outpatient psychiatric/mental health setting with understanding psychiatric patient care techniques.
• Minimum two (2) years of supervision required.
• Demonstrated understanding of mental illness and related behavioral management techniques required
• Previous experience in the development of therapeutic programs targeting for special populations preferred.
• All direct patient care staff will be trained in BLS (CPR), which must be renewed every 2 years.
• Verbal de-escalation and physical intervention program as approved by the DON.

Knowledge and Experience:

• Familiarity with medical and psychological terminology and human behavior principles preferred
• Experience with therapeutic limit-setting or other behavior management modalities helpful
• Must maintain professional boundaries

Skills and Abilities:

• Maintains confidentiality of patients at all times
• Sensitivity to and willingness to interact with persons of various social, cultural, economic and educational backgrounds
• Proficiency with software and/or equipment (Microsoft Office applications including Outlook, Word, and Excel)
• Strong organizational skills with ability to prioritize projects, manage multiple tasks, and meet deadlines
• Strong written and verbal communication skills; legible handwriting
• Skills in teaching or assisting with activities of daily living
• Ability to work independently and as part of a team
• Good judgment, problem solving and decision-making skills
• Demonstrated commitment to working collaboratively as well as possessing the skills to lead, influence, and motivate others
• Ability to work in a fast-paced, expanding environment
• Ability to exercise self-control in potentially volatile situations
• Ability to work and concentrate amidst distractions such as noise, conversation, a foot traffic
• Ability to handle interruptions and multi-task

Physical Requirements:

While performing the duties of this job, this position is frequently required to do the following:

• Stoop, kneel, crouch, reach, and stand for sustained period of time.
• Walk, push, pull, lift, carry objects from a lower to higher position or horizontally from position to position or otherwise move objects.
• Feel sizes, shapes, temperatures, and textures by touching with skin, particularly that of the fingertips.
• Express or exchange ideas orally and potentially loudly, accurately, or quickly.
• Minimum standard of hearing ranges.
• Lift up to 50 pounds, exert up to 100 pounds of force occasionally, and/or up to 30 pounds of force frequently.
• Minimum standard of visual acuity with or without correction.
• While worker may possibly be subjected to temperature changes, the worker is generally not substantially exposed to adverse environmental conditions as the work is predominantly inside.


Benefits:
• Health Insurance
• Vision Insurance
• Dental Insurance
• 401k Retirement Plan
• Healthcare Spending Account
• Life Insurance
(Supplemental Life, Term and Universal plans are also available)
• Short and Long-Term Disability
(with additional buy-in opportunities)
• PTO Plan with Holiday Premium Pay
• Discounted Cafeteria Meal Plan
• Tuition Reimbursement

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