Position Title
Licensed Psychologist – Skilled Nursing Facilities (Multi-Facility Coverage)
Reports To
Regional Vice President of Operations (RVPO)

Vice President of Clinical Operations (VPCO)

Medical Director (clinical collaboration)

Position Type
Full-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
Develop individualized behavioral health care plans in 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, trauma

3. 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

Support root cause analysis (RCA) and intervention planning

4. Behavioral Health Program Support
Assist facilities with:
TAPS compliance workflows

Behavioral Health Rapid Response protocols

SUD monitoring programs

Develop and refine:
Behavioral care pathways

De-escalation strategies

Non-pharmacological interventions

5. 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:
Surveys

IDR processes

Compliance monitor reviews

6. 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 validation

7. 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 care

8. Documentation Requirements
Complete timely documentation including:
Initial evaluations (within facility-defined timeframe)

Progress notes





IDT 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

Licensure
Active, unrestricted license as a Psychologist in the State of California

Experience
Minimum 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 process

QAPI frameworks

Ability to:
Work independently across multiple facilities

Communicate effectively with interdisciplinary teams

Provide transparent, 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.

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📌 Travel Licensed Psychologist for SNF Behavioral Health (Manitoba)
🏢 Mariner Healthcare
📍 Manitoba