County of FresnoFresno 93703

Provides mental health nursing, including crisis intervention services within the outpatient clinic or in the community.

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Mental Health Nurse Ii

County of Fresno
Permanent 75.00) per pay period pro-rated for the actual number of per week Fresno County Department of Behavioral Health, 4441 E Kings Canyon Rd, Fresno, CA 93703, United States


Scheduled Salary Increases:5% effective 7/10/23 ($89,388 - $108,680 Annually) 



The Fresno County Department of Behavioral Health invites applications for the position of Mental Health Nurse II. Incumbents provide direct and indirect mental health nursing services to the community. Responsibilities include evaluation of psychological, physical, and social status of an individual or family; conjoint, group, and family therapy; crisis intervention services; and referral to other appropriate community agencies.

Mental Health Nurses who are assigned to perform charge/lead worker duties, including assigning, reviewing, and coordinating the work of other employees, shall receive seventy-five and no/dollars ($75.00) per pay period pro-rated for the actual number of hours worked in that capacity. Other duties may include program leadership and input in project/program scope of work and outcomes.

Fresno County is a richly diverse community, and in order to support and serve ALL persons in our community, the Fresno County Department of Behavioral Health is dedicated to ensuring an inclusive overall system of care through a commitment to equity, diversity, and affirming care. We are dedicated to providing quality, culturally responsive services that promote wellness, recovery, and resilience for individuals and families whom we serve.

It is imperative for us to protect and improve the lives of Fresno County residents served by the Department and our partners in our system of care by acknowledging the long-standing historic and ongoing inequities that black, indigenous and people of color, those living in poverty, LGBTQ+ members and other marginalized and underserved communities have experienced with the behavioral health system.

We place a great deal of importance on having Behavioral Health system of care team members who possess lived experience, are reflective of our community, and have the expertise to ensure our workforce is culturally and linguistically responsive and maximizes our diversity to render quality services in the most responsive, affirming, and caring manner possible for the persons we serve.

Please note: The eligible list established from this recruitment may be used to fill both extra-help and permanently allocated positions. Individuals selected for extra-help appointment may be transitioned to a permanently allocated position at a later date as authorized by the Fresno County Personnel Rules.

Positions in this classification are in Medical Group III - Heavy Physical Activity. This group includes positions which require heavy physical effort using arms, legs, back and trunk in frequent lifting, pushing, or pulling objects weighing (or offering resistance equivalent to) over 25 pounds.  Generally, considerable bending, stooping, squatting, twisting, reaching, as well as standing and walking are involved.  Physical stamina is usually required and explosive strength using bursts of energy may be required, depending upon specific position assignments.

Eligible candidates must be able to perform the essential functions of the position with or without reasonable accommodation.

Samples of Duties

The information listed below is meant to serve as samples of job duties and responsibilities for positions in this classification. This list is neither inclusive nor exclusive, but indicative of several types of duties performed. Consequently, this information does not reflect Essential Functions for any given position in this classification.

  • Provides mental health nursing, including crisis intervention services within the outpatient clinic or in the community.
  • Prepares and administers medications per departmental policies.
  • Observes and charts results of treatment and medications.
  • Assists individuals and families in implementing crisis resolution.
  • Works with psychiatrist in evaluating patient's immediate life situation, relevant past events, and current inter-personal relations in order to recommend and implement treatment plans.
  • Assists in helping protect the patient from himself and/or to protect others.
  • Provides mental health care coordination for individuals and families through referral, collaboration, and liaison activities with local service providers and community agencies or organizations.
  • Participates in staff development programs and in staff conferences regarding cases and latest therapeutic techniques.
  • Uses knowledge of psychotropic medications to obtain prompt ordering of medications from the physician on duty and/or Nurse Practitioner and to report any side effects.
  • Assists in training Licensed Vocational Nurses and Licensed Psychiatric Technicians, which includes student nurses in both undergraduate and masters programs, family practice residents, paraprofessionals and newly recruited nursing personnel.
  • May act as a triage nurse with walk-in patients and phone calls.
  • May be responsible for answering 24-hour "crisis" phone and provide counseling within scope of expertise or make necessary referrals to other agencies, facilities and/or other individuals.
Knowledge, Skills and Abilities
Knowledge of

  • Federal, state and local laws and regulations governing mental health;
  • Principles, practices, and legal requirements related to mental health nursing, including involuntary/voluntary treatment;
  • Department policies, rules, regulations, and procedures;
  • Community resources to provide continuity of client care;
  • Principles and practices of efficient and effective medical case management;
  • Normal and abnormal physiological development and behavior.
Skills/Abilities to

  • Display effective organizational and time management principles and techniques;
  • Identify and be responsive to the mental health needs of clients;
  • Remain knowledgeable and proficient in nursing practices through readings, research, professional organizations, academic training, and participation in direct client services;
  • Accurately follow both oral and written instructions;
  • Communicate effectively both orally and in writing with people of various educational, socio-economic, and cultural backgrounds;
  • Work effectively under pressure and rapidly in difficult or emergency situations;
  • Operate a computer in the completion of assignments;
  • Establish and maintain effective working relationships at all organizational levels, as well as with other agencies and the public;
  • Demonstrate and maintain a high degree of initiative, maturity, integrity, and good judgment.
Minimum Qualifications

ExperienceTwo years of full-time, paid experience equivalent to that gained as a Mental Health Nurse I in Fresno County.

LicenseValid Registered Nurse License issued by the State of California, Department of Consumer Affairs, Board of Registered Nursing.

Possession of a valid Class "C" driver's license, or equivalent.


  • Applicants must meet the minimum qualifications and filing requirements for this position by the filing deadline.
  • A completed Fresno County employment application is required (must be current, complete and accurate; amendments will not be allowed after the filing deadline). 
  • Resumes and attachments are not accepted in lieu of a completed application.
  • This position requires possession of a valid Registered Nurse License issued by the State of California, Department of Consumer Affairs, Board of Registered Nursing and a valid Class "C" driver's license, or equivalent. Please provide your applicable license numbers on your application. Failure to list this information will result in the disqualification of your application.