Psych Nurse Practitioner Mexico

Psychiatric Mental Health Nurse Practitioner (PT Onsite, PCP for ages 15 and up, predominately adults)

Community Bridges, Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of programs throughout Arizona. CBI provides residential, outpatient, inpatient, patient-centered medical homes, medication-assisted treatment, and crisis services to individuals experiencing crisis, opioid use disorder, homelessness, and mental illness.

The schedule is flexible at 5‑8 hours a week.

At Community Bridges, Inc. (CBI), a psychiatric practitioner is an integral specialty for our whole‑person approach in our integrated system of physical, psychiatric, and addiction services. The scope of practice of the psychiatric practitioner in the inpatient setting will see adults 18 and older, all genders, all socio‑economic backgrounds, complex medical history, and co‑occurring psychiatric disorders. Psychiatric practitioners at CBI will be expected to provide patient‑centered, evidence‑based care for patients as well as serve as patient advocates in all health‑related matters, including the appropriate use of specialists, health services, and community resources.

• PMHNP/FNP – for Crisis Sobriety Center – AM/PM shifts (Sunday – Tuesday rotating Wednesday) and (rotating Wednesday – Thursday – Saturday).
• PMHNP – (SMI Caseload) – Full time on site, Mesa location; 8 AM – 4 PM Monday – Friday.
• PMHNP – ACT/FACT – Full time on site, Central Phoenix 8 AM – 5 PM Monday – Friday.

• Complete urgent psychiatric and/or addiction medicine evaluations for patients referred to the 23‑hour observation unit from all referral sources including hospitals, urgent care centers, law enforcement, and other medical practitioners for assessment, diagnosis, and treatment recommendations.
• Complete urgent psychiatric assessment and/or addiction medicine, ambulatory detox, or physical health assessments with patients identified by CBI screening staff.
• Coordinate with other staff when admitting, transferring, or discharging a patient to a different CBI program or level of care and document in the medical record to ensure a smooth transition.
• Initiate or perform documentation of doctor‑to‑doctor communication and coordination of care.
• Evaluate all patients on the unit at least daily to adjust treatment and discharge planning.

• Seclusion and restraint interventions are used in accordance with CBI policy.
• Provide assessment for appropriate use of seclusion and restraint, documenting staffing, current behaviors, medical and psychiatric conditions, and medications.
• Write or sign an order immediately if at the facility, or sign in the electronic health record within three hours if given verbally. The order must include date, time, specific restraint, and if chemical restraint is ordered, drug name, strength, dosage, route, and symptoms treated.
• Authorize a maximum duration of three continuous hours.
• Complete and document an assessment within one hour after the order for restraint or seclusion, including current behavior, reaction, medical condition, and decision to continue or terminate.
• Write a release order or document a second order at the end of three hours if restraint or seclusion needs to continue.
• Review cases and discharge plans during rounds with assigned CBI medical staff.
• Document and sign full discharge orders and follow‑up recommendations within 24 hours of discharge.

• Practitioner admission orders are completed on admission (in person or verbally to a nurse) and signed by the admitting practitioner within 24 hours.

• Everyone admitted to the 23‑hour observation unit will have at least one psychiatric evaluation every 24 hours, or sooner if clinically appropriate.
• Review cases with RN and crisis specialist during rounds as part of discharge planning.
• Document rounds in a progress note.
• Review cases with the incoming practitioner at the end of each shift.
• Maintain treatment of physical health and coordinate with PCP and other prescribers while in treatment.

• Coordinate with other staff when…