FNP​/PMHNP – Behavioral Health Crisis & Integrated Care

• Location 5222 W Glendale Ave,Glendale, AZ, 85301,United States
• Base Pay $ - $ / Year

Description

Company: iCare Health Services, LLC
Department: Crisis Services / Integrated Outpatient Services/Physical Health
Position Type: Full-Time, Part-Time, PRN
Setting: Behavioral Health Crisis Stabilization, 23-Hour Observation & Integrated Care
Reports To: Clinical Leadership / Healthcare Administrator

iCare Health Services, LLC is seeking an experienced dual-certified Family Nurse Practitioner/Psychiatric Mental Health Nurse Practitioner (FNP/PMHNP) to provide integrated medical and psychiatric care within our Behavioral Health Crisis Stabilization and 23-Hour Observation program.

The FNP/PMHNP will evaluate individuals experiencing acute psychiatric symptoms, behavioral health crises, substance-use-related concerns, and co-occurring medical conditions. This provider will perform psychiatric and medical evaluations, establish diagnoses within applicable scope, prescribe and manage medications, order and review appropriate diagnostic testing, develop stabilization plans, and participate in decisions regarding continued observation, discharge, referral, or transfer to a higher level of care.

The provider will work collaboratively with Crisis RNs, licensed behavioral health clinicians, BHTs, case managers/care coordinators, peer support specialists, and community healthcare partners to provide safe, timely, trauma-informed, and coordinated care.

Psychiatric and Crisis Services

• Conduct comprehensive and focused psychiatric evaluations.
• Evaluate individuals experiencing suicidal ideation, self-harm risk, homicidal ideation, psychosis, mania, severe depression or anxiety, agitation, behavioral dysregulation, and other acute psychiatric presentations.
• Establish and document psychiatric diagnoses within PMHNP scope.
• Assess psychiatric stability and immediate treatment needs.
• Develop individualized psychiatric stabilization and treatment recommendations.
• Initiate, continue, adjust, or discontinue psychotropic medications when clinically appropriate.
• Monitor therapeutic effectiveness, side effects, adverse reactions, contraindications, and medication interactions.
• Participate in suicide-risk, violence-risk, safety, and crisis-management planning.
• Determine when psychiatric presentation warrants continued crisis observation, inpatient psychiatric treatment, emergency intervention, or outpatient follow-up.
• Provide psychiatric consultation to the multidisciplinary crisis team.
• Educate patients and authorized family/support persons regarding diagnoses, medications, treatment options, safety plans, and follow-up needs.

Medical and Physical Health Services

• Conduct focused and comprehensive medical histories and physical examinations.
• Evaluate acute physical-health concerns occurring during behavioral health crisis episodes.
• Assess chronic medical conditions that may impact stabilization or psychiatric presentation.
• Diagnose and treat appropriate general medical conditions within FNP scope and competency.
• Identify medical conditions that may mimic, worsen, or contribute to psychiatric symptoms.
• Evaluate concerns including hypertension, diabetes, infections, dehydration, respiratory complaints, medication reactions, pain, and other medical conditions.
• Order, review, and interpret appropriate laboratory and diagnostic testing.
• Develop medical treatment recommendations and follow-up plans.
• Determine when a patient's medical needs exceed the capabilities of the crisis stabilization setting.
• Coordinate transfer to an emergency department, hospital, urgent care, specialty provider, or other medical setting when indicated.

• Assess individuals presenting with substance-use-related behavioral or medical concerns.
• Evaluate signs and symptoms of intoxication, withdrawal, overdose, medication interactions, and co-occurring psychiatric conditions.
• Collaborate with Crisis RNs regarding withdrawal monitoring and changes in patient condition.
• Evaluate whether patients require medical detoxification, inpatient care, residential treatment, crisis stabilization, or outpatient SUD services.
• Provide medication treatment for substance-use disorders when within professional scope, competency, prescribing authority, credentialing, and organizational privileges.
• Coordinate with SUD providers and community recovery resources.
• Incorporate relapse prevention, harm-reduction, recovery-support, and…