Psychiatric Nurse Practitioner

Location: Monmouth, Oquawka, Stronghurst, IL

The Psychiatric Mental Health Nurse Practitioner (PMHNP) provides outpatient psychiatric evaluation, diagnosis, treatment, and medication management for children, adolescents, and adults within the provider’s education, certification, demonstrated competence, and EVCHS-approved clinical privileges. The PMHNP collaborates with medical, behavioral health, substance use, and support staff to deliver accessible, coordinated, evidence-based care consistent with EVCHS’s mission and the needs of its patients.

The designated administrative supervisor oversees scheduling, attendance, performance, and operational expectations. The Clinical Director oversees clinical standards and quality activities within their authority. The Director of Quality supports quality assurance, risk management, and compliance. These functions do not replace any legally required physician collaboration or prescribing consultation.

Maintain a written collaborative agreement and delegated prescriptive authority when required by Illinois law. If authorized to practice under Illinois full practice authority, maintain documentation of that status and comply with any remaining consultation or prescribing requirements. Seek consultation or referral when patient needs exceed the provider’s competence or approved privileges.

• Perform comprehensive psychiatric assessments, including relevant medical and psychiatric history, mental status, substance use, psychosocial factors, and diagnostic evaluation; establish and update diagnoses and individualized treatment plans.
• Provide evidence-based psychiatric treatment and therapeutic counseling appropriate to the encounter. Explain treatment options, benefits, risks, alternatives, and follow-up recommendations; obtain and document informed consent and assent when applicable.
• Prescribe, adjust, and discontinue medications within applicable federal and Illinois law, authorized prescribing authority, EVCHS privileges, and any required collaborative agreement. Monitor response, adverse effects, interactions, adherence, and potential misuse.
• Order clinically appropriate laboratory and diagnostic testing; review results, communicate findings and recommendations, and document timely follow-up. Coordinate evaluation of medical conditions affecting psychiatric care.
• Assess suicide risk, self-harm, violence risk, abuse or neglect, and other urgent safety concerns. Document clinical findings, safety planning, and escalation; arrange emergency evaluation, transfer, or a higher level of care when indicated.
• Provide understandable patient and caregiver education on diagnoses, medications, warning signs, and when and how to obtain urgent help. Involve family members, guardians, or other supports only as permitted by consent, confidentiality law, and clinical circumstances.

• Coordinate care with EVCHS medical, counseling, and substance use providers and outside specialists. Make appropriate referrals, track completion with the care team, review consultation findings, and address unresolved care needs.
• Manage refills, patient messages, prior authorization of clinical information, and follow-up appointments with assigned support staff. Respond to routine messages within one business day during assigned working hours; handle urgent concerns according to EVCHS triage procedures.
• Provide documented handoffs and coverage arrangements for pending results, medication needs, and high-risk patients during absences or transitions. Participate in assigned emergency and after-hours coverage arrangements under EVCHS policy and the employment agreement.
• Provide…