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Forensic Mental health Nurse Practitioner NIABH

Job in Raleigh, Wake County, North Carolina, 27601, USA
Listing for: Elwyn
Full Time position
Listed on 2026-08-26
Job specializations:
  • Nursing
    Psychiatric Care & Support, Mental Health Nurse, Nurse Practitioner
Salary/Wage Range or Industry Benchmark: 120000 - 150000 USD Yearly USD 120000.00 150000.00 YEAR
Job Description & How to Apply Below

Overview

Join a Team That Changes Lives

For more than 170 years, Elwyn has been leading the way in supporting children, teens, and adults with autism, intellectual and developmental disabilities, and behavioral health challenges. As a mission-driven nonprofit, we're here to create real change - helping people lead meaningful, fulfilling lives.

Now, we're looking for passionate team members to join us. Here, your work will change lives - including your own. You'll make an impact every day, find purpose in what you do, and grow in a career that truly matters.

At Elwyn, we take care of you while you care for others. We offer:

  • Generous Paid Time Off
  • Comprehensive Medical/Dental/Vision Benefit Packages
  • Earned Wage Access/On-Demand Pay
  • Paid On-the-Job Training
  • Tuition Reimbursement
  • Career Advancement Opportunities and Growth
  • Flexible Schedules
  • Retirement Savings Plan
Job Description

The Psychiatric Mental Health Nurse Practitioner (PMHNP) is responsible for providing comprehensive psychiatric evaluation, diagnosis, treatment, and medication management services to individuals housed within the County Detention Center.

The PMHNP ensures that psychiatric services are delivered in accordance with applicable federal and state laws, correctional healthcare standards (NCCHC and ACA where applicable), organizational policies, and accepted standards of psychiatric practice.

ESSENTIAL DUTIES AND RESPONSIBILITIES
  • Clinical Care
  • Conduct comprehensive psychiatric evaluations, mental status examinations, and diagnostic assessments for incarcerated individuals.
  • Diagnose and treat psychiatric disorders, including serious mental illness, co-occurring substance use disorders, trauma-related disorders, mood disorders, psychotic disorders, personality disorders, and neurocognitive conditions.
  • Develop, implement, and monitor individualized psychiatric treatment plans.
  • Prescribe, adjust, and monitor psychotropic medications utilizing evidence-based practices.
  • Evaluate medication effectiveness, adverse reactions, medication adherence, and potential drug interactions.
  • Order and interpret laboratory testing and diagnostic studies necessary for medication monitoring and treatment.
  • Monitor individuals receiving medications requiring specialized laboratory surveillance (e.g., lithium valproic acid, carbamazepine, clozapine where applicable).
  • Assess individuals for psychiatric emergencies, including suicide risk, self-injurious behavior, acute psychosis, severe withdrawal syndromes, and behavioral decompensation.
  • Provide timely intervention and treatment recommendations during psychiatric crises.
  • Participate in suicide prevention, suicide watch, and special management housing reviews consistent with facility policies.
  • Evaluate individuals placed in restrictive housing when behavioral health concerns are identified. Medication Management
  • Initiate, continue, modify, and discontinue psychiatric medications as clinically indicated.
  • Ensure appropriate monitoring of controlled substances and medications with abuse potential.
  • Review medication administration records and collaborate with nursing staff regarding medication compliance and side effects.
  • Complete medication renewals and prescription refills in a timely manner.
  • Collaboration
  • Collaborate with physicians, nurses, psychologists, licensed clinicians, substance use counselors, correctional officers, and detention administration to coordinate patient care.
  • Participate in interdisciplinary treatment team meetings.
  • Consult with medical providers regarding medical conditions that impact psychiatric treatment.
  • Provide clinical consultation to behavioral health and nursing staff regarding psychiatric care.
  • Communicate treatment recommendations to appropriate correctional staff while maintaining confidentiality consistent with HIPAA and applicable correctional regulations.
  • Intake and Ongoing Care
  • Complete psychiatric evaluations for newly admitted detainees referred through intake screening or medical triage.
  • Evaluate individuals identified as high-risk due to suicide risk, acute mental illness, intoxication, withdrawal, or cognitive impairment.
  • Conduct scheduled psychiatric follow-up appointments based upon clinical need.
  • Participate in chronic mental health clinics for individuals requiring ongoing psychiatric treatment.
  • Documentation
  • Complete all psychiatric evaluations, progress notes, treatment plans, medication documentation, and clinical records within established time frames.
  • Maintain accurate and timely documentation in the electronic health record in accordance with organizational policies and correctional healthcare standards.
  • Document informed consent for medications when applicable.
  • Continuity of Care
  • Coordinate psychiatric care during admission, housing transfers, hospitalization, and release planning.
  • Assist in discharge planning by collaborating with community behavioral health providers when appropriate.
  • Support continuity of psychiatric medications upon release in accordance with facility policies.
  • Quality Improvement and…
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