Psychiatric Mental Health Nurse Practitioner - Level IV

The Psychiatric Mental Health Nurse Practitioner (PMHNP) – Level IV is an advanced psychiatric provider responsible for the assessment, diagnosis, treatment, and medication management of children, adolescents, adults, and families experiencing complex behavioral health conditions.

Full-time

The Psychiatric Mental Health Nurse Practitioner (PMHNP) – Level IV is an advanced psychiatric provider responsible for the assessment, diagnosis, treatment, and medication management of children, adolescents, adults, and families experiencing complex behavioral health conditions.

• Conduct comprehensive psychiatric evaluations, including psychiatric, medical, developmental, psychosocial, substance-use, trauma, medication, and family histories.
• Perform mental status examinations and comprehensive assessments of psychiatric symptoms, functioning, risk factors, protective factors, and treatment needs.
• Establish psychiatric diagnoses and differential diagnoses consistent with current diagnostic standards and the practitioner's scope and demonstrated competencies.
• Develop individualized, evidence-based treatment plans based upon diagnosis, clinical presentation, client needs and preferences, medical necessity, treatment history, and response to previous interventions.
• Prescribe, initiate, adjust, monitor, and discontinue psychotropic and other medications within applicable prescribing authority and scope of practice.
• Evaluate medication effectiveness, adherence, side effects, contraindications, drug interactions, metabolic effects, and other clinical considerations.
• Order, review, and interpret laboratory testing and other diagnostic studies necessary for safe psychiatric medication management.
• Provide education to clients and families regarding diagnoses, medications, potential risks and benefits, treatment alternatives, expected outcomes, and medication adherence.

• Provide psychiatric services to individuals with serious mental illness, serious emotional disturbance, complex trauma, co-occurring disorders, significant functional impairment, and other complex behavioral health needs.
• Manage complex psychiatric presentations involving multiple diagnoses, psychotropic polypharmacy, previous treatment failures, significant psychosocial barriers, or complicated medical and psychiatric comorbidities.
• Assess suicide risk, self-harm, homicidal or violence risk, grave disability, substance-use risk, psychosis, medication complications, and other urgent psychiatric concerns.
• Develop and support appropriate safety plans and initiate emergency evaluation, hospitalization, crisis intervention, higher levels of care, or other protective actions when clinically indicated.
• Recognize situations requiring psychiatrist, physician, emergency department, specialist, or other advanced consultation and initiate appropriate escalation of care.
• Coordinate psychiatric treatment with primary care providers, specialists, hospitals, pharmacies, therapists, care coordinators, and other professionals involved in the client's care.

• When assigned to pediatric populations, evaluate psychiatric symptoms within the context of the child's or adolescent's developmental stage, family system, trauma history, school functioning, environmental factors, and medical history.
• Collaborate with parents, caregivers, legal guardians, clinicians, schools, and other treatment partners as clinically appropriate and legally permitted.
• Apply heightened clinical judgment when prescribing psychotropic medications to children and adolescents, including consideration of…