Psychiatric Mental Health Nurse Practitioner (PMHNP)
Jamestown Salish Seasons (JSS) is seeking a compassionate and experienced Psychiatric Mental Health Nurse Practitioner (PMHNP) to join our multidisciplinary team at our 16-bed voluntary residential Evaluation & Treatment (E&T) facility. Our program provides 24/7 crisis stabilization and inpatient behavioral health services for individuals experiencing acute mental health needs.
As our PMHNP, you will play a vital role in evaluating patients, prescribing and managing psychiatric medications, determining medical necessity for treatment, reviewing referrals, and making admission decisions. You'll work alongside an interdisciplinary team dedicated to delivering high-quality, culturally responsive care that supports recovery and long-term wellness.
Schedule
Thursday-Sunday - 7AM - 5PM
What You'll Do
Psychiatric Evaluation & Treatment
Conduct comprehensive psychiatric evaluations, diagnostic assessments, and intake screenings.
Determine medical necessity for admission, continued stay, or discharge.
Develop individualized treatment plans in collaboration with the interdisciplinary team.
Provide crisis stabilization services for individuals experiencing acute psychiatric or behavioral health crises.
Medication Management
Prescribe, monitor, and adjust psychotropic medications, including antipsychotics, antidepressants, anxiolytics, and mood stabilizers.
Ensure safe, evidence-based medication practices in accordance with state and federal regulations.
Monitor medication effectiveness, side effects, and adherence.
Collaborate with nursing staff to ensure accurate medication administration and documentation.
Clinical Decision Making & Care Coordination
Serve as the primary clinical decision-maker for psychiatric care within scope of practice.
Collaborate with the Associate Medical Director, nursing staff, therapists, and other clinical team members to support positive patient outcomes.
Participate in interdisciplinary treatment team meetings, case reviews, and care coordination activities.
Provide clinical guidance during urgent or emergent situations as appropriate.
Admission & Referral Determinations
Review referrals and clinical documentation to determine patient eligibility and appropriateness for admission.
Make final decisions regarding patient acceptance or redirection to alternative levels of care.
Coordinate with referral sources, community partners, and internal staff to support smooth transitions.
Compliance & Quality Assurance
Ensure clinical practice complies with all applicable local, state, and federal regulations, including RCW, WAC, HIPAA, and 42 CFR Part 2.
Maintain accurate, timely, and complete clinical documentation in the electronic health record (EHR).
Participate in quality assurance and performance improvement (QA/PI) activities.
Support audits, chart reviews, and corrective action planning as needed.
Cultural Competence
Provide culturally responsive psychiatric care that respects the values, traditions, and needs of Tribal communities and diverse patient populations.
Collaborate with Tribal representatives and JSS leadership to integrate culturally informed practices into patient care.
Demonstrate cultural humility and awareness in all clinical interactions.
General Duties
Participate in on-call or after-hours consultation as assigned to support 24/7/365 operations.
Adhere to all Jamestown Salish Seasons and Jamestown Healthcare E&T policies and procedures.
Perform other duties as assigned by the Associate Medical Director.
Qualifications
Required Education & Licensure
Master's or Doctoral degree from an accredited Psychiatric Mental Health Nurse Practitioner program.
Current, unrestricted Washington State PMHNP license.
Current DEA registration.
Current BLS certification or ability to obtain within three (3) months of hire.
Required Knowledge
Psychiatric diagnostic criteria and evidence-based treatment modalities.
Psychopharmacology and medication management best practices.
Crisis intervention and de-escalation techniques.
Healthcare confidentiality regulations, including HIPAA and 42 CFR Part 2.
Behavioral health documentation standards and EHR proficiency.
Required Skills
Strong clinical assessment and diagnostic skills.
Excellent communication and interpersonal skills.
Ability to collaborate within an interdisciplinary team.
Sound clinical judgment and decision-making abilities.
Cultural competence and commitment to inclusive, patient-centered care.
Required Abilities
Work independently and collaboratively in a fast-paced environment.
Respond effectively to psychiatric emergencies.
Maintain professionalism, ethical conduct, and patient confidentiality.
Demonstrate adaptability, resilience, and sound clinical judgment.
Successfully pass a criminal background investigation.
Preferred Qualifications
Experience providing or supporting medical care in a healthcare setting.
Two (2) years of experience as a psychiatric provider.
Experience in psychiatric, inpatient, residential, correctional, Evaluation & Treatment (E&T), or other behavioral health settings.
Experience in crisis stabilization or acute behavioral health environments.
Experience treating individuals with serious mental illness (SMI), co-occurring disorders, or complex behavioral health needs.
Experience working with Tribal communities or culturally diverse populations.
Working Conditions
Must be available to work any shift, including evenings, weekends, holidays, and on-call assignments to support 24/7/365 operations.
Must be able to lift, push, and carry up to 30 pounds unassisted.
Must be able to stand, walk, bend, climb, squat, twist, and sit for extended periods.
Requires manual dexterity, eye/hand coordination, and the ability to distinguish letters, numbers, and symbols.
Must be able to work in a fast-paced, high-acuity behavioral health environment while maintaining professionalism and excellent patient care.
Why Join Jamestown Salish Seasons?
At Jamestown Salish Seasons, you'll become part of a mission-driven organization committed to providing exceptional behavioral healthcare while honoring the values and traditions of the communities we serve. If you're passionate about helping individuals through some of life's most challenging moments, we'd love to hear from you.