Licensed Psychiatric Mental Health Nurse Practitioner (PMHNP)

POSITION SUMMARY

The Licensed Psychiatric Mental Health Nurse Practitioner (PMHNP) serves as a core clinical provider within the interdisciplinary treatment team at First City Recovery Center, delivering psychiatric evaluation, diagnosis, treatment planning, medication management, and ongoing mental health care to adult clients across the full continuum of care, including detoxification, residential treatment, partial hospitalization, and intensive outpatient services. The PMHNP treats clients presenting with co-occurring substance use and mental health disorders and is expected to demonstrate clinical proficiency in the integrated management of psychiatric conditions alongside withdrawal, stabilization, anti-craving, and medication-assisted treatment (MAT) needs. The PMHNP collaborates closely with the Medical Director, nursing, clinical, and case management teams to ensure each client receives safe, evidence-based, and individualized care.

The PMHNP is responsible for sound clinical decision-making, accurate and timely documentation, and full compliance with prescribing authority and scope of practice standards under the Indiana State Board of Nursing, DEA registration requirements, and applicable federal law. Practice is conducted in accordance with the standards of The Joint Commission for Behavioral Health Care accreditation; Indiana Division of Mental Health and Addiction (DMHA) licensure requirements; Indiana Medicaid program standards and Managed Care Entity (MCE) requirements, including Anthem, CareSource, and MHS; and 42 CFR Part 2 confidentiality protections. The PMHNP is expected to operate with clinical autonomy and professional accountability, contribute to a culture of quality and continuous improvement, and uphold the integrity of the program through ethical, person-centered behavioral health treatment.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES, NOT LIMITED TO:

• Conduct comprehensive psychiatric evaluations, including history of present illness, psychiatric history, substance use history, medical history, mental status examination, and risk assessment.
• Establish accurate psychiatric and substance use diagnoses using current DSM-5-TR criteria, with attention to differential diagnosis and the complexities of co-occurring presentations.
• Perform daily rounds on all clients in detoxification and inpatient mental health levels of care to assess clinical status, withdrawal progression, psychiatric stability, and treatment response.
• Conduct scheduled weekly medication management visits for clients in residential, partial hospitalization, and intensive outpatient levels of care, including review of laboratory studies, metabolic monitoring, and indicated adjustments to the medication regimen.
• Develop, implement, and revise individualized treatment plans in collaboration with the interdisciplinary team, ensuring alignment with ASAM criteria and the client's level of care.
• Prescribe, titrate, and discontinue psychotropic medications and medications for substance use disorders, including medication-assisted treatment (MAT), within the scope of state licensure, collaborative practice requirements, and DEA registration.
• Monitor client response to medications and clinical interventions, including therapeutic effect, side effects, adverse reactions, and indications for change in regimen.
• Order and review laboratory studies, including baseline and ongoing metabolic monitoring, hepatic and renal function panels, therapeutic drug levels, urine drug screens, and any additional testing clinically indicated for safe psychotropic and MAT prescribing.
• Conduct ongoing risk assessment for suicide, self-harm, and harm to others using validated screening tools, including the Columbia Suicide Severity Rating Scale (C-SSRS), and initiate appropriate clinical interventions, level-of-care changes, or transfers when indicated.
• Provide crisis assessment and stabilization services in collaboration with nursing and clinical staff, including consultation on withdrawal management and acute psychiatric presentations.
• Participate in the on-call rotation to provide after-hours clinical consultation, medication orders, and crisis support for nursing and clinical staff across detoxification, residential, and outpatient levels of care.
• Collaborate directly with the Medical Director, nursing, clinical, and case management teams to coordinate continuity of care across detoxification, residential, partial hospitalization, and intensive outpatient services.
• Coordinate care with external providers, including primary care physicians, outpatient psychiatric providers, specialists, hospitals, and community-based behavioral health agencies, to support continuity of care during admission, treatment, and discharge transitions.
• Participate actively in treatment team meetings, case consultations, utilization review staffings, and discharge planning discussions.
• Provide education to clients, families, and staff on psychiatric conditions, medication regimens, treatment expectations, relapse prevention, and recovery supports.
• Complete clinical documentation accurately and within required timeframes, in accordance with organizational policy, payer requirements, Indiana DMHA standards, and The Joint Commission accreditation requirements.
• Maintain full compliance with HIPAA, 42 CFR Part 2, and all applicable federal and state confidentiality regulations governing behavioral health and substance use treatment records.
• Participate in quality improvement initiatives, peer review activities, medication management reviews, and performance improvement projects.
• Maintain current state licensure, national certification, DEA registration, collaborative practice agreements where required, and continuing education in psychiatric and addiction-focused practice.
• Adhere to all infection control, medication safety, seclusion and restraint, and emergency response procedures established by the organization.
• Perform other clinical and professional duties as assigned within the PNP scope of practice.

Pay: $125,000.00 - $130,000.00 per year

Benefits:

• 401(k)
• Health insurance
• Life insurance
• Vision insurance

Work Location: In person