Psychiatric Mental Health Nurse Practitioner - Adolescent/Adult

Responsibilities

• Provide psychiatric evaluations, medication management, treatment planning, and emergency assessments for an assigned outpatient caseload.
• Maintain timely, concurrent documentation in the electronic health record, including diagnoses (e.g., Substance Use Disorder [SUD]), treatment updates, phone calls, medication changes, and referrals.
• Complete documentation by end of business each day.
• Conduct emergency psychiatric evaluations as needed or requested by the Chief Medical Officer (CMO), program manager, or crisis manager. Document risk factors and assist in developing individualized crisis plans.
• Prescribe medications collaboratively with patients and/or legally authorized representatives (LAR), considering diagnosis, target symptoms, medical conditions, and cost-benefit-risk factors. Follow GCC formulary, medication policy, and use patient assistance programs as appropriate.
• Order and review lab work per treatment guidelines and adjust care accordingly. Monitor effectiveness and side effects of prescribed medications. Complete required assessments such as the Abnormal Involuntary Movement Scale (AIMS) and obtain informed consent using CMO-approved forms.
• Clearly document clinical rationale for deviations from standard treatment (e.g., polypharmacy, off-label use, benzodiazepines, modified lab schedules). Adhere to the Medication Safety Initiative and obtain CMO approval for initiating benzodiazepines.
• Refer to internal or external recovery services as needed.
• Check the Prescription Drug Monitoring Program (PDMP) before prescribing controlled substances and document review and prescribing rationale in the medical record.
• Participate in quarterly Behavioral Health Medical Services meetings, including peer reviews, death reviews, and other quality improvement activities.
• Support access to care and productivity goals (85% utilization and productivity) through schedule optimization, managing no-shows, and accommodating walk-ins when possible.
• Monitor SmartCare dashboard daily to finalize encounters, complete co-signatures, and ensure timely billing submissions.
• Maintain all professional requirements, including licensure, credentialing, and Continuing Education (CE).
• Participate in ongoing training and CE opportunities. Submit renewals and certifications on time.
• Must maintain at a minimum, required CE hours to remain licensed to practice nursing in the state of Texas; timely submission of required certification, licensing renewal; must maintain credentials in 3rd party payer panels for which GCC is a provider.
• Comply with GCC's compliance policies, Code of Conduct, and Corporate Compliance Plan. Coordinate with internal departments and community partners as appropriate.
• Demonstrate professionalism and respectful communication with clients, colleagues, and community members. Provide responsive, high-quality service to internal and external stakeholders.
• Report leave, flex time, and emergency absences to supervisor. Adhere to agency policies regarding dress code, safety, and training.
• Travel within Brazoria and Galveston Counties and, occasionally, out of region may be required. As applicable to role, maintain a valid Texas driver's license, clean driving record, reliable transportation, and current auto liability insurance per GCC Driver Policy.

Qualifications

• Graduation from an accredited, Texas Board of Nursing approved RN education program.
• Master’s degree in nursing with focus on Psychiatric nursing.
• Graduation from a state-certified advance practice program specializing in psychiatry/mental health.
• Current, active Texas license as an RN in the state of Texas and active Texas Controlled Substance Registration Certificate issued by the U.S. Drug Enforcement Administration (DEA).
• Certified by the American Credentialing Center (ANCC) in Psychiatric Mental Health as a Psychiatric Mental Health Nurse Practitioner (PMHNP).
• Unrestricted eligibility to participate in Medicare, Medicaid, and other third-party payer provider networks, as applicable to GCC.
• Registration with the Prescription Drug Monitoring Program (PDMP).
• Current Basic Life Support (BLS) certification.