Psychiatric Nurse Practitioner (on call) - Crisis Stabilization and Resource Center

Summary Description Of Work

The Advanced Practice Registered Nurse (APRN) provides psychiatric evaluation, diagnosis, medication management, and clinical leadership within The Crisis Center, a voluntary mental health crisis stabilization and respite program licensed in the State of Nebraska. The APRN delivers trauma-informed, recovery-oriented, and person-centered care to individuals experiencing acute behavioral health crises. The APRN collaborates with interdisciplinary team members to ensure safe stabilization, appropriate level-of-care determinations, and effective transition back to the community. Services are provided in accordance with the Nebraska Nurse Practice Act, Nebraska DHHS behavioral health regulations, and organizational policies.

Compensation

Compensation: determined by total years of relevant experience.

Work Schedule

Work Schedule: on-call hours as needed

Minimum Qualifications

• Master’s degree in nursing from an accredited (ANCC) educational institution.
• Five years of progressive experience in the Behavioral Health Nursing field.
• Licensed with the Drug Enforcement Administration.
• Current license in your state of residence.
• Licensed in Nebraska as an PMHNP.

Preferred Experience

• Experience in crisis stabilization, emergency psychiatry, or residential behavioral health settings.
• Experience treating co-occurring mental health and substance use disorders.
• Experience in community-based behavioral health systems.

Essential Duties And Responsibilities

Pyschiatric Evaluation and Diagnosis

• Conduct comprehensive psychiatric evaluations, including biopsychosocial assessments.
• Perform routine and urgent/emergent psychiatric assessments, including full IDIs, within 24 hours of client admission.
• Diagnose mental health and co-occurring substance use disorders within scope of practice.
• Determine appropriateness for admission, continued stay, or transfer to higher level of care.
• Complete risk assessments, including suicide and violence risk evaluation.

Medicatipon Management

• Prescribe, adjust, and discontinue psychiatric medications in accordance with Nebraska law.
• Provide ongoing medication management and monitoring.
• Review and reconcile medications upon admission and discharge.
• Monitor for therapeutic response, side effects, and medication safety.
• Collaborate with nursing staff regarding medication administration and clinical concerns.

Crisis Intervention and Stabilization

• Provide psychiatric crisis intervention to support stabilization.
• Develop and oversee crisis treatment plans.
• Implement least restrictive interventions consistent with regulatory standards.
• Determine need for emergency referral or hospitalization when clinically indicated.
• Ensure stabilization strategies align with best practice standards.

Physical Health and Co-Occurring Conditions

• Assess physical health needs and order appropriate diagnostic tests as indicated.
• Identify substance use risks and mild withdrawal concerns.
• Coordinate care with primary care providers and external medical professionals.

Treatment Planning and Therapeutic Interventions

• Develop, implement, and evaluate individualized treatment plans.
• Provide brief therapeutic interventions and psychoeducation as appropriate.
• Support individuals and families throughout stabilization and community reintegration.
• Promote preventive and wellness-based interventions as part of recovery planning.

Interdisciplinary Collaboration and Leadership

• Serve as a clinical leader within the interdisciplinary team.
• Provide consultation to RNs, therapists, and other team members.
• Participate in treatment team meetings and case reviews.
• Support multi-agency coordination and continuity of care planning.
• Provide education and training to staff regarding psychiatric and medical issues.

Documentation and Regulatory Compliance

• Complete timely and accurate documentation of evaluations, diagnoses, medication orders, and treatment plans.
• Ensure documentation meets Nebraska DHHS licensing standards and payer requirements.
• Maintain compliance with HIPAA and confidentiality laws.
• Participate in quality assurance and performance improvement initiatives.

Professional Conduct And Organizational Responsibilities

• Display a courteous, respectful, and caring attitude toward individuals served, families, staff, volunteers, and visitors.
• Abside by all agency policies, procedures, and regulatory requirements.
• Maintain professional licensure, certification, and continuing education requirements.
• Participate in internal and external training opportunities.
• Perform other program-related duties as assigned.