ARNP Inpatient Psych Pediatric BHN (Wknd)(NE)

MultiCare Health System•Tacoma, WA

10d•Onsite

About The Position

The Nurse Practitioner (NP) provides initial diagnostic evaluations and treatment plans, then delivers progressive care until patients are stabilized for discharge to the recommended level of follow-up care. The NP manages a weekday caseload of up to 8–9 patients, including no more than two new intake evaluations per day, and is responsible for appropriate discharges, ongoing progress documentation, and communication with patients’ families, caregivers, and outpatient teams. The role includes reviewing collateral information, entering or correcting admission orders, ordering and following up on laboratory work as needed, and collaborating with nursing, social work, and mental health technician staff. NPs attend in-person daily unit rounds Monday through Friday and provide pager call coverage as well as scheduled in-person weekend coverage. On weekend coverage, the caseload may be up to 12–13 patients, with the same admission, follow-up, and discharge responsibilities. The NP is responsible for maintaining licensure requirements, updating their workday profile, completing mandatory system training, and submitting PTO requests in advance for approval. The position is based at Tacoma General Hospital in Tacoma, Washington.

Requirements

Certification in psychiatric ARNP/D-ARNP.
Licensed in Washington state by the time of employment.
1–3 years of clinical experience providing direct patient care.
DEA registration, NPI, and prescriptive authority.
Current American Heart Association BLS for Healthcare Providers certification.
Valid Washington state motor vehicle license.

Responsibilities

Provide initial diagnostic evaluations and treatment plans, and manage patients’ progressive care until they are stabilized for discharge to the recommended follow-up level.
Care for a maximum of 8–9 patients per weekday and up to 12–13 patients during weekend coverage.
Complete a maximum of two new intake evaluations and treatment plans per day; have completed assessment documentation attested by the medication director.
Develop treatment plans, review collateral information, and communicate with families and outpatient teams on the day of admission or within the first 24–48 hours.
Manage approximately 1–3 appropriate discharges per day and communicate whether each discharge is voluntary, against medical advice, or administrative.
Follow up with remaining patients on the caseload and document progress updates.
Make efforts to communicate with families, caregivers, and outpatient teams throughout treatment and through discharge.
Enter admission orders or review and correct them based on evaluations; order baseline and follow-up laboratory blood work as needed, follow up on reports, and communicate results with patients and families.
Attend daily in-person unit team-rounding meetings Monday through Friday.
Provide 1–2 nights of pager call coverage, depending on the assigned weekend.
Provide in-person 24-hour coverage on Saturday and Sunday at least once every fifth week.
Collaborate with ancillary staff involved in patient care, including nursing, social workers, and mental health technicians.
Maintain licensure requirements and update the workday profile.
Complete and report annual mandatory trainings as directed by the system to the medical director.
Submit PTO requests to the medical director 2–4 weeks in advance for approval and complete the formal request through UKG.