About The Position

The Nurse Practitioner-BH Crisis Center Nocturnist provides primary health care in a licensed crisis stabilization center serving people experiencing mental health and/or substance-use crises. The role assesses and triages patients and diagnoses and treats physical and mental health disorders within applicable regulatory and accrediting guidelines. The Nurse Practitioner provides care to adult and geriatric patients, as applicable, and emphasizes health promotion, disease prevention, patient education, counseling, and support. The position’s primary scheduled hours are between 7 PM and 7 AM. Working with a high level of independence and clinical expertise, the Nurse Practitioner assesses patients, plans and provides treatment, evaluates outcomes, and coordinates care with physicians and other health professionals. The role includes taking histories, conducting physical examinations, initiating diagnostic procedures, managing acute and chronic health problems, prescribing medications within Nevada laws and DEA privileges, ordering and interpreting laboratory tests, and referring patients to appropriate levels of care. In emergencies, the Nurse Practitioner initiates stabilization care until a physician can be consulted. The role also contributes to quality assurance, peer review, education, and clinical outcomes evaluation; directs nursing and/or medical assistant duties consistent with clinic protocols; and participates in Renown Health and University of Nevada Reno School of Medicine’s academic mission, including teaching and scholarship. The position is expected to serve as a joint faculty member of the University of Nevada Reno School of Medicine and participate in accordance with its guidelines.

Requirements

  • Master's-prepared registered nurse.
  • At least two years of experience as a registered nurse.
  • Ability to obtain and maintain an Advanced Practice Registered Nurse license in Nevada.
  • Ability to obtain and maintain a Nevada Controlled Substance License to Prescribe and a DEA Controlled Substance Registration Certificate.
  • Psychiatric Mental Health Nurse Practitioner (PMHNP) certification from CCNE or ACEN, or obtain it within one year of employment if not certified at hire.
  • Basic Life Support (BLS) or Advanced Cardiac Life Support (ACLS) certification.
  • Ability to read, write, speak, and understand English sufficiently to perform job duties safely and effectively.
  • Proficiency with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word, and ability to use a computer for online learning, forms, policies, and benefits enrollment.
  • Effective written and verbal communication skills; ability to work cooperatively with provider staff and as part of a team.
  • Ability to maintain confidential records and uphold ethical and legal standards of practice.
  • Compliance with Nevada Revised Statutes Chapter 632 and Nevada State Board of Nursing regulations.

Nice To Haves

  • At least one year of clinical experience as a Nurse Practitioner.
  • American Heart Association-approved BLS or ACLS certification; specified online certifications from American Red Cross Training Services, Advanced Medical Certification, or ACLS Certification Institute are also accepted.

Responsibilities

  • Assess, plan, implement, and evaluate care for adult and geriatric patients and their families, as applicable.
  • Take and interpret medical histories and perform physical examinations.
  • Perform or initiate selected diagnostic procedures and manage acute, recurrent, or long-term health problems.
  • Initiate patient treatment programs in conjunction with the supervising physician.
  • Prescribe medications consistent with Nevada prescribing laws and DEA privileges, and educate patients about medication risks, benefits, and expected outcomes.
  • Order laboratory tests and interpret and explain results to patients.
  • Refer patients for inpatient care, other levels of care, or appropriate health care providers as needed.
  • Evaluate patient adherence to agreed treatment programs.
  • Collaborate with the staff psychiatrist, nursing staff, technical personnel, and other hospital providers to improve care.
  • Initiate emergency care to stabilize a patient until a physician can be consulted.
  • Provide psychiatric health services, education, counseling, and emotional support.
  • Maintain accurate, legible, and confidential records and direct nursing and/or medical assistant duties consistent with clinic protocols.
  • Participate in quality assurance, peer review, and health care outcome evaluations.
  • Maintain clinical skills and continuing professional development, and attend and participate in departmental and Renown Health meetings.
  • Engage in teaching, scholarship, and the academic mission of Renown Health and the University of Nevada Reno School of Medicine as a joint faculty member.
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