Psych Nurse Practitioner

Nexus Health Systems•Dallas, TX
•Onsite

About The Position

Nexus Children’s Hospital – Dallas is seeking a compassionate and experienced Psychiatric Mental Health Nurse Practitioner (PMHNP) to provide psychiatric care to children and adolescents with complex medical, neurological, developmental, and behavioral health needs. The role is based in a specialized inpatient rehabilitation and medical-care setting focused on individualized, evidence-based treatment and helping patients achieve greater independence and quality of life. The PMHNP provides comprehensive psychiatric evaluations, diagnoses and manages psychiatric and behavioral health conditions, manages medications, and delivers ongoing behavioral health treatment. Working with an interdisciplinary team, the PMHNP develops and implements individualized treatment plans, supports patient safety, and coordinates care with families and community providers. The ideal candidate has experience with pediatric and adolescent patients, particularly those with neurological injuries, neurodevelopmental disorders, and co-occurring medical and behavioral health needs.

Requirements

  • Master's degree in Nursing from an accredited program, including completion of a Nurse Practitioner program.
  • Completion of a Psychiatric Mental Health Nurse Practitioner program or an appropriate post-master's PMHNP certification program.
  • Current, unrestricted Texas Registered Nurse (RN) license.
  • Current Texas Advanced Practice Registered Nurse (APRN) licensure.
  • Current national board certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC).
  • Current Basic Life Support (BLS) certification.
  • Prescriptive authority in accordance with Texas requirements.
  • Ability to complete required behavioral management and de-escalation training, including SAMA or an equivalent facility-approved program.
  • Experience with psychiatric medication management and interdisciplinary treatment planning.

Nice To Haves

  • Three to five years of relevant clinical experience preferred.
  • Experience providing psychiatric care to children and adolescents strongly preferred.
  • Experience in inpatient psychiatric care, pediatric behavioral health, neurobehavioral rehabilitation, or a related clinical setting preferred.
  • Experience treating patients with autism spectrum disorder (ASD), intellectual and developmental disabilities (IDD), traumatic brain injuries (TBI), and complex behavioral health needs is highly desirable.

Responsibilities

  • Conduct comprehensive psychiatric evaluations, including interviews, mental status examinations, and reviews of psychiatric, medical, developmental, and behavioral histories.
  • Diagnose and manage psychiatric and behavioral health conditions in pediatric and adolescent patients.
  • Develop, implement, and monitor individualized psychiatric treatment plans with the interdisciplinary treatment team.
  • Prescribe, manage, and adjust psychiatric medications in accordance with Texas laws, prescriptive authority, and facility policies.
  • Monitor medication effectiveness, side effects, and potential interactions.
  • Assess and respond to acute psychiatric concerns, behavioral crises, and changes in mental status.
  • Order and interpret laboratory and diagnostic testing related to psychiatric treatment and medication management.
  • Collaborate with psychiatrists, physicians, nursing leadership, psychologists, therapists, behavioral specialists, and rehabilitation professionals.
  • Participate in admission evaluations, treatment planning meetings, and weekly interdisciplinary treatment team meetings.
  • Provide psychiatric consultation and recommendations on behavioral interventions and medication management.
  • Communicate with patients, families, and caregivers about diagnoses, treatment recommendations, and ongoing care.
  • Coordinate with community providers and referral resources to support continuity of psychiatric care.
  • Maintain accurate and timely clinical documentation, including evaluations, progress notes, medication orders, and treatment plans.
  • Ensure psychiatric services comply with professional standards, regulatory requirements, and facility policies.
  • Participate in quality improvement initiatives and clinical case reviews.
  • Provide education and clinical guidance to nursing and behavioral health staff about psychiatric conditions, medications, and behavioral management strategies.
  • Perform additional duties as assigned.
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