Psychiatric Mental Health Nurse Practitioner

Central City Concern•Portland, OR

26d•$164,000 - $213,000•Onsite

About The Position

Central City Concern's Old Town Recovery Center is seeking a Psychiatric Mental Health Nurse Practitioner (PMHNP) to join their Intensive Case Management Team. This role focuses on providing comprehensive care to individuals experiencing serious mental illness, substance use disorders, homelessness, and complex medical needs. The PMHNP will work within an integrated, multidisciplinary model, collaborating with therapists, case managers, primary care providers, addiction specialists, and peers to deliver compassionate, trauma-informed care. The position offers an opportunity to practice psychiatry beyond medication management and make a significant impact on the lives of vulnerable community members in Portland.

Requirements

Bachelor’s degree in nursing and Master’s degree in Psychiatric/Mental Health Nursing from State Board of Nursing approved schools of nursing.
Current license to practice nursing in Oregon and certified as a PMHNP by the Oregon State Board of Nursing and National certification.
Must have full prescriptive powers in Oregon with a DEA number.
Must meet CCC privileging requirements as required by FTCA.
Current BLS certification required prior to start.
Must meet applicable training requirements for Buprenorphine prescribing.
Must generally have the ability to walk, bend, stoop, kneel, squat, twist, reach, pull and lift heavy objects, and climb stairs with reasonable or no accommodation.
Must pass a pre-employment drug screen, TB test, and background check. This includes clearance by the DHS Background Check Unit.
The OAR prohibits SUDS program staff from having within the previous 3 years a DUI conviction or diversion, a felony conviction, or a conviction under the Uniform Controlled Substances Act.
Must be able to work within an integrated, multidisciplinary setting.
Must adhere to agency’s non-discrimination policies.
Must possess a current driver's license, pass a DMV background check and be designated an “acceptable” driver as outlined in Central City Concern’s Fleet Safety Policy. Must pass an initial driver training within 60 days of being an approved driver and continued recertification training.
Ability to adhere to Central City Concern’s drug-free workplace which encourages a safe, healthy and productive work environment and strictly complies with the Drug-Free Work Place Ace of 1988. An employee shall not, in the workplace, unlawfully manufacture, distribute, dispense, possess or use a controlled substance or alcohol.
Ability to effectively interact with co-workers and clients with diverse ethnic backgrounds, religious views, political affiliation, cultural backgrounds, life-styles, and sexual orientations, and treat each individual with respect and dignity.
Knowledge, evaluation and treatment planning for clients with substance use disorders, including both pharmacotherapies and psychotherapies.
Knowledge of evaluation plans and treatment of clients with a variety of psychiatric disorders, with psychopharmacological and psychotherapeutic interventions.
Skills in providing patient care, including rapidly building rapport.
Ability to make treatment decisions based on assessment of patients concerns within PMHNP scope of practice.
Ability to provide nonjudgmental and compassionate care to vulnerable, complex populations and to seek supervision as necessary.
Ability to practice independently and seek consultation when appropriate.
Ability to delegate patient care, as needed, and if appropriate.
Ability to work in a busy clinic setting and responsively attend to unpredictable requests for assistance from colleagues.
Ability to successfully interact with a diverse population, including both patients and co-workers.
Sufficient manual dexterity and physical ability to perform assigned tasks.
Ability to maintain accurate records and necessary paperwork.
Ability to remain calm and composed when dealing with clients who are in crisis.
Ability to maintain strict confidentiality of patient information.
Excellent communication skills including diplomacy, tact, effective “bedside manner”

Nice To Haves

Bilingual in Spanish preferred.
Ability to consider the impacts and outcomes for underserved communities during decision-making process.
Ability to consider impacts of oppression, structural racism, and individual bias on client outcomes.

Responsibilities

Provide psychiatric evaluations, diagnosis, medication management, and ongoing treatment.
Prescribe buprenorphine, Vivitrol, Naltrexone, Acamprosate, and other medications supporting recovery.
Deliver brief psychotherapy and motivational interviewing interventions.
Respond to psychiatric crises and provide suicide risk assessment and intervention.
Partner closely with behavioral health, primary care, and substance use treatment teams.
Help shape individualized treatment plans for some of Portland's most vulnerable community members.
Work as a member of the Old Town Recovery Center multi-disciplinary team to deliver comprehensive, client centered and trauma informed integrated services.
Actively participate in the integration of services at Old Town Recovery Center and identify new opportunities to improve collaboration between and within service and care teams while carefully following information-sharing guidelines.
Proactively identify opportunities for improvement within Old Town Recovery Center workflows and logistics. Participate in review of Old Town Recovery Center Key Performance Indicators; review and contribute to continuous improvement opportunities and plans.
Build understanding of and appreciation for diversity among Old Town Recovery Center clients and support their connection to culturally responsive and culturally specific services as requested.
Provide direct patient care including but not limited to: psychiatric evaluation, consultation, psychopharmacological and psychotherapeutic interventions, and monitoring and addressing adverse effects.
Prescribe and manage the opioid agonist medication, buprenorphine, as well as other medication supported recovery medications such as Vivitrol, Naltrexone, and Acamprosate.
Document plan for medical and psychiatric treatment and on-going treatment in the outpatient setting.
Provide crisis intervention, suicide assessment and intervention.
Conduct care of psychiatric/mental health emergencies and initiate arrangements for continuing care or referral to appropriate facility.
Provide brief psychotherapy interventions including motivational interviewing.
Provide patient and family education.
Provide clinical consultation to staff in behavioral and primary care disciplines, including consultation to other CCC SUDS practitioners.
Participate in clinical staff meetings and case conferences in order to utilize interdisciplinary expertise and facilitate individual treatment plans for clients.
Refer patients, as necessary, to other mental health care providers and community resources/services.
Participate in records review to ensure that services are clinically appropriate and effective.
Maintain client records as required by program standards and funding requirements.
Participate in compliance, quality assurance and quality improvement activities as directed.
Participate in training opportunities to advance skills and knowledge in behavioral and primary care.
Work within scope of training and experience and seek consultation when appropriate.
Adhere to all state and federal privacy regulations, including HIPAA and 42 CFR Part 2, and to CCC policies and agreements regarding confidentiality, privacy, and security. Support compliance with all privacy and security requirements pursuant to community partners’ and outside providers’ patient confidentiality agreements, including privacy and security requirements for EMR access. This includes immediately reporting any breach of protected health information or personal identification information of any person receiving CCC services by CCC or an outside provider to the CCC Compliance Department, as well as to your supervisor or their designee.
Attend all mandatory CCC trainings in a timely manner.
Perform other duties as assigned.