JSS Psychiatric Mental Health Nurse Practitioner (PMHNP)

JAMESTOWN SKLALLAM TRIBE•Sequim, WA

9d•$137,954 - $193,135•Onsite

About The Position

Jamestown Salish Seasons (JSS) is seeking a compassionate and experienced Psychiatric Mental Health Nurse Practitioner to join its multidisciplinary team at a 16-bed voluntary residential Evaluation & Treatment facility in Sequim, Washington. The program provides 24/7 crisis stabilization and inpatient behavioral health services for people experiencing acute mental health needs. The PMHNP evaluates patients, prescribes and manages psychiatric medications, determines medical necessity for treatment, reviews referrals, and makes admission decisions. The role works with an interdisciplinary team to deliver high-quality, culturally responsive care that supports recovery and long-term wellness. The schedule is Thursday through Sunday, 7:00 a.m. to 5:00 p.m. The PMHNP serves as the primary clinical decision-maker for psychiatric care within their scope of practice and collaborates with the Associate Medical Director, nursing staff, therapists, Tribal representatives, JSS leadership, referral sources, community partners, and other clinical team members. The role also supports the facility’s 24/7/365 operations through on-call or after-hours consultation as assigned.

Requirements

Master's or doctoral degree from an accredited Psychiatric Mental Health Nurse Practitioner program.
Current, unrestricted Washington State PMHNP license.
Current DEA registration.
Current BLS certification or ability to obtain it within three months of hire.
Knowledge of psychiatric diagnostic criteria and evidence-based treatment modalities.
Knowledge of psychopharmacology and medication management best practices.
Knowledge of crisis intervention and de-escalation techniques.
Knowledge of healthcare confidentiality regulations, including HIPAA and 42 CFR Part 2.
Knowledge of behavioral health documentation standards and proficiency with electronic health records.
Strong clinical assessment and diagnostic skills.
Excellent communication and interpersonal skills.
Ability to collaborate within an interdisciplinary team.
Sound clinical judgment and decision-making abilities.
Cultural competence and commitment to inclusive, patient-centered care.
Ability to work independently and collaboratively in a fast-paced environment.
Ability to respond effectively to psychiatric emergencies.
Ability to maintain professionalism, ethical conduct, and patient confidentiality.
Ability to demonstrate adaptability, resilience, and sound clinical judgment.
Must successfully pass a criminal background investigation.
Must be available to work any shift, including evenings, weekends, holidays, and on-call assignments, to support 24/7/365 operations.
Must be able to lift, push, and carry up to 30 pounds unassisted.
Must be able to stand, walk, bend, climb, squat, twist, and sit for extended periods.
Must have manual dexterity, eye/hand coordination, and the ability to distinguish letters, numbers, and symbols.
Must be able to work in a fast-paced, high-acuity behavioral health environment while maintaining professionalism and excellent patient care.

Nice To Haves

Experience providing or supporting medical care in a healthcare setting.
Two years of experience as a psychiatric provider.
Experience in psychiatric, inpatient, residential, correctional, Evaluation & Treatment, or other behavioral health settings.
Experience in crisis stabilization or acute behavioral health environments.
Experience treating individuals with serious mental illness, co-occurring disorders, or complex behavioral health needs.
Experience working with Tribal communities or culturally diverse populations.
American Indian/Alaska Native hiring preference applies.

Responsibilities

Conduct comprehensive psychiatric evaluations, diagnostic assessments, and intake screenings.
Determine medical necessity for admission, continued stay, or discharge.
Develop individualized treatment plans with the interdisciplinary team.
Provide crisis stabilization for individuals experiencing acute psychiatric or behavioral health crises.
Prescribe, monitor, and adjust psychotropic medications, including antipsychotics, antidepressants, anxiolytics, and mood stabilizers.
Ensure medication practices are safe, evidence-based, and compliant with state and federal regulations.
Monitor medication effectiveness, side effects, and adherence.
Collaborate with nursing staff on accurate medication administration and documentation.
Serve as the primary clinical decision-maker for psychiatric care within scope of practice.
Participate in interdisciplinary treatment team meetings, case reviews, and care coordination.
Provide clinical guidance during urgent or emergent situations as appropriate.
Review referrals and clinical documentation to determine eligibility and appropriateness for admission.
Make final decisions on patient acceptance or redirection to alternative levels of care.
Coordinate with referral sources, community partners, and internal staff to support transitions.
Maintain compliance with applicable local, state, and federal regulations, including RCW, WAC, HIPAA, and 42 CFR Part 2.
Maintain accurate, timely, and complete clinical documentation in the electronic health record.
Participate in quality assurance and performance improvement activities and support audits, chart reviews, and corrective action planning.
Provide culturally responsive care that respects the values, traditions, and needs of Tribal communities and diverse patient populations.
Collaborate with Tribal representatives and JSS leadership to integrate culturally informed practices into care.
Participate in on-call or after-hours consultation as assigned.
Adhere to Jamestown Salish Seasons and Jamestown Healthcare E&T policies and procedures.
Perform other duties as assigned by the Associate Medical Director.