PMH Nurse Practitioner

Douglas County Health Department•Tuscola, IL
•$100,000 - $150,000•Onsite

About The Position

The Psychiatric Mental Health Nurse Practitioner (PMHNP) provides patient-centered psychiatric and behavioral health services in the Douglas County Health Department’s outpatient care setting. The practitioner evaluates and diagnoses mental health conditions, develops individualized treatment plans, provides medication management and supportive therapeutic interventions, and coordinates care with the interdisciplinary clinical team. Services must comply with applicable Illinois law, professional standards, and the practitioner’s authorized scope of practice. This is a full-time position of 35 hours per week, with a Monday–Thursday schedule, based on-site. Work is primarily in an outpatient clinical setting, with approved remote clinical or administrative work as applicable. The position may involve participation in an expanded clinical on-call program if adopted and communicated by DCHD. Positions at DCHD may be supported by grant funding; the department aims to develop sustainable, long-term positions as funding opportunities allow.

Requirements

  • Current, unrestricted Illinois Registered Nurse and Advanced Practice Registered Nurse licensure, or eligibility to obtain required Illinois licensure before beginning clinical practice.
  • Graduate degree in nursing and completion of an accredited psychiatric-mental health nurse practitioner program or appropriate post-graduate PMHNP certificate.
  • Current national board certification as a Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC), or eligibility for certification, with certification required before independent performance of PMHNP duties.
  • Current DEA registration and applicable Illinois controlled substance authority when required for prescribing duties; any required collaborative practice arrangement or full practice authority must be in place before practice.
  • Knowledge of psychiatric assessment, diagnosis, psychopharmacology, patient safety, and evidence-based behavioral health treatment.
  • Ability to collaborate across disciplines, maintain confidentiality, document accurately, and communicate effectively with patients of varied backgrounds.
  • Regular, predictable attendance and ability to meet scheduled patient-care responsibilities.
  • Ability to use standard medical and office equipment and respond appropriately to routine and urgent clinical situations.
  • Ability to meet the physical demands of prolonged sitting, standing, computer use, electronic documentation, and patient consultations, with reasonable accommodations as applicable.

Nice To Haves

  • At least one year of psychiatric medication management experience in an outpatient or comparable setting.
  • Experience providing care to adults and/or children and adolescents, based on program needs and practitioner training.
  • Experience in integrated behavioral health, community health, public health, or other interdisciplinary clinical settings.
  • Illinois full practice authority, when applicable, and experience delivering care through approved telehealth services.

Responsibilities

  • Conduct comprehensive psychiatric assessments, including psychiatric and medical histories, mental status examinations, risk assessments, and review of relevant records.
  • Diagnose and manage psychiatric and behavioral health conditions, and establish individualized, evidence-based treatment plans with patients and, as appropriate, their families or legal representatives.
  • Initiate, prescribe, monitor, and adjust psychiatric medications within applicable licensure, prescriptive authority, and organizational protocols; assess treatment response, adverse effects, medication adherence, and potential interactions.
  • Provide psychoeducation, supportive counseling, brief therapeutic interventions, and referrals to psychotherapy or other services consistent with clinical training and scope of practice.
  • Evaluate patient safety concerns, including suicide risk, and coordinate timely crisis intervention, higher levels of care, or emergency referrals when clinically indicated.
  • Order and interpret appropriate diagnostic tests and monitoring relevant to psychiatric treatment, and coordinate medical follow-up when needed.
  • Collaborate with primary care clinicians, behavioral health counselors, nursing staff, external providers, and community resources to support continuity of care.
  • Engage patients and caregivers in shared decision-making, medication education, wellness promotion, and follow-up planning.
  • Maintain complete, accurate, and timely electronic health records, including assessment findings, diagnoses, treatment plans, medication records, and required follow-up.
  • Participate in weekly case conferences, monthly staff meetings, quarterly Quality Improvement Committee meetings, and other applicable clinical and interdisciplinary activities.
  • Support program quality, patient access, and applicable grant documentation, data tracking, and reporting requirements.
  • Maintain clinical competency through continuing education, professional development, and review of current psychiatric and advanced practice nursing research.
  • Provide reasonable follow-up and case-related availability during scheduled business hours; participate in an expanded clinical on-call program if adopted and communicated by DCHD.
  • Perform other related duties as assigned, consistent with professional licensure, training, and scope of practice.

Benefits

  • 15 paid holidays
  • Vacation
  • 3 days of personal time
  • Accrual of 1 sick day per month, with rollover
  • Employer-paid employee health insurance premium
  • Illinois Municipal Retirement Fund (IMRF)
  • Dental and vision coverage
  • Life insurance
  • Tuition assistance and loan repayment
  • Flexible schedules
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