Psychiatric Nurse Practitioner

Central City Concern•Portland, OR

8d•$134,000 - $174,000•Onsite

About The Position

The Psychiatric Nurse Practitioner (PMHNP) works as a member of Blackburn Center’s multidisciplinary team to provide integrated psychiatric and behavioral health care in a primary care setting. Blackburn Center offers comprehensive services, including treatment for acute and chronic medical conditions, integrated mental health support, substance use disorder treatment, and an on-site pharmacy. The role provides trauma-informed, client-centered care to people affected by homelessness and other vulnerable, complex populations. The PMHNP evaluates patients, provides psychiatric consultation and treatment, uses psychopharmacological and psychotherapeutic interventions, and monitors and addresses adverse effects. The position includes prescribing and managing medications that support substance use recovery, such as buprenorphine, naltrexone, and acamprosate. The practitioner provides brief psychotherapy, motivational interviewing, suicide assessment, crisis intervention, patient and family education, and care coordination or referrals when needed. The role practices independently within its scope while seeking consultation when appropriate. The position collaborates with primary care, behavioral health, substance use treatment, and pharmacy colleagues. It contributes to case conferences, clinical consultation, service integration, workflow improvements, review of Key Performance Indicators, records review, compliance, and quality improvement. The practitioner also participates in training to develop skills in behavioral and primary care. Schedule: Tuesday–Friday, 8:30 a.m.–5:00 p.m. (0.8 FTE, four days per week). Location: Blackburn Center. Compensation: $134,000–$174,000 annually; the range varies based on professional experience, licensure/certifications, and internal equity.

Requirements

Bachelor’s degree in nursing and a master’s degree in Psychiatric/Mental Health Nursing from State Board of Nursing-approved schools of nursing.
Current Oregon nursing license and certification as a PMHNP by the Oregon State Board of Nursing, with national certification.
Meet CCC privileging requirements as required by FTCA.
Current BLS certification before starting.
Full prescriptive authority in Oregon and a DEA number.
Ability to work in an integrated, multidisciplinary setting.
Ability to adhere to agency nondiscrimination policies and interact respectfully with clients and coworkers across diverse ethnic, religious, political, cultural, lifestyle, and sexual-orientation backgrounds.
Ability to adhere to Central City Concern’s drug-free workplace policy.
Ability to pass a pre-employment drug screen, TB test, and background check, including DHS Background Check Unit clearance.
SUDS program staff must not have, within the previous three years, a DUI conviction or diversion, a felony conviction, or a conviction under the Uniform Controlled Substances Act.
Ability to walk, bend, stoop, kneel, squat, twist, reach, pull, lift heavy objects, and climb stairs, with reasonable or no accommodation.
Knowledge of evaluation and treatment of varied psychiatric disorders using psychopharmacological and psychotherapeutic interventions.
Knowledge of evaluation and treatment planning for substance use disorders, including pharmacotherapies and psychotherapies.
Ability to provide patient care, build rapport rapidly, and make treatment decisions based on patient assessments within PMHNP scope of practice.
Ability to provide nonjudgmental, compassionate care to vulnerable, complex populations and seek supervision or consultation as appropriate.
Ability to practice independently, delegate patient care when appropriate, and respond to unpredictable requests in a busy clinic setting.
Ability to consider impacts on underserved communities, including the effects of oppression, structural racism, and individual bias on client outcomes.
Sufficient manual dexterity and physical ability to perform assigned tasks.
Ability to maintain accurate records and paperwork, remain calm during client crises, and maintain strict confidentiality of patient information.
Excellent communication skills, including diplomacy, tact, and effective bedside manner.

Nice To Haves

Bilingual Spanish-language skills.

Responsibilities

Work as a member of the Blackburn Clinic multidisciplinary team to deliver comprehensive, client-centered, trauma-informed integrated services.
Provide direct patient care, including psychiatric evaluation and consultation, psychopharmacological and psychotherapeutic interventions, and monitoring and addressing adverse effects.
Document psychiatric treatment plans and ongoing care in the primary care outpatient setting.
Provide suicide assessment and crisis intervention.
Manage psychiatric and mental health emergencies and arrange continuing care or referral to an appropriate facility.
Provide brief psychotherapy interventions, including motivational interviewing.
Provide patient and family education.
Provide clinical consultation to behavioral and primary care staff, including other CCC practitioners.
Prescribe and manage medications that support substance use recovery, including buprenorphine, naltrexone, and acamprosate.
Participate in service integration and identify opportunities to improve collaboration between and within service and care teams while following information-sharing guidelines.
Identify opportunities to improve clinic workflows and logistics; participate in reviewing Key Performance Indicators and continuous improvement plans.
Support clients’ connection to culturally responsive and culturally specific services as requested.
Participate in clinical staff meetings and case conferences to support individualized treatment plans.
Refer patients to other mental health providers and community resources or services as necessary.
Participate in records review to ensure services are clinically appropriate and effective, and maintain records according to program and funding requirements.
Participate in compliance and quality improvement activities and mandatory CCC training.
Participate in training opportunities to advance behavioral and primary care skills and knowledge.
Work within training and experience and seek consultation when appropriate.
Follow state and federal privacy requirements, including HIPAA and 42 CFR Part 2, CCC confidentiality and security policies, and relevant partner agreements; promptly report breaches of protected health or personal identification information.
Perform other duties as assigned.

Benefits

Competitive compensation.
Medical insurance.
Dental insurance.
Vision insurance.
Student loan repayment options.
Retirement savings plan with employer matching: 4.25% in the first year, 6% in the second year, and 8% in the third year.
Paid time off beginning at four weeks of accrual per year, with accrual increasing with longevity.
Up to 11 recognized holidays and two personal holidays, depending on work shift schedule.
Employer-paid life insurance.
Employer-paid short-term disability insurance.
Employer-paid long-term disability insurance.
Sabbatical program offering extended time off at years 7, 14, and 21.