Psychiatric Nurse Practitioner

Central City Concern • Portland, OR

8d • Onsite

About The Position

The Psychiatric Nurse Practitioner (PMHNP) works as a member of the Blackburn Center’s multidisciplinary team to provide integrated psychiatric and behavioral health care in a primary care setting serving people affected by homelessness. The role includes psychiatric evaluation, consultation, psychopharmacological and psychotherapeutic interventions, medication management, and monitoring and addressing adverse effects. The practitioner documents ongoing treatment plans, provides brief psychotherapy and motivational interviewing, conducts suicide assessments and crisis interventions, and responds to psychiatric emergencies, arranging continuing care or referrals as appropriate.

The PMHNP collaborates with primary care, integrated mental health, substance use disorder treatment, and pharmacy colleagues. The role includes clinical consultation, patient and family education, referrals to mental health providers and community resources, and participation in staff meetings and case conferences. The practitioner helps integrate services, improve workflows, review clinic performance indicators, and contribute to quality improvement and compliance activities. Care is expected to be client-centered, trauma-informed, nonjudgmental, compassionate, culturally responsive, and respectful of diverse communities. The position also requires maintaining accurate records, protecting confidential information, attending required training, and working within the scope of training and experience while seeking consultation when appropriate.

Schedule: Tuesday–Friday, 8:30 a.m.–5:00 p.m. (.8 FTE, four days per week). Location: Blackburn Center. Compensation: $134,000–$174,000 annually, depending on professional experience, licensure or 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 and national certification.
• Must meet CCC privileging requirements as required by FTCA.
• Current BLS certification required before starting.
• Full prescriptive authority in Oregon and a DEA number.
• Ability to work in an integrated, multidisciplinary setting.
• Knowledge of evaluation and treatment of clients with a variety of psychiatric disorders using psychopharmacological and psychotherapeutic interventions.
• Knowledge of evaluation and treatment planning for clients with substance use disorders, including pharmacotherapies and psychotherapies.
• Ability to make treatment decisions based on assessment of patient concerns within PMHNP scope of practice.
• Ability to provide nonjudgmental, compassionate care to vulnerable and complex populations and seek supervision as necessary.
• Ability to practice independently and seek consultation when appropriate; ability to delegate patient care when needed and appropriate.
• Ability to work in a busy clinic and respond to unpredictable requests for assistance from colleagues.
• Ability to interact successfully and respectfully with clients and colleagues from diverse backgrounds.
• Ability to consider the effects of oppression, structural racism, and individual bias on client outcomes and the needs of underserved communities.
• Ability to maintain accurate records and paperwork and strict confidentiality of patient information.
• Ability to remain calm and composed when working with clients in crisis.
• Excellent communication skills, including diplomacy, tact, and effective bedside manner.
• Sufficient manual dexterity and physical ability to perform assigned tasks.
• Ability to walk, bend, stoop, kneel, squat, twist, reach, pull, lift heavy objects, and climb stairs, with reasonable or no accommodation.
• Must pass pre-employment drug screening, TB testing, and background checks, including DHS Background Check Unit clearance.
• Must comply with applicable SUDS program restrictions regarding certain DUI, felony, or Uniform Controlled Substances Act convictions within the previous three years.
• Must adhere to agency nondiscrimination policies and drug-free workplace requirements.
• Ability to effectively interact with coworkers and clients across differences in ethnicity, religion, political affiliation, culture, lifestyle, and sexual orientation, treating each person with respect and dignity.

Nice To Haves

• Bilingual Spanish-language skills.

Responsibilities

• Deliver comprehensive, client-centered, trauma-informed integrated services as part of the Blackburn Clinic multidisciplinary team.
• Provide direct patient care, including psychiatric evaluations, consultations, 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, crisis intervention, and care for psychiatric or mental health emergencies; arrange continuing care or referral when needed.
• Provide brief psychotherapy interventions, including motivational interviewing, and educate patients and families.
• Prescribe and manage medications supporting substance use recovery, including buprenorphine, naltrexone, and acamprosate.
• Provide clinical consultation to behavioral and primary care staff, including other Central City Concern practitioners.
• Participate in integrating services and identify opportunities to improve collaboration among service and care teams, following information-sharing guidelines.
• Identify opportunities to improve clinic workflows and logistics; participate in review of 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 interdisciplinary treatment planning.
• Refer patients to mental health providers and community resources or services as appropriate.
• Participate in records review to ensure services are clinically appropriate and effective; maintain client records required by program standards and funding requirements.
• Participate in compliance and quality improvement activities and training opportunities to advance behavioral and primary care skills and knowledge.
• Work within the scope of training and experience and seek consultation when appropriate.
• Follow state and federal privacy regulations, including HIPAA and 42 CFR Part 2, and CCC confidentiality, privacy, security, and partner-agreement requirements; promptly report breaches as directed.
• Attend mandatory CCC trainings and perform other duties as assigned.

Benefits

• Medical, dental, and 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, dependent on work shift schedule.
• Employer-paid life insurance, short-term disability insurance, and long-term disability insurance.
• Sabbatical program offering extended time off at years 7, 14, and 21.

What This Job Offers

• Job Type: Part-time
• Career Level: Senior