Psychiatric Mental Health Nurse Practioner

Position Summary

Learning to Achieve Wellness is seeking an experienced Psychiatric Mental Health Nurse Practitioner (PMHNP) to provide psychiatric services to residents at our partnering skilled nursing facility in New Port Richey, Florida. The successful candidate will be responsible for conducting psychiatric evaluations, managing psychotropic medications, developing individualized treatment plans, and collaborating with facility staff to support patients' mental health needs.

This position requires strong clinical judgment, excellent communication skills, and the ability to work collaboratively with facility administrators, nursing staff, social workers, attending physicians, and other healthcare professionals.

Responsibilities:

Psychiatric assessment and treatment

• Complete new psychiatric consultations and medically necessary follow-ups. Review referral concerns, psychiatric and medical history, medications, cognition, mental status, functioning, and relevant nursing observations.
• Assess depression, anxiety, psychosis, mood disorders, substance-related concerns, and behavioral symptoms associated with dementia. Evaluate suicide risk and other safety concerns. Identify possible delirium, pain, infection, medication effects, or other medical causes of new symptoms and coordinate timely medical evaluation.
• Develop and document individualized diagnoses, measurable treatment goals, and care plans. Incorporate the resident’s preferences, functional status, communication needs, and relevant information from authorized representatives.
• Prescribe and reconcile psychiatric medications within authorized scope. Monitor response, interactions, sedation, falls, cognition, movement symptoms, and other adverse effects. Order or coordinate appropriate laboratory and clinical monitoring and review results promptly.
• Recommend nonmedication interventions and collaborate with facility staff on behavioral approaches. Use psychotropic medication for a documented clinical indication. Evaluate gradual dose reduction and document clinical contraindications when applicable under nursing facility requirements.
• Review ongoing medication necessity, benefit, dose, duration, and monitoring. Address consultant pharmacist recommendations and PRN psychotropic orders under applicable requirements. Do not use medication solely for staff convenience or as a substitute for needed care.

Urgent concerns and transitions of care

• Respond to urgent psychiatric concerns during assigned coverage. Notify nursing and the attending provider promptly of acute medical or safety concerns. Activate facility emergency procedures or arrange emergency evaluation when indicated, and escalate to the supervising psychiatrist or clinical leadership.
• Coordinate medication reconciliation and psychiatric handoffs after hospitalization, transfer, or discharge.
• Communicate follow-up needs and connect residents with appropriate outpatient or other services when clinically indicated and consistent with resident choice.

Documentation and facility coordination

• Complete and sign encounter documentation the same day unless an approved exception applies. Use required LTAW and facility records. Document assessment, clinical rationale, resident response, risk review, medication decisions, monitoring, and follow-up plans.
• Communicate medication changes and actionable recommendations directly to designated facility staff.
• Confirm orders reach the appropriate facility workflow. Review assigned clinical messages, abnormal results, and pending tasks and document resolution or a named handoff.
• Participate in interdisciplinary care planning, behavioral reviews, and requested family or representative discussions within the assigned role. Respect consent, decision-making capacity, privacy, and resident rights.
• Maintain a professional working relationship with facility leadership. Communicate schedule changes, coverage gaps, concerns, and unresolved barriers promptly to LTAW leadership and designated facility contacts.

Quality and performance expectations

• Maintain an accurate resident follow-up list and prioritize by clinical need. Meet assigned coverage and productivity expectations based on acuity, facility census, and available clinical time. Bill only for services actually performed and supported by documentation.
• Participate in chart reviews, clinical supervision, continuing education, incident review, and quality improvement. Support facility survey responses and corrective plans related to psychiatric care within the assigned responsibilities.
• Demonstrate timely documentation, appropriate medication monitoring, clear handoffs, responsiveness during coverage, reliable attendance, and compliance with LTAW and facility policies. Productivity expectations must allow adequate assessment and safe care.

Required Qualifications:

• Master’s or Doctoral degree in Nursing with a specialization in Psychiatric Mental Health Nurse Practitioner.
• Current and unrestricted Nurse Practitioner license in the state of practice within the United States.
• Certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) by the American Nurses Credentialing Center (ANCC) or equivalent.
• Demonstrated clinical experience in psychiatric mental health care, including assessment, diagnosis, and treatment.
• Current DEA registration and delegated prescribing authority when required for assigned duties.
• Be eligible for enrollment, credentialing, and recredentialing with Medicare, Medicaid, commercial health plans, hospitals, facilities, and other payers or organizations required for the assigned role.
• Maintain an active and accurate National Provider Identifier (NPI), CAQH profile, and other credentialing information required by LTAW.
• Basic Life Support (BLS) certification.

Preferred: Experience in geriatric psychiatry, skilled nursing or long-term care, dementia-related behavioral care, and interdisciplinary medication review. Maintain required life-support certification and current clinical competencies for the assigned setting.

Equal Employment Opportunity and Reasonable Accommodation

Learning to Achieve Wellness, Inc. provides equal employment opportunities to qualified applicants and employees in accordance with applicable federal, state, and local law. Qualified individuals with disabilities may request reasonable accommodation to participate in the application process or perform the essential functions of the position. Reasonable accommodations will be considered in accordance with applicable law.