Psychiatric Mental Health Nurse Practitioner (PMHNP)

Salary: $148,194.00 - $199,162.00 Annually
Location : Lincoln County, OR
Job Type: Full-Time
Job Number: 26-64 (521-1)
Department: Health and Human Services
Division: BEHAVIORAL HEALTH
Opening Date: 07/31/2026


Position Summary
The Behavioral Health division of Lincoln County Health and Human Services is looking for a Psychiatric Mental Health Nurse Practitioner (PMHNP) to help in providing mental health care to our community. This person will independently provides health care to clients with mental and emotional needs and disorders in Primary Care and Behavioral Health settings. Provide services for a wide range of psychiatric, co-occurring and/or intellectual/developmental disorders, including initial evaluation and diagnosis, participation in and development of treatment plans, management of psychotropic medications, referral to services as necessary, patient education, counseling and ongoing follow-up. This position works closely with a wide variety of professionals in diverse settings.
$148,194.00 - $199,162.00 annually*

*Lincoln County follows Oregon Pay Equity laws in reviewing education and experience for wage offer.
Lincoln County offers a comprehensive benefits package including:

• Medical, Dental, & Vision Coverage
• 11% County contribution to 401(k)
• County funded Health Savings Account (HSA)
• $40,000 County Paid Life Insurance
• Employee Assistance Programs (EAP)

Yaquina Bay Bridge in Newport
Essential Functions/Major Responsibilities
Within the specialty of the Nurse Practitioner (NP), they are responsible for managing health problems encountered by the client and is accountable for health outcomes. The NP will follow the six standards of practice:

• Assessment - Collect comprehensive data related to the health of the individual served. Synthesis and analysis of data and application of nursing principles and therapeutic modalities.
• Diagnosis - Prescribing, dispensing, and administration of therapeutic devices and measures, including legend drugs and controlled substances as provided in Division 56 of the Oregon Nurse Practice Act, consistent with the definition of the psychiatric nurse practitioner's scope of practice.
• Outcome identification - Based on the diagnosis the NP will identify outcomes that are culturally relevant, health literate, based in evidence and promotes the maintenance of health. Document expected outcomes and measurable objectives.
• Planning - Develop a plan that is client-centered and reflects best practices by identifying strategies that are achievable.
• Implementation - Oversee the implementation of the plan through treatment, case management, referrals to community partners, collaboration with other health care providers and community resources, health promotion and education. Document activities and status of care coordination.
• Evaluation - Applies on-going assessment and analysis of data, revise plan as needed, assure that interventions and activities are appropriate for ultimate health outcomes for the client. Document changes to enhance effectiveness of interventions

Provide treatment of adult, adolescent, and pediatric clients in Primary Care and Mental Health settings:

• Perform psychiatric evaluation and diagnosis with a wide array of acute and/or chronic psychiatric disorders. Assure the care team is functioning efficiently.
• Utilize knowledge of psychiatric disorders and their treatment, psychodynamic issues, normal growth and development, family dynamics and counseling skills to plan a comprehensive plan of treatment to suit the client's needs.
• Prescribe and provide ongoing management of psychotropic medication for the treatment of psychiatric disorders. Document services according to policy. Order lab work and other diagnostic tests as indicated as part of the diagnostic evaluation or ongoing management of the client.
• Consult and coordinate with physicians, Health Center Medical Director, Deputy Director of Clinical Operations and Primary Care Program Manager as indicated.
• Provide clients and their families with information about psychiatric disorders, treatment strategies and options, as well as resources available in the community.
• Utilize various psychotherapy strategies, as appropriate, to assist working through of past and present issues, challenge cognitive distortions and develop mastery of improved relationship and coping skills.

Assist with planning, developing, and education of health providers about behavioral health issues and the impact of these issues on client care:

• Provide leadership, guidance, and feedback to clinic staff.
• Participate in conferences and educational updates.
• Help to ensure staff are knowledgeable about program activities and goals.
• Serve as a consultant, accept referrals from other health care providers in matters outside their expertise.

Other functions:

• Participate in educational meetings as available and appropriate.
• Audit peer records upon request from Program Manager, Deputy Directors or Health Center Medical Director to evaluate level of care provided and whether documentation standards are met.
• Participate in or leads quality improvement activities to support high-performance quality care.

Typical Qualifications
EDUCATION

Graduation from an accredited school of nursing and accredited Nurse Practitioner Program.

EXPERIENCE
None
CERTIFICATIONS/LICENSES

• Current Nurse Practitioner Certification as a psychiatric nurse practitioner in the State of Oregon at the time of appointment. Possession of a National Certificate for Medicare, or the ability to obtain one by the end of trial service (6 full months from date of hire).
• Oregon Driver's License required within 30 days of hire.
• Possession of an unencumbered license as a nurse practitioner and registered nurse in the State of Oregon at time of appointment.

Desirable Qualifications: Two years or more of experience as a psychiatric nurse practitioner is preferred.
Knowledge of/Ability to:

• Behavioral health, psychopharmacology, advanced practice nursing principles, methods and procedures, and medical terminology. Considerable knowledge of psychiatry, psychotherapy and overall management of a wide range of acute and chronic psychiatric disorders.
• The functions and resources of public and private agencies engaged in behavioral health.
• Nurse Practitioner rules and regulations set forth by the Oregon State Board of Nursing OAR 851 Division 50.
• Exercise considerable judgment in the application of professional skills in psychiatric evaluation, diagnosis, medication management and treatment.
• Analyze psychiatric problems and recommend treatment plans.
• Train clients and general public in the use of various preventive care and mental health maintenance.
• Maintain client confidentiality in accordance with HIPAA.

REASONABLE ACCOMMODATIONS

Lincoln County is committed to providing reasonable accommodations as required by the Americans with Disabilities Act (ADA). This job description indicates, in general, the nature and levels of work, knowledge, skills, abilities, and essential functions expected of the position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential functions.
Live and work in one of the most beautiful places in the world! Located on the Central Oregon Coast, Lincoln County is a growing, dynamic community with a booming tourist industry. From the docks of Newport to the world's smallest harbor in Depoe Bay, Lincoln County has something for everyone!
WHY LINCOLN COUNTY? Annual Kite Festival in Lincoln City
Lincoln County sits in the Central Oregon Coast, boasting miles of stunning beaches. Travelers from all over the world have made Lincoln County a must-see location. From the Kite Festival in Lincoln City, Founder's Days in Newport, and the La De Da Parade in Yachats there is never a celebration too far away! Our vibrant arts community, incredible restaurants and hotels, and unmatched natural beauty make this a truly amazing place to call home.
Lincoln County is one of the 36 counties in the U.S. state of Oregon. As of the 2020 census, its population was 50,395. The county seat is Newport where our Health and Human Services Department is headquartered. Lincoln County consists of Lincoln City, Depoe Bay, Siletz, Newport, Toledo, Waldport, and Yachats. Each town along our beautiful coastline offers something a little different and unique from the others and the drive along Highway 101 is a postcard in living color.
Tidepools on the Oregon Coast
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Lincoln County offers a comprehensive benefit package including vacation, holiday, and sick leave as well as medical, dental, vision which is paid at 90% by the County and 10% by the employee. Other fully paid benefits include life, AD&D, long-term disability insurance. Other optional insurances are available. A 401K retirement plan is also provided. The County's current contribution rate is 11%.
Regular and Trial Service employees working between 20 - 39 hours per week on a regular basis are eligible for pro-rated employee benefits.