Psychiatric Mental Health Nurse Practitioner

Psychiatric Mental Health Nurse Practitioner

About CLARE|MATRIX: CLARE|MATRIX is a nonprofit organization providing effective and compassionate treatment, recovery, and prevention services for alcoholism and substance use to individuals, families, and the community. Headquartered in Santa Monica, CA, CLARE|MATRIX maintains multiple facilities in the Southern California region.

Since 1970, CLARE|MATRIX has provided quality substance use and mental health treatment to individuals in treatment for Substance Use Disorder (SUD) in Southern California.

Summary

This position provides clinical consultation, guidance, and oversight to interdisciplinary treatment staff and participates in the education and supervision of medical trainees and fellows as directed. The PMHNP may provide clinical support and mentorship to staff within scope of practice and organizational structure. The PMHNP works collaboratively under the clinical oversight of the supervising Psychiatrist, Medical Director and/or Chief Medical Officer within CLARE|MATRIX's clinical governance framework and reports administratively to the Sr. Director of Residential Services. Schedule and coverage responsibilities may include cross-program support, admissions consultation, and participation in after-hours clinical coverage as assigned.

Supervisory Responsibilities:

This position has direct supervisory responsibility for clinical and medical staff. The PMHNP provides clinical consultation and guidance to the treatment team and may precept interns and fellows as directed.

Essential Duties and Responsibilities

To perform this job successfully, an individual must be able to perform each essential function, with or without accommodation. The requirements listed below are representative of the duties, responsibilities, knowledge, skill, and/or ability required.

1. Psychiatric Evaluation and Diagnosis

   1. Clinical Services: Provides direct psychiatric services within scope of practice, including psychiatric evaluations, medication management, and timely clinical documentation.
   2. Assessment and Diagnosis: Conducts comprehensive psychiatric and biopsychosocial assessments for individuals presenting with substance use disorders, co-occurring mental health conditions, and dual diagnosis populations. Performs mental health status examinations, applies standardized assessment scales and clinical risk stratification, and established diagnoses in accordance with DSM-5 TR criteria.
   3. ASAM and Level of Care: Apply ASAM Patient Placement Criteria to contribute to support level-of-care determinations in collaboration with the interdisciplinary team.
   4. Crisis Assessment: Conduct risk assessments including suicidality, homicidality, and acute psychiatric crisis. Determine appropriate disposition and provides immediate clinical intervention as needed.

2. Medication Management

   1. Prescribing: Prescribe, manage, and monitor psychiatric medications including psychotropic medications, including controlled substances, and medications for opioid use disorder (MOUD), in accordance with California law, DEA regulations, and evidence-based practice.
   2. DEA and Furnishing: Prescribes controlled substances in accordance with applicable federal and California law, including DEA registration and furnishing authority requirements, and performs required CURES 2.0 checks prior to prescribing.
   3. Monitoring: Monitors medication efficacy, side effects, and adverse reactions; adjusts treatment plans accordingly and communicates changes to the interdisciplinary team.
   4. Consultation: Collaborate with the Medical Director, Psychiatrist, and the inter-disciplinary treatment team on complex medication management decisions and clinical presentations.

3. Treatment Planning and Coordination

   1. Treatment Plans: Develop and contribute to individualized, integrated treatment plans that address psychiatric and substance use disorder needs in a coordinated and person-centered manner.
   2. Team Collaboration: Participate in interdisciplinary team meetings, case conferences, and clinical huddles; provide psychiatric consultation to therapists, AOD counselors, case managers, and program staff.
   3. Care Coordination: Collaborate care with external providers, hospitals, detox facilities, and community partners to support continuity of care and appropriate referrals.
   4. Transitions of Care: Support the interdisciplinary treatment team in facilitating participant transitions across levels of care, including admission planning, discharge planning, and step-down planning to ensure safe, clinically appropriate, and person-centered care continuity.

4. Documentation and Billing

   1. Electronic Health Record (EHR) Documentation: Maintain accurate, timely, and complete documentation in the Electronic Health Record, including progress notes, treatment plan updates, group notes, participant contacts, and all required service entries.
   2. File Compliance: Ensure all participant charts meet contractual, regulatory, and organizational standards, including proper documentation, signatures, consents, assessments.
   3. Timeliness of Documentation: Complete documentation in real time or within required timeframes to support quality care, billing accuracy, and compliance with program expectations.
   4. Billing: Ensure documentation supports billable services accurately reflecting the service provided. Verify that charts include necessary elements such as treatment plans, progress notes, session details, and attendance.
   5. Service Reporting: Communicates clinically relevant changes with the interdisciplinary treatment team regarding changes in diagnosis, medication or treatment needs to ensure coordinated, timely, and person-centered care.
   6. Care Coordination Documentation: Document case management activities, including referrals, follow-up, and participant coordination efforts in accordance with program expectations.

5. Safety and Compliance

   1. Compliance: Adhere to CLARE|MATRIX policies and procedures, program guidelines, and all applicable federal, state, county, local regulations. Ensures participant safety, dignity, and confidentiality in all aspects of care.
   2. Confidentiality: Maintains the confidentiality of participant information in compliance with HIPAA, 42 C.F.R. Part 2, and organizational privacy standards. Completes required training.
   3. Professional Conduct: Maintain appropriate professional boundaries with participants in accordance with agency policies and applicable ethical and licensing standards.
   4. Safety Standards: Complies with CLARE|MATRIX, OSHA, and CAL/OSHA health and safety regulations. Support the maintenance of a safe environment for participants and staff.
   5. Incident Reports: Complete incident reports accurately and timely in accordance with organizational and regulatory requirements.

6. Teamwork and Collaboration

   1. Communication: Demonstrate effective and appropriate workplace communication by speaking clearly, directly, and with purpose. Actively listen, ask clarifying questions, and confirm understanding before acting. Provide timely updates to staff and participants regarding needs, concerns, or changes in participant status, ensuring information is accurate and complete. Maintain professional tone, body language, and boundaries. Address issues respectfully and constructively, avoid gossip or unprofessional dialogue, and follow established channels for reporting, documentation, and escalation. Consistently model courteous, trauma-informed, and culturally sensitive communication that supports a safe and respectful environment.
   2. Meetings: Attend and actively participate in staff meetings, case conferences, one-on-one supervision meetings, training sessions, and team-building activities as required by the program.
   3. Collaborative Teamwork and Collaboration: Work collaboratively with interdisciplinary team to support participant care, resolve concerns, and maintain consistency in service delivery. Maintain positive and professional relationships with community partners and collaborate with outside agencies as part of the continuum of care, when applicable.
   4. Mission, Vision, and Philosophy: Supports CLARE|MATRIX's mission, vision, philosophy, and operating principles. Support a healthy work environment and uphold organizational standards of conduct.
   5. Supportive Work Environment: Contribute to a positive, safe, and team-oriented work environment by remaining receptive to constructive feedback, seeking guidance when needed, and supporting coworkers in program operations.

7. Secondary Areas of Responsibility

   Other duties as assigned

8. Qualifications

   1. Board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) required.
   2. Active and unrestricted California Registered Nurse (RN) license and Nurse Practitioner (NP) certification required.
   3. Active California furnishing number required.
   4. Active DEA registration required for prescribing controlled substances.
   5. CURES 2.0 registration required prior to prescribing controlled substances.
   6. Eligibility to prescribe medications for opioid use disorder (MOUD) in accordance with applicable federal and state law.
   7. Working knowledge of 42 C.F.R. Part 2 and behavioral health confidentiality requirements.
   8. National Provider Identifier (NPI) required.
   9. Medi-Cal provider enrollment required within established timeframes, if applicable.