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  • Mental Health Nurse Practitioner

    Position Summary:

    The Psychiatric Mental Health Nurse Practitioner (PMHNP) will provide outpatient psychiatric evaluation and medication management services at Prism Integrated Health. Prism specializes in equitable outpatient mental health care for the queer and BIPOC communities, and operates from an an antiracist, queer positive, fat acceptance, intersectional feminist perspective. 

    The PMHNP will work in coordination with Prism’s outpatient counseling services to provide psychiatric services to adult and youth clients with behavioral health issues. This position will be supervised externally by a psychiatrist with whom there is a Collaborative Practice Agreement established upon hire. Credentialing and billing costs are paid for by Prism; PMHNP is responsible for liability insurance. The PMHNP position will be completely remote to start with possible site-based work, COVID-dependent.  

    Job Requirements and Qualifications:

    Minimum Required Education:

    • Master’s or Doctorate Degree in Nursing with focus on Psychiatric nursing

    • Graduation from a state-certified advance practice program specializing in psychiatry/mental health

     Minimum Required Experience:

    • At least 1-2 years providing direct client care to persons receiving treatment for psychiatric disorders

    • Ability to work with both adult and youth/child populations

     Preferred Experience:

    • 3+ years of experience as a psychiatric provider

    • Work with LGBTQIA+ populations

    • Willingness to learn and work with gender confirming hormones

    • Experience in telemedicine

    • Experience working in a multidisciplinary mental health setting


    • Must be certified by the American Nurses Credentialing Center (ANCC) in Psychiatric Mental Health (PMH) as a Psychiatric Mental Health Nurse Practitioner (PMHNP)

    • An unrestricted license to practice as an advanced practice registered nurse (APRN) in the state of Texas

    • Must have a valid DEA number and unrestricted DEA license in Texas

    • A state-issued Controlled Substance Registration (CSR) in Texas

    • Registration with the Texas Prescription Monitoring Program

    • No suspension/exclusion/debarment from participation in federal healthcare programs (e.g. Medicare, Medicaid, SCHIP)

    • Maintain credentials and licensure with all major insurance companies and licensing boards with the assistance of Prism credentialing staff

    • Maintain liability insurance

    Other Skills Required:

    • Experience in delivering high-quality, client-centered care

    • Able to document and navigate EHR independently

    • Able to manage independent schedule

    • Able to maintain strict client confidentiality

    • Ability to effectively communicate and interact with individuals involved in all aspects of service – children, parents, school faculty and staff, grantors, funders, partner agencies, members of the community and Prism team members

    • Serves as a representative of Prism, displaying courtesy, tact, consideration and discretion in all interactions with Prism team members, clients, school system staff and faculty, grantors, funders, regulators and members of the general public

    • Proficient computer skills, including working knowledge of Google Suite

    • Able to work effectively on multidisciplinary team

    • Language Skills: Able to read, analyze and interpret general and professional documents. Able to write routine reports and correspondence. Able to effectively present information in one on one and small group situations

    • Must possess the ability to make independent decisions when circumstances warrant such action

    Working Conditions / Environment:

    • Part-time hours: 4-10 hours per week, with the opportunity for full-time hours as we scale

    • Flexibility in setting work schedule, with work hours falling between 7:00 am and 9:00 pm

    • Continuously meet minimum required hours of direct services to clients each week (10), allowing remainder of work hours for documentation, meetings, professional development, and supervision

    • Use a HIPAA compliant VPN when providing telehealth services and updating client documentation

    Essential Duties and Responsibilities:

    • Responsible for providing psychiatric services to a diverse clientele during scheduled hours. Scope of services includes outpatient psychiatric evaluations and medication management services.

    • Assess, diagnose, and treat adults, adolescents, and children experiencing symptoms of behavioral health disorders.

    • Prescribe, recommend, or discontinue drugs and treatments to treat mental, emotional, or behavioral disorders in accordance with the Collaborative Practice Agreement and the state’s Nurse Practice Act.

    • Collaborate with therapists, social workers, or other treatment team members to coordinate client care.

    • Responsible for timely and accurate completion of medical records, including assessment, treatment plan, progress notes, outcome measures, and billing entries.

    • Counsel clients during appointments, as necessary.

    • Design/participate in the development of individualized treatment plans, incorporating best and leading practices into treatment interventions.

    • Examine or order laboratory or diagnostic tests for clients to provide information on general physical condition and mental disorders.

    • Collaborate with guardians, relatives, and significant others on client’s conditions and treatment when clinically appropriate.

    • Prepare and submit assessments, progress notes, reports, and summaries to entities/agencies (funders, insurance companies, etc.) as required.

    • Return calls and emails promptly (within 24 hours of receipt or sooner if clinically necessary)

    • Responsible for making independent decisions based on protocols developed utilizing national guidelines for treatment interventions.

    • Responsible for maintaining customer relations with all agency staff and clients.

    • Maintain medical records and submit at least 10% of records to the supervising Psychiatrist for biweekly review in accordance with the Collaborative Practice Agreement.

    • Records all services performed for accurate billing for services provided in compliance with all local, state and federal laws, as well as payor rules and regulations. Submits billing documents in a timely fashion.

    • Looks for ways to improve and promote quality. Provides teaching and education to clinical staff, if requested.

    • Follow all procedures and protocols as per Prism policy, federal and state regulations, standard practice, and in accordance with the Collaborative Practice Agreement.

    • Actively participate in all agency and department education, training, and in-services to confirm understanding of new information or changes to established clinical policies and procedures

    The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified.


    To apply, please send your resume and cover letter to: [email protected]