Psychiatric Nurse Practitioner (on call) - Crisis Stabilization and Resource Center

Essential

Duties and Responsibilities

• Psychiatric Evaluation and Diagnosis
• Conduct comprehensive psychiatric evaluations, including biopsychosocial assessments.
• Perform routine and urgent/emergent psychiatric assessments, including full IDIs, within 24 hours of client admission.
• Diagnose mental health and co-occurring substance use disorders within scope of practice.
• Determine appropriateness for admission, continued stay, or transfer to higher level of care.
• Complete risk assessments, including suicide and violence risk evaluation.

• Medication Management
• Prescribe, adjust, and discontinue psychiatric medications in accordance with Nebraska law.
• Provide ongoing medication management and monitoring.
• Review and reconcile medications upon admission and discharge.
• Monitor for therapeutic response, side effects, and medication safety.
• Collaborate with nursing staff regarding medication administration and clinical concerns.

• Crisis Intervention and Stabilization
• Provide psychiatric crisis intervention to support stabilization.
• Develop and oversee crisis treatment plans.
• Implement least restrictive interventions consistent with regulatory standards.
• Determine need for emergency referral or hospitalization when clinically indicated.
• Ensure stabilization strategies align with best practice standards.

• Physical Health and Co-Occurring Conditions
• Assess physical health needs and order appropriate diagnostic tests as indicated.
• Identify substance use risks and mild withdrawal concerns. The Crisis Center does not operate as a detoxification facility; individuals requiring medical detoxification services will be referred or transferred per policy.
• Coordinate care with primary care providers and external medical professionals.

• Treatment Planning and Therapeutic Interventions
• Develop, implement, and evaluate individualized treatment plans.
• Provide brief therapeutic interventions and psychoeducation as appropriate.
• Support individuals and families throughout stabilization and community reintegration.
• Promote preventive and wellness-based interventions as part of recovery planning.

• Interdisciplinary Collaboration and Leadership
• Serve as a clinical leader within the interdisciplinary team.
• Provide consultation to RNs, therapists, and other team members.
• Participate in treatment team meetings and case reviews.
• Support multi-agency coordination and continuity of care planning.
• Provide education and training to staff regarding psychiatric and medical issues.

• Documentation and Regulatory Compliance
• Complete timely and accurate documentation of evaluations, diagnoses, medication orders, and treatment plans.
• Ensure documentation meets Nebraska DHHS licensing standards and payer requirements.
• Maintain compliance with HIPAA and confidentiality laws.
• Participate in quality assurance and performance improvement initiatives.

• Professional Conduct and Organizational Responsibilities
• Display a courteous, respectful, and caring attitude toward individuals served, families, staff, volunteers, and visitors.
• Abide by all agency policies, procedures, and regulatory requirements.
• Maintain professional licensure, certification, and continuing education requirements.
• Participate in internal and external training opportunities.
• Perform other program-related duties as assigned.