Advanced Care Practitioner (PA-C Lead/ARNP) -WCCW

State of Washington$138K — $226K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Valid Washington State RN licensure and ARNP certification for psychiatric care.
  • One year of experience as an ARNP.
  • Ability to prescribe scheduled drugs with an unrestricted midlevel practitioner license.
  • Masters in Nursing or Psychiatric DNP preferred.
  • Knowledge of psychiatric medications and their clinical implications.

Responsibilities

  • Provide psychiatric evaluation, diagnosis, and medication management for incarcerated individuals.
  • Collaborate with multidisciplinary teams to develop treatment plans.
  • Monitor and interpret clinical data to identify patient needs.
  • Ensure continuity of care and adjust treatment plans as necessary.
  • Document patient interactions and treatment progress accurately.

Benefits

  • Opportunity to work in a specialized correctional health care environment.
  • Emphasis on collaboration with a dedicated health services team.
  • Engagement in quality improvement initiatives within the facility.
  • Potential for participation in state-wide correctional health projects.
Full Job Description
Salary : $138,264.00 - $226,608.00 Annually
Location : Pierce County - Gig Harbor, WA
Job Type: Full Time - Permanent
Job Number:
Department: Dept. of Corrections
Division: HS - WCCW
Opening Date: 07/28/2026
Closing Date: 8/11/2026 11:59 PM Pacific

Description
Washington Corrections Center for Women

Gig Harbor Washington

Psychiatric Advanced Care Practitioner (PA-C Lead/ARNP)

Shift: 7:00AM-3:30PM Monday- Friday
The Department of Corrections is seeking a highly motivated and qualified individual for the position of Psychiatric Advanced Care Practitioner/ PA-Cat the Washington Corrections Center for Women (WCCW), in Gig Harbor Washington. This is a day shift position that will require work to be completed onsite at the facility.

The goal of the psychiatric ARNP is to provide services to mentally ill incarcerated individuals for the Washington State Department of Corrections. The position contributes to the mission to improve public safety and to provide medically necessary care by providing quality psychiatric prescriber services to mentally ill incarcerated individuals, including psychiatric evaluation, diagnosis and medication management, crisis intervention; acute treatment; long-term management; and consultation with other clinicians and custody staff. The position is expected to adhere to the standards for quality psychiatric care defined within professional guidelines, the DOC Health Plan, the DOC formulary and other applicable Statewide publications and algorithms. This position is a critical element of facility security due to the highly complex and sensitive correlation between mental illness, appropriate prescriptive therapy and behavioral outcomes.
The Washington Corrections Center for Women (WCCW) is a 62.6-acre facility located approximately two miles from Gig Harbor. The site includes living units, administration buildings, a health clinic, education buildings, a gymnasium, a chapel, industries buildings, food service buildings and support facilities.

Correctional Health is a rewarding career path at DOC, in which health care professionals treat a wide array of cases for patients residing in a state correctional facility. Health Services is responsible for basic primary care for incarcerated individuals. All disciplines within all of the 12 correctional facilities work closely together to reach a common goal, providing the best, most efficient, and cost-effective health care possible. Emphasis is placed on early identification of health concerns, care for acute and chronic health problems, and preventive care.

A completed application packet will include:
  • A detailed resume
  • A cover letter.
  • Three professional references
  • Required Transcripts
Applications will be reviewed as they are received. The hiring authority reserves the right to offer the position at any time during the recruitment process. It is to the applicant's advantage to apply as early as possible.
"This recruitment could be used to fill multiple permanent or non-permanent positions."
Duties
Duties Can Include:

Provide direct patient services. Collaborating with a licensed psychiatrist, provide psychiatric evaluation, diagnosis and medication management for the mentally ill incarcerated individuals. Services to assigned patients continue if they are moved to segregation or COA.
  • Assess, monitor and interpret objective and subjective data collected about the health status, clinical condition or situation of individual's family; observe, inspect, and examine to identify patterns and variances from the desired outcome.
  • Diagnose mental health related problems and determine outcomes
  • Participate as a member of the multidisciplinary team in treatment planning with a primary focus on evaluation diagnosis and medical management. Develop psychopharmacological aspects of the treatment plan.
  • Ensure continuity of care. Deliver health care, defining time frames and pathways for delivery of services and determining priorities and sequences of care to be provided.
  • Implement plan of care by providing direct patient care; directing others about the urgency, timeframes and methods to deliver health care on and off site; determining when need for care or services become more urgent, need clarification or another type or level of intervention; taking action as necessary to provide orders and accomplish prescribed interventions in a timely and clinically responsive manner.
  • Analyze and evaluate the structure, process and timeframes for service delivery; the expected effects of treatment or intervention; the outcomes to be achieved; revision of the plan of care to prevent complications and intervene to address new or emerging problems or to improve care and service delivery.
  • Obtain informed consent for treatment and appropriately utilize surrogate decision-makers when patients are incompetent.
  • Initiate and renew involuntary antipsychotic medication, including preparing documents and testifying at hearings when clinically appropriate.
  • Participate in release planning including prescribing appropriate release medications.

Provide and ensure effective communication and documentation; collaborate and communicate effectively.
  • Effectively communicate verbally, in writing and via computer or other electronic media with incarcerated individuals, other health care personnel, custody and other institutional personnel
  • Legibly document subjective and objective clinical findings as well as the actions taken to deliver all aspects of health care.
  • Solicit information to identify problems and develop solutions.
  • Ensure that plans to deliver care are implemented by self and others and revised as necessary, resulting in safe, timely and clinically appropriate provision.
  • Prepare clinical reports and correspondence on patient progress.
  • Consult and seek clinical supervision with Chief of Psychiatry regarding complex cases.
  • Confer with multidisciplinary staff on mental health and special needs of patients
  • Assure continuity of care by adhering to protocols of communication when patients transfer between institutions
  • Serve as a resource or other disciplines
  • Protect the confidentiality of health records
  • Maintain accurate, legible, and complete records of patient care.
  • Complete unusual incident reports as directed, collected data, investigate and complete reports
  • Respond to verbal and written requests from patients and institution staff

Establish therapeutic relationships that preserve professional boundaries with patients
  • Counsel, teach and assist patients
  • Provide accurate authoritative information to groups or communities

Actively participate in clinic/facility-wide Coordinated Quality Improvement Program (CQIP) meetings, projects and programs
  • Participate/represent the facility on Statewide quality improvement initiatives, share our processes and learn from other facilities; implement best practices in patient care.
  • Participate in Health Services Quality Improvement activities.
  • Practice in accordance with DOC Policy and the DOC Health Plan.
  • Participate in formal clinical oversight

Other duties as assigned
  • Promote safety; be an active participant, be aware, be alert, act safely and make recommendations
  • Write incident reports and upon direction of leadership including Shift Lt.
  • Keep abreast of new methods, techniques and other developments in the field through reading research journals, attending seminars, workshops, professional affiliations, etc.
  • Remain up to date concerning specific work flow expectations and facility processes

Qualifications

Required qualifications:
  • Must possess a valid Washington State licensure to practice as a Registered Nurse, AND current certification from an approved national certification program (American Nurses Credentialing Center, ANCC) verifying completion of an advanced formal education program, AND possess a current designation as an Advanced Registered Nurse Practitioner in the State of Washington
    OR
  • Possession of a Psychiatric DNP (Doctorate of Nursing Practice).
    OR
  • Recent graduates of the formal program who are awaiting the results of the licensing examination must have a Washington State issued temporary permit. Failure to obtain a license shall result in the immediate termination from the position by the Appointing Authority.
    AND
  • Must hold an unrestricted license to practice as a midlevel practitioner and prescribe scheduled drugs.
  • Masters degree in Nursing and Advanced Registered Nurse Practitioner certification (Psychiatric).
  • Initial and continuous unblemished/unrestricted licensure in the State of Washington as a Registered Nurse and Advanced Registered Nurse Practitioner with prescriptive authority.
  • Certification by the American Heart Association in Basic Life Support OR Medic First Aid CPR OR Care plus CPR.
  • One year of working experience as an ARNP
  • Demonstrate facility with all classes of psychotropic medications and prescribe accordingly. Makes diagnoses in accordance with current Diagnostic and Statistical Manual. Accounts for medical problems and their interaction with patients regardless of diagnosis, sociocultural background and criminal history.

Ethics and Integrity: Demonstrated knowledge of professional, ethical guidelines for mental health professionals.
Maintains professional boundaries and has expectations that supervisors, peers, and subordinates do the same. This includes legal and professional expectations and guidelines concerning patient confidentiality.
Set the standards for professional behavior. Model pro-social behaviors; reinforce positive behaviors; redirect negative behaviors; and effectively communicate observed behaviors to responsible program staff, administrators, and supervisors. Demonstrated ability to build positive and constructive working relationships with patients and supervisors. Displays a positive attititude and optimism regarding occupation in correctional health care.
Be a supportive team member of the WCCW Health Services team
Competencies include:
• Respond in a timely maner to requests
• Attend team and health staff meetings
• Support quality performance of others
• Seek feedback and give constructive feedback
• Share knowledge and information, and encourage others.
• Support and suggest innovative ideas and strategies.
• Foster teamwork
• Practice fiscal responsibility
• Practice in accordance with DOH Scope of Practice, DOC policy and the DOC Health Plan.
• Understand and follow the Chain of Command
Maintain updated knowledge of Statewide and local processes to ensure continuity of care provision.
CONFIDENTIALITY: Maintain patient confidentiality and expect the same from other staff.
INTERPERSONAL SKILL: Is able to build positive and constructive working relationships with supervisors, peers, subordinates and outside agencies. Recognize when others need help/encouragement. Display a positive attitude
and optimism regarding occupation in correctional pharmacy. Is a team player and emphasizes the team approach to the provision of pharmacy services.
CONFLICT RESOLUTION ABILITY: Work diligently and effectively to mediate disputes and create workable solutions to identified problems in a timely manner. Respond to difficult, stressful, or sensitive interpersonal situations involving staff or patients with empathy and in ways that minimize discord and maintain good working relationships.
STRESS TOLERANCE: Effectively handle highly stressful or adverse situations, making good decisions. Stay focused on task in spite of distractions and handle interruptions appropriately.
PLANNING/DECISION MAKING: Use sequential thought process to develop goals, action plans and solutions to difficulties. Can and does list and describe the factors that were considered in making a decision and each factor's relative importance. Consider the impact of decisions on all others who would be affected by decisions.
ANALYSIS: Use data and information in a clear and rational thought process to access and understand issues, evaluate options, form accurate conclusions and make decisions. Identify key facts, understand the nature and relationship between data elements, recognizes underlying principles or patterns in an array of data, determine if additional data should be collected. Use judgement and critical thinking in the absence of clear guidelines to draw conclusions about further actions.
OBSERVATION AND INSPECTION: Critically observe and inspect people, conditions and the environment to detect problems. Acutely aware of critical details, alert and attentive when performing other work. Understand normal conditions and constantly compaire the current status to the norm to identify subtle changes and incremental deviation. Make informed judgement about when a change in current status must occur and determine appropriate action. Use insight to identify contributing and mitigating factors. Understand that documentation and other forms of communication cause others to understand and take appropriate actions.
DECISIVENESS: Make timely decisiosn without sacrificing quality even under mbiguous circumstances or when data is limited. Recognize when a decision must be made and move forward. Delegate decision making authority appropriately. Advocate for important patient are objectives and find common ground and solutions among diverse interests.
ADAPTABILITY/FLEXIBILITY: Able to adapt to changing philosophies, expectations and priorities. Incorporate new information into an existing framework of understanding. Accept change and support the Department through changes in administration, law, policy and procedure.
CONTINUING EDUCATION: Seek to increase knowledge by taking seminars and consulting with other professionals.

Preferred/Desired Qualifications:
  • Knowledge of psychiatric diagnosis and treatment techniques
  • Certified Correctional Health Professional by the Academy of Correctional Health Profe

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