DescriptionPosition Summary: The Psychiatric Mental Health Nurse Practitioner (PMHNP) - TMS Clinical Lead provides direct client care, including assessing, diagnosing, planning, and prescribing pharmacologic and non-pharmacologic treatment of health problems, health promotion and preventive care within this specialized area of practice under the supervision of a licensed physician. The PMHNP is involved in practice activities with the goal of improving the quality of care in an outpatient setting.
Essential Responsibilities:
- Performs psychiatric diagnostic evaluations to determine diagnoses, treatment strategies, and care coordination needs for clients with mental health, substance use, or other psychiatric and medical needs.
- Provides all psychiatric and/or medical services within reasonable and expected medical standards, timelines, and in conformance with all requirements imposed by the applicable health licensing boards. Applies medical knowledge and skills to the process of diagnosis, prevention, and treatment of illnesses.
- Maintains timely, complete, accurate and legible medical records for all patients evaluated and treated by the Psychiatric Mental Health Nurse Practitioner. Performs timely, concurrent, accurate clinical/billing documentation meeting professional standards in compliance with State and Federal regulations, clinical necessity, and appropriate coding standards.
- Performs pharmacologic treatment strategies, orders medications, monitors, and evaluates progress on psychiatric and/or other medications.
- Orders, obtains and assesses appropriate laboratory tests and diagnostics. Base clinical decisions on laboratory interpretation.
- Assures timely access to care, demonstrates flexibility in scheduling to fully meet client needs, and meets applicable productivity standards.
- Under the supervision of an MD or DO, the PMHNP will assume client care responsibilities inclusive of psychiatric evaluation, professional diagnoses and prescribing and/or administering treatment.
- Completes medication and health education to include but not limited to informed consent, benefits, risks, side effects, and alternative treatments for medications ordered, health/wellness management, metabolic risk reduction strategies.
- Provides professional and timely communication, care coordination with clients, families, involved agencies, PCP, and other specialty care providers to ensure timely and coordinated treatment planning and evaluation of patient progress.
- Conducts Transcranial Magnetic Stimulation mappings/remapping procedures once trained and demonstrates competency.
- Remain in compliance with state laws and regulations for PMHNP, including meeting supervised hour requirements, CME, and completing appropriate assessments in timely manner with supervising physician.
Other Duties:
- Attend weekly mandatory supervisory meeting with physician or as deemed appropriate by supervising physician or Chief Medical Officer.
- Assists as required by supervisor with other duties as assigned.
- Identify patients appropriate for TMS treatment using the Major Depressive Disorder (MDD) report and other methods. Identify patients post treatment for additional therapy based on clinical appropriateness.
- Responsible for TMS training of APPs hired into the TMS Lead home clinic. May be asked to train outside home clinic APPs, in those instances the Temporary APP Training Assignment Addendum will guide the details of each assignment.
- Provide timely consultation both for internally and externally referred patient to answer questions, clarify diagnosis, complete the medication list and prescribe medications as needed.
- Conduct training presentations for staff as needed. Consistently reinforce TMS training and serve as a resource for all clinic staff members. Responsible for reporting successful TMS patient cases or TMS related research in clinic staff meetings.
- Monitor clinical outcomes in patients who participate in TMS. Lead clinical quality improvement initiatives and clinic level process enhancements for both technicians and TMS providers.
- Monitor TMS patients' experience. Identify and address opportunities to improve clinic processes to enhance
patient satisfaction. - Support the TMS referral process by guiding clinic personnel, responding to medical questions and liaising with other providers. Provide corresponding reporting to attending physician in support of the peer review process.
- Collaborate with TMS Coordinator to expedite TMS referrals and authorizations with appropriate payors.
- Achieve the clinic's community impact goals related to TMS utilization.
Supervisory or Managerial Responsibility:
- Supervises TMS Technicians as assigned
Minimum Qualifications:
- Masters or doctorate degree from an accredited nursing school, required.
- Completion of an accredited Psychiatric Mental Health Nurse Practitioner program, required.
- 1-year clinical experience in a psychiatric or mental health setting preferred.
- Current Licensed Practitioner with full and unrestricted licensure in the state of practice and active state DEA License required.
- BLS from the American Heart Association preferred
Work Environment and Conditions:
- Ability to communicate verbally and in writing.
- Push, pull and lift up to 15 pounds. Intermittent sitting, standing, walking, bending, and stooping.
- Occasional exposure to chemicals, bloodborne pathogens, and patient bodily fluids.
Location: Castle Rock Clinic 
