MHMR of Tarrant County
Adv Pract RN
MHMR of Tarrant County, Fort Worth, Texas, United States, 76102
Description
Thank you for your interest in employment with MHMR of Tarrant County!
Pay is determined by relevant experience, work history, education and internal equities. As part of our Diversity, Equity, and Inclusion practices, MHMR offers the maximum compensation for candidates based on their experience, education and internal equities of the agency. This practice removes biases in compensation and assist hires and/or promotions on pay equity in their appropriate position(s) at MHMR.
Starting Pay Rate: 43.25
This position requires provider credentialing and payer enrollment as a condition of employment. In addition to our employment application, we recommend that you complete a Credentialing Application packet.
Please complete only one credentialing packet. It is not necessary to complete a separate credentialing packet for each position to which you apply.
Please follow the link to complete the credentialing application:https://www.mhmrtarrant.org/Jobs/Credentialing
Please complete either the licensed provider credentialing application (TSCA) or the Non-licensed provider credentialing application as appropriate for the position to which you have applied.
I) Job Purpose
Serves as a member of the Adult Mental Health Outpatient Clinic's multidisciplinary service team. Provides comprehensive psychiatric evaluation, emergency psychiatric assessment and diagnosis, determining a holistic plan of care including pharmacological decisions, psychotherapeutic and other intentions, making appropriate referrals and providing episodic follow-up care for persons served by MHMR of Tarrant County. Works collaboratively with the Chief Medical Officer, staff psychiatrists and the multidisciplinary team. Provides case consultation services to multidisciplinary team. Work requires skilled professional knowledge and advanced education for planning, coordinating and monitoring care. Works within established medical protocols and practices within the scope of advanced nursing practice as established by the Nurse Practice Act (NPA) and the Board of Nurses Examiners.
II) Essential Functions
A. To provide psychiatric services that is consistent with current standards of advanced nursing practice. Provides outpatient episodic follow-up care for clients on a scheduled basis, including diagnostic and plan of care reviews. Provides emergency assessments and treatment recommendations for individuals presenting to the clinic in crisis or emergency, on an as needed basis. Performs complete psychiatric evaluations for new referrals in accordance with clinic/agency protocols. Orders, conducts and interprets pertinent laboratory and other diagnostic tests as clinically indicated. Establishes medical diagnoses using DSM-V criteria and determines plan of care for short term and chronic health problems. Prescribes treatment/medications or psychiatric disorders, as outlined within advanced nurse practice protocol established collaboratively with supervising physician. Provides crisis intervention, brief counseling and psychotherapy as clinically indicated. Provides age-appropriate illness prevention and health maintenance counseling. Makes appropriate and timely referrals to other community health care professionals and community resources as clinically indicated. Consults with collaborating physician on a regular basis and as needed regarding clinical decision making. Dispenses sample medication to clients as clinically indicated and according to the labeling guidelines established by the Texas State Board of Pharmacy. Administers prescribed medications to client as needed, according to minimum standards of nursing practice.
B. To maintain effective communication as a member of the outpatient multidisciplinary team. Consults with professional and paraprofessional staff as clinically indicated regarding client care/treatment needs. Consults with the supervising physician on a regular basis, as outlined by established advanced nurse practice protocol and on as needed basis regarding clinical decision-making. Consults with the supervising physician if client response to treatment tills outside the expected period of time to treatments initiated by the APN, or if chronic stable problems become unstable. Attends regularly scheduled physician staff meetings, as well as scheduled clinic meetings. Maintains a collaborative relationship with the Director of Nursing related to nurse practice issues.
C. To maintain documentation according to agency protocols and established policies and procedures, as veil as accepted standards of nursing practice. Medical record accurately reflects clinical decisions made, pertinent client history (past history and history of present illness), identified problem areas, significant medical problems, drug/alcohol summary, mental status, medication decisions (initiation of medication, ongoing monitoring, discontinuation), referrals, plan of care, counseling, client education, collaboration, etc. Medication orders are written and signed in a thorough, accurate and timely manner and verbal orders are signed within acceptable agency time frames. Maintains a log of weekly supervisory meetings with supervising physician, noting pertinent clinical issues discussed. Signs for samples received, maintaining invoices for a 2-year period on-site. Documents the date, time and first name of the pharmacist spoken with when calling in prescribed medication orders to the pharmacy.
D. To participate in quality management activities as assigned. Participates in quality improvement activities as assigned, completing individual assignments if applicable within established time frame. Offers suggestions for methods to improve the quality/delivery of client care offered. Participates in "investigative nursing peer review" focused on advanced nurse practice concerns, as requested by agency.
E. Promote excellence of psychiatric nursing knowledge through the presentation of academic linkages. Provides opportunities to educate, mentor and precept nursing students in accredited nursing programs. Promotes the healthcare needs of the severely and chronically mentally ill via networking opportunities with the community, to include area universities.
F. To meet continuing education requirements or advanced practice, including Cho pharmacology required in order to maintain prescribing authority. Maintains national certification. Maintains a minimum of 400 hours of current practice within the preceding Biennium. Accrues 20 hours of CE per biennium appropriate to advanced practice role and specialty. Completes 5 hours of pharma-therapeutics CE in the biennium in addition to the 20 hours in specialty area and role.
G. To perform other related duties as assigned. Completes assignment, as applicable, within established time frames. Attends all required training and is able to successfully perform applicable skills (includes CPR, AIDS/HIV Disease/Body Substance Precautions/Infection Control, Client Rights/Preventing Abuse, Confidentiality, and PMAB).
III) Knowledge of Laws, Policies/Procedures, Skills, Education and Abilities MHMR of Tarrant County policies and procedures Texas Nurse Practice Act Texas Mental Health Code Texas State Pharmacy Laws Texas Board of Medical Examiner (BME) provisions governing prescriptive authority established by both the BME and the Texas Board of Nurse Examiners (BNE) ANA Standards of Psychiatric-Mental Health Clinical Practice TXMHMR Nursing Standards of Care and Nursing Standards of Professional Performance ANA Code of Nursing Ethics DSMV ICD - 10 Codes Third party medical billing/insurance procedures Skill, ability and interest in the psychiatric care of persons with mental and addictive disorders Ability to establish collaborative relationship with clients and families Ability to make accurate and clinical health assessments Ability to develop and monitor culturally sensitive individualized plans of care Ability to accurately and safely prescribe psychoactive medication within established protocol Knowledge of and ability to apply health promotion/illness prevention strategies. Knowledge of pathophysiology, psychiatric diagnoses using DSM-V, pharmacological and non-pharmacological therapies. Ability to communicate effectively in both written and oral format Sensitivity to socioeconomic and cultural groups Ability to collaborate with professional and other available resources (both in the agency and community) Skill in psychotherapeutic counseling of individuals, groups and families. Ability to advocate for quality of care for consumers and families Critical thinking skills Ability to organize, analyze and prioritize Ability to utilize adult learning principles Ability to utilize tact/diplomacy/negotiation/flexibility Ability to work autonomously
IV) Internal & External Customer Service This position requires extensive internal (team members, agency personnel) and external (doctors, ISDs, day care providers, other agencies) contacts. The Advance Practice Nurse will accomplish this with above average written and oral skills. Must demonstrate compassion, trauma-informed care, and safety practices including suicide safe care
V) Travel
This position requires driving to and from locations for work and/and may require overnight traveling. Employees are required to have a license in good standing and be able to be covered by agency liability insurance. If personal vehicle is utilized for work travel, then maintaining personal auto insurance coverage is required.
Minimum Requirements
Required Education
Master's Degree from an Accredited Nursing School
Defined Education
Nursing
Required Experience
None
Defined Experience
None
Substitutions
None
Required License
Licensed RN in State of Texas w/recognition as a Psychiatric MH Nurse Practitioner or Clinical Nurse w/limited prescriptive authority by BNE plus proof of liability insurance.
Valid driver's license with an acceptable driving record.
Must provide license (if applicable) and official documentation of all educational attainment i.e. Transcript/Degree/Certificate
Required Supervisory Experience
0 year(s)
Testing Requirements
Pre-employment tests including drug and TB Screening, Physical Exam including balance and lift test.
Satori Alternatives to Managing Aggression (SAMA) Protection
Lifting Requirements
50 pounds
Our Benefits:
Our total rewards program offers benefits* to full time employees beginning 1st of the month following hire date including but not limited to: • Comprehensive healthcare options (Medical, Dental, and Vision) • Life insurance and additional supplemental accident and hospitalization plans • 401a match and 457 deferred compensation plans • Paid vacation and holidays; varied flexible work environment locations • Annual tuition reimbursement program • Student Loan Forgiveness • Professional development programs and training • And more.....
Insurance eligibility: • Full time employees begin 1st of the month following hire date • Market driven positions (full time or part time) begin immediately after hire date • Select part time market driven positions are eligible for most insurance plans • Substitute status jobs are not eligible for benefits
For more information, click here.
Additional Information
*MHMR of Tarrant County ("MHMR") and its affiliates and subsidiaries have an internal recruiting department. MHMR may supplement that internal capability from time to time with assistance from temporary staffing agencies, placement services, and professional recruiters herein after referred to collectively as "Recruiters"). Recruiters are hereby specifically directed NOT to contact MHMR employees directly in an attempt to present candidates - MHMR recruiting team or other authorized MHMR personnel must present ALL candidates to hiring managers. For more information please visit our website www.mhmrtc.org
Thank you for your interest in employment with MHMR of Tarrant County!
Pay is determined by relevant experience, work history, education and internal equities. As part of our Diversity, Equity, and Inclusion practices, MHMR offers the maximum compensation for candidates based on their experience, education and internal equities of the agency. This practice removes biases in compensation and assist hires and/or promotions on pay equity in their appropriate position(s) at MHMR.
Starting Pay Rate: 43.25
This position requires provider credentialing and payer enrollment as a condition of employment. In addition to our employment application, we recommend that you complete a Credentialing Application packet.
Please complete only one credentialing packet. It is not necessary to complete a separate credentialing packet for each position to which you apply.
Please follow the link to complete the credentialing application:https://www.mhmrtarrant.org/Jobs/Credentialing
Please complete either the licensed provider credentialing application (TSCA) or the Non-licensed provider credentialing application as appropriate for the position to which you have applied.
I) Job Purpose
Serves as a member of the Adult Mental Health Outpatient Clinic's multidisciplinary service team. Provides comprehensive psychiatric evaluation, emergency psychiatric assessment and diagnosis, determining a holistic plan of care including pharmacological decisions, psychotherapeutic and other intentions, making appropriate referrals and providing episodic follow-up care for persons served by MHMR of Tarrant County. Works collaboratively with the Chief Medical Officer, staff psychiatrists and the multidisciplinary team. Provides case consultation services to multidisciplinary team. Work requires skilled professional knowledge and advanced education for planning, coordinating and monitoring care. Works within established medical protocols and practices within the scope of advanced nursing practice as established by the Nurse Practice Act (NPA) and the Board of Nurses Examiners.
II) Essential Functions
A. To provide psychiatric services that is consistent with current standards of advanced nursing practice. Provides outpatient episodic follow-up care for clients on a scheduled basis, including diagnostic and plan of care reviews. Provides emergency assessments and treatment recommendations for individuals presenting to the clinic in crisis or emergency, on an as needed basis. Performs complete psychiatric evaluations for new referrals in accordance with clinic/agency protocols. Orders, conducts and interprets pertinent laboratory and other diagnostic tests as clinically indicated. Establishes medical diagnoses using DSM-V criteria and determines plan of care for short term and chronic health problems. Prescribes treatment/medications or psychiatric disorders, as outlined within advanced nurse practice protocol established collaboratively with supervising physician. Provides crisis intervention, brief counseling and psychotherapy as clinically indicated. Provides age-appropriate illness prevention and health maintenance counseling. Makes appropriate and timely referrals to other community health care professionals and community resources as clinically indicated. Consults with collaborating physician on a regular basis and as needed regarding clinical decision making. Dispenses sample medication to clients as clinically indicated and according to the labeling guidelines established by the Texas State Board of Pharmacy. Administers prescribed medications to client as needed, according to minimum standards of nursing practice.
B. To maintain effective communication as a member of the outpatient multidisciplinary team. Consults with professional and paraprofessional staff as clinically indicated regarding client care/treatment needs. Consults with the supervising physician on a regular basis, as outlined by established advanced nurse practice protocol and on as needed basis regarding clinical decision-making. Consults with the supervising physician if client response to treatment tills outside the expected period of time to treatments initiated by the APN, or if chronic stable problems become unstable. Attends regularly scheduled physician staff meetings, as well as scheduled clinic meetings. Maintains a collaborative relationship with the Director of Nursing related to nurse practice issues.
C. To maintain documentation according to agency protocols and established policies and procedures, as veil as accepted standards of nursing practice. Medical record accurately reflects clinical decisions made, pertinent client history (past history and history of present illness), identified problem areas, significant medical problems, drug/alcohol summary, mental status, medication decisions (initiation of medication, ongoing monitoring, discontinuation), referrals, plan of care, counseling, client education, collaboration, etc. Medication orders are written and signed in a thorough, accurate and timely manner and verbal orders are signed within acceptable agency time frames. Maintains a log of weekly supervisory meetings with supervising physician, noting pertinent clinical issues discussed. Signs for samples received, maintaining invoices for a 2-year period on-site. Documents the date, time and first name of the pharmacist spoken with when calling in prescribed medication orders to the pharmacy.
D. To participate in quality management activities as assigned. Participates in quality improvement activities as assigned, completing individual assignments if applicable within established time frame. Offers suggestions for methods to improve the quality/delivery of client care offered. Participates in "investigative nursing peer review" focused on advanced nurse practice concerns, as requested by agency.
E. Promote excellence of psychiatric nursing knowledge through the presentation of academic linkages. Provides opportunities to educate, mentor and precept nursing students in accredited nursing programs. Promotes the healthcare needs of the severely and chronically mentally ill via networking opportunities with the community, to include area universities.
F. To meet continuing education requirements or advanced practice, including Cho pharmacology required in order to maintain prescribing authority. Maintains national certification. Maintains a minimum of 400 hours of current practice within the preceding Biennium. Accrues 20 hours of CE per biennium appropriate to advanced practice role and specialty. Completes 5 hours of pharma-therapeutics CE in the biennium in addition to the 20 hours in specialty area and role.
G. To perform other related duties as assigned. Completes assignment, as applicable, within established time frames. Attends all required training and is able to successfully perform applicable skills (includes CPR, AIDS/HIV Disease/Body Substance Precautions/Infection Control, Client Rights/Preventing Abuse, Confidentiality, and PMAB).
III) Knowledge of Laws, Policies/Procedures, Skills, Education and Abilities MHMR of Tarrant County policies and procedures Texas Nurse Practice Act Texas Mental Health Code Texas State Pharmacy Laws Texas Board of Medical Examiner (BME) provisions governing prescriptive authority established by both the BME and the Texas Board of Nurse Examiners (BNE) ANA Standards of Psychiatric-Mental Health Clinical Practice TXMHMR Nursing Standards of Care and Nursing Standards of Professional Performance ANA Code of Nursing Ethics DSMV ICD - 10 Codes Third party medical billing/insurance procedures Skill, ability and interest in the psychiatric care of persons with mental and addictive disorders Ability to establish collaborative relationship with clients and families Ability to make accurate and clinical health assessments Ability to develop and monitor culturally sensitive individualized plans of care Ability to accurately and safely prescribe psychoactive medication within established protocol Knowledge of and ability to apply health promotion/illness prevention strategies. Knowledge of pathophysiology, psychiatric diagnoses using DSM-V, pharmacological and non-pharmacological therapies. Ability to communicate effectively in both written and oral format Sensitivity to socioeconomic and cultural groups Ability to collaborate with professional and other available resources (both in the agency and community) Skill in psychotherapeutic counseling of individuals, groups and families. Ability to advocate for quality of care for consumers and families Critical thinking skills Ability to organize, analyze and prioritize Ability to utilize adult learning principles Ability to utilize tact/diplomacy/negotiation/flexibility Ability to work autonomously
IV) Internal & External Customer Service This position requires extensive internal (team members, agency personnel) and external (doctors, ISDs, day care providers, other agencies) contacts. The Advance Practice Nurse will accomplish this with above average written and oral skills. Must demonstrate compassion, trauma-informed care, and safety practices including suicide safe care
V) Travel
This position requires driving to and from locations for work and/and may require overnight traveling. Employees are required to have a license in good standing and be able to be covered by agency liability insurance. If personal vehicle is utilized for work travel, then maintaining personal auto insurance coverage is required.
Minimum Requirements
Required Education
Master's Degree from an Accredited Nursing School
Defined Education
Nursing
Required Experience
None
Defined Experience
None
Substitutions
None
Required License
Licensed RN in State of Texas w/recognition as a Psychiatric MH Nurse Practitioner or Clinical Nurse w/limited prescriptive authority by BNE plus proof of liability insurance.
Valid driver's license with an acceptable driving record.
Must provide license (if applicable) and official documentation of all educational attainment i.e. Transcript/Degree/Certificate
Required Supervisory Experience
0 year(s)
Testing Requirements
Pre-employment tests including drug and TB Screening, Physical Exam including balance and lift test.
Satori Alternatives to Managing Aggression (SAMA) Protection
Lifting Requirements
50 pounds
Our Benefits:
Our total rewards program offers benefits* to full time employees beginning 1st of the month following hire date including but not limited to: • Comprehensive healthcare options (Medical, Dental, and Vision) • Life insurance and additional supplemental accident and hospitalization plans • 401a match and 457 deferred compensation plans • Paid vacation and holidays; varied flexible work environment locations • Annual tuition reimbursement program • Student Loan Forgiveness • Professional development programs and training • And more.....
Insurance eligibility: • Full time employees begin 1st of the month following hire date • Market driven positions (full time or part time) begin immediately after hire date • Select part time market driven positions are eligible for most insurance plans • Substitute status jobs are not eligible for benefits
For more information, click here.
Additional Information
*MHMR of Tarrant County ("MHMR") and its affiliates and subsidiaries have an internal recruiting department. MHMR may supplement that internal capability from time to time with assistance from temporary staffing agencies, placement services, and professional recruiters herein after referred to collectively as "Recruiters"). Recruiters are hereby specifically directed NOT to contact MHMR employees directly in an attempt to present candidates - MHMR recruiting team or other authorized MHMR personnel must present ALL candidates to hiring managers. For more information please visit our website www.mhmrtc.org