Psychiatric Advanced Nurse Practitioner @ Kerrville State Hospital

The Psychiatric Advanced Practice RN is appointed by the Medical Director subject to the approval of the State Hospital Superintendent. Performs highly advanced (senior-level) psychiatric care under the supervision as delegated by a psychiatrist.  Work involves assessing, planning, and providing comprehensive psychiatric patient care independently or in collaboration with other health care professionals. Plans, assigns, and / or supervises the work of others, including other APRNs as well as performs assigned administrative duties. Meets face to face with individuals served as needed. Directs psychiatric activities / treatment, monitors trends and activities, and makes recommendations for improvement. Prescribes medications to include antipsychotics, orders and interprets laboratory and diagnostic testing, consults, and referrals. Performs all other duties as assigned by the Medical Director, including planning, assigning, and / or supervising the work of others; and representing the Medical Director in their absence. Participates in the quality assessment and performance improvement program. Serves as a leader of the patients recovery team. Works under minimal supervision with extensive latitude for the use of initiative and independent judgment. Works under the clinical and administrative supervision of the Medical Director and / or other delegating physician. May also work collaboratively with physicians via telemedicine.

Apply Directly via Texas Health and Specialty Care System : CLICK HERE

Essential Job Functions (EJFs) :

• Operates within the scope of their licensure to promote and maintain a therapeutic and safe psychiatric milieu. Oversees and provides acute and long-term psychiatric care to individuals, including daily assessment in the patients mental health status. Evaluates and makes appropriate referrals for patients injury or change in physical status. The assessment also includes diagnosis, treatment, and development of a plan of care with documentation of the acute issue as it pertains to psychiatric treatment.
• Prescribes medications, including antipsychotics, orders laboratory and diagnostic testing, consults, makes referrals and interprets the results.
• Provides psychiatric care meeting face to face with individuals, which includes an initial and ongoing assessment for individuals with identified acute and long-term psychiatric diagnosis; conducts a review of appropriate treatment specific to the disease process and updates or changes in psychiatric treatment are made as warranted.
• Provides comprehensive psychiatric care, which includes conducting rounds, leading Recovery Team Meetings, participating in court hearings and serving as a liaison to the courts.
• Conducts periodic reviews of hospitalized patients when on-call for evaluation the reported change in status or condition of individuals under treatment.
• Oversees and provides psychiatric diagnosis and the review of the recovery plan, including review of all the identified risks of the individual, (choking, falls, seizures, aggression, etc.) as well as their health status, and ensures necessary supports (OT, PT, Nursing, etc.) have been identified and appropriate areas of need are being addressed.
• Oversees and develops accurate and timely documentation, which includes annual summaries, use of physical restraints and evaluating the correctness of assessments, compliance with policies and procedures, and revenue enhancement.
• Participates in the hospital wide quality assessment and performance improvement program by performing audits of medical records, monitoring compliance with standards, developing plans of correction, monitoring implementation of performance improvement activities, and evaluating the outcome of those activities. They also participate in the Ongoing Professional Practice Evaluation (OPPE) by monitoring the practice of other APRNs and providing feedback to improve performance.

Knowledge, Skills and Abilities (KSAs) :

Registrations, Licensure Requirements or Certifications :

Initial Screening Criteria :