Nurse Practitioner, Crisis Continuum Services

Under the general direction of the Chief Medical Officer and the Medical Director of Crisis Continuum Services, the Crisis Continuum Services Nurse Practitioner provides assessment and treatment to individuals experiencing a behavioral health crisis and is an integral member of a multi-disciplinary clinical team providing support to persons served by OCHN’s crisis system, including Crisis Assessment & Triage, Crisis Stabilization Unit (CSU), Crisis Residential Unit (CRU), Sober Support Unit, Mobile Crisis, Crisis Line/Hotline, and Behavioral Health Urgent Care.

The Crisis Continuum Services Nurse Practitioner will play a critical role in overseeing crisis-related determinations, facilitating the operation of an integrated, evidence-based crisis continuum that meets clinical standards and employs best practices while ensuring resources are responsibly allocated.

• Performs all duties and responsibilities of a psychiatric nurse practitioner; provides high-quality, cost-effective care consistent with licensing, accreditation, and payer standards.
• Conducts psychiatric assessments, medication management, diagnostic study (e.g., labs, imaging, ECG) interpretation, suicide and violence risk assessments, and substance intoxication/overdose/withdrawal assessments (including the use of structured assessment tools and symptom screening questionnaires); within crisis workflows determines level of care (e.g., ED transfer, inpatient, CSU, CRU, partial hospital, outpatient).
• Provides clinical disposition recommendations.
• Ensures timely documentation in the EHR and adherence to HIPAA and 42 CFR Part 2.
• Integral member of a psychiatrist-led multi-disciplinary team consisting of psychiatrists, Advanced Practice Providers (APPs), nurses, bachelor’s-level clinicians, counselors, social workers, and psychologists to deliver rapid, reliable, evidence-based care and disposition determinations.
• Leads daily/shift huddles and interdisciplinary rounds (nursing, crisis clinicians, peers, behavioral health technicians (BHTs)/milieu staff, discharge planners) to resolve barriers, update risk, and finalize dispositions.
• Interfaces with relevant internal teams, hospitals/EDs, law enforcement, EMS, and community providers to ensure warm handoffs and least-restrictive, recovery-oriented care transitions.
• Promotes a culture of person-centered, trauma-informed, and recovery-oriented practice across teams.

• Adheres to quality measures and key performance indicators (KPIs) (e.g., time to triage, time to disposition, 23-hour utilization, return-in-crisis rates, warm handoff completion).
• Complies with all relevant OCHN policies/procedures, MDHHS/Medicaid requirements, accreditation standards, and the Michigan Mental Health Code; participates in Root Cause Analyses and special reviews as directed by the Chief Medical Officer or Medical Director of Crisis Continuum Services.
• Serves on OCHN committees as directed by OCHN Chief Medical Officer.

Education
:

• Master’s Degree in Nursing, from a nationally accredited university.
• Completion of a Psychiatric-Mental Health Nurse Practitioner Program is preferred; PMHMP-BC Certification is preferred.

Training Requirements (licenses, programs, or certificates):

• Active Nurse Practitioner license in State of Michigan Department of Licensing and Regulatory Affairs (LARA) in good standing.
• Active State of Michigan Department of Licensing and Regulatory Affairs (LARA) Board of Pharmacy Controlled Substance license in good standing.
• United States Department of Justice, Drug Enforcement Administration (DEA) Controlled Substance Registration Certificate
• Basic Life Support (BLS) certification.
• No history of criminal misdemeanor or felony.
• Attest to no complaints or penalties from respective board of licensing.

Experience Requirements:

• At least two (2) years of clinical experience as a psychiatric nurse practitioner.

Preferred Requirements:

• Prior experience working in crisis/emergency settings is preferred.

Job Specific Competencies/

Skills:

• Working knowledge of the Michigan Mental Health Code; MDHHS policy;
  Medicaid/PIHP requirements; SAMHSA…