Psychiatric Nurse Practitioner

Job Title : Psychiatric Nurse Practitioner

Salary : $150,000 (at 40 hrs / week)

Hours : 16-24 hrs / week

In Person Expectation : At least 2x 8 hour days / week in person

FSLA Status : Exempt

Primary Location : Lyon-Martin Community Health Services

Address : 1735 Mission Street San Francisco, CA 94103

Reports To : Supervising Psychiatrist

Organization Mission

The mission of Lyon-Martin Community Health Services is to provide high quality, compassionate and trauma-informed medical, gynecological, and mental health care services to trans, non-binary, gender non-conforming, and intersex communities and cis-gender women with specific sensitivity to LGBQA+ sexual orientation, disability, size, race, ethnicity, and language, regardless of immigration status or ability to pay.

We aim to eliminate health inequities for our communities by rooting our clinical practice in core foundational intersectional frameworks of anti-racism, self-determination, harm reduction, and reproductive and disability justice.

As a community clinic, we believe our communities are best served by and for us; that's why community outreach, engagement, and leadership development are central to our mission of community care and mutual aid.

Lastly, we commit to increasing access to culturally responsive care beyond our walls through provider training and education, and policy advocacy.

Job Summary

The Psychiatric Nurse Practitioner (Psych NP) is primarily responsible for providing clinically appropriate psychiatric care services to Lyon-Martin clients with a wide array of psychiatric needs, including psychiatric medication management, substance use disorder treatment, crisis intervention, de-escalation and safety planning, and leveraging appropriate internal / external referrals.

The Psych NP is expected to maintain a high degree of professional competence, the highest possible ethical standards, and to work collaboratively as part of an integrated health care team.

This position may be required to work some evenings.

Key Responsibilities

Clinical Care Responsibilities

• Under the supervision of the Supervising Psychiatrist, evaluates, diagnoses, and treats mental health and psychiatric conditions within individual patient sessions.
• Takes thorough medical and psychosocial histories, differential diagnosis, orders and interprets lab tests and diagnostics studies when needed.
• Provides specialized substance use disorder treatment to those with complex psychiatric needs.
• Work collaboratively as part of an interdisciplinary team to coordinate and integrate services for clients with complex psychiatric needs.
• Demonstrates strong clinical knowledge of and commitment to healthcare for trans, gender non-conforming and intersex people, LGBQA+ communities, cis-gender women, and Black and Brown communities.
• Provides back-up crisis intervention support during clinic hours of operation, monitoring the crisis triage Team chat, responding quickly and intervening with in mental health emergencies or high emotional distress during clinic, de-escalating, doing safety planning with clients presenting with suicidality, as appropriate.
• Utilizes Mobile Crisis, Dore Urgent Care as appropriate.
• Provides psychiatric consultation and clinical trainings to other providers and staff as needed.
• Provides consultation support to on-call providers for After Hours crisis calls for clients who are in extreme mental distress including those experiencing suicidality or potentially using lethal drugs alone.
• Uses a harm reduction model and links clients into complimentary care including but not limited to therapy, case management, group support, pain management, Traditional Chinese Medicine, Physical Therapy, or higher levels of care as appropriate.
• Provide short-term counseling / psychotherapy to those engaged in psych care and waiting to access a long-term therapist or higher levels of care.
• Work with the Mental Health Care Coordinator to ensure coordination of referrals to inpatient, residential, or intensive outpatient care facilities in-network with insurance whenever possible are successful and efficient.

Performance and Quality Improvement Responsibilities :

• Meets benchmarks for applicable visit numbers and quality indicators as assigned (expectation is 7 scheduled visits per half day unless longer appointments are needed for full evaluation / intake).
• Documents visit notes and client interaction in an accurate, detailed, and timely manner (ideally same day, maximum within 72 hours).

Responds to in basket tasks within 72 hours (urgent ones same day).

• Maintains appropriate boundaries with clients, especially when experiencing transference and countertransference.
• Follows through on commitments with clients and colleagues.
• Attends and participates in weekly team meetings, weekly one-on-one supervision meetings with Supervising Psychiatrist, monthly Collaborative Care meetings, and monthly All Staff meetings.
• Maintains at least two 8 hour in-person clinical days per week to accommodate clients who do not have access to the technology required for phone or telehealth appointments.
• Meets benchmarks for all contract and grant deliverables.
• Strong initiative and enthusiasm and willingness to pitch in whenever needed.
• Gets along with colleagues, assists in continuous quality improvement through on-going problem / needs identification and problem solving and, as requested, acts as a champion of change and a leader for improvement activities.
• Adheres to Lyon-Martin Policies & Procedures and all applicable regulatory entities.

Competencies :

• Mission-driven : demonstrates commitment to mission of the organization, queer, intersex and trans health, and community-driven primary care.
• Teamwork : reaches out to peers and cooperates with supervisors to establish an overall collaborative working relationship;
• treats everyone with dignity regardless of their level or background. Accountable to team; participates effectively in group- and team-work;

collaborates positively with other team members; giving and accepting constructive criticism.

Communication : Delivers written communications that have clarity and impact including emails. Effective listener; clearly and thoughtfully communicates with others in person and on the phone.

Strives to understand the viewpoints of others. Maintains professionalism in all communications. Asks for support when needed.

• Reliability : Accountable; maintains focus; punctual; good attendance record; meets deadlines.
• Customer Service : Persists in efforts to solve issues even when faced with internal barriers; accountable to outcomes;

responds quickly and effectively to requests for assistance and support whether internal or external; asks questions when unsure of the answer.

• Computer Literacy : Skilled computer-based work tasks; uses technology to enhance job performance. MS Office, Excel, Word and / or Powerpoint.
• Tolerance for Stress, Ambiguity, and Change : Maintains composure while under pressure; handles complex problems and change with grace;

demonstrates flexibility and versatility in achieving key goals and priorities.

• Attention to Detail : Strives to eliminate errors; makes accurate work a priority; seeks opportunities to improve performance.
• Decision Making : Collects, organizes, and analyzes information before making decisions. Takes a thoughtful approach when considering options;

may seek supervision and / or input from others.

Integrity and Ethics : Actively models the highest ethical standards; is honest and accountable; maintains confidentiality and appropriate boundaries at all times;

handles sensitive information and issues with discretion and tact.

Presentation Skills : Adapts presentation techniques to fit audience level and technical needs; develops and delivers communications that have clarity and impact;

conveys confidence, presence, and professionalism; uses appropriate visual aids to illustrate key points and enhance learning.

• Accountability : Makes and meets commitments; accepts responsibility for behavior and outcomes.
• Follow Through : Monitors status of projects and tasks; thoroughly deals with project details; delivers clear, accurate depiction of status.
• Cultural Humility and Sensitivity : Ability to work with a diverse population while withholding judgment. Willingly open to learn and understand different perspectives.
• Intelligence : learns quickly; demonstrates ability to proficiently understand and absorb new information
• Creativity / innovation : generates new and innovative approaches to problems.
• Enthusiasm : exhibits passion and excitement over work; has a can-do attitude
• Work ethic : possesses a strong willingness to work hard to get the job done.

Education, Knowledge, Skills :

• Graduation from an accredited Psychiatric Nursing school.
• Licensed in California as a Psych NP.
• At least 2 years of experience safety planning with clients who are actively suicidal.
• At least 2 years of experience providing nursing care in a community clinic setting.
• Extensive knowledge of Bay Area mental health resources.
• Excellent de-escalation and non-violent communication skills.
• Experience mediating using a restorative justice lens.
• Experience counseling those with substance use disorder using a harm reduction approach, especially with clients actively using drugs.
• Culturally sensitive / humble and able to work with a diverse population.
• Strong proficiency with Microsoft Office applications, specifically Word, Outlook, internet applications, zoom, computer technology, and phone use
• Experience working with lesbian, bisexual, transgender, gender non-conforming, non-binary, and intersex communities.
• Experience working with populations with varying disabilities, racial, ethnic and cultural backgrounds and economic statuses.
• Experience working with people who do sex work, those experiencing homelessness, people who have challenges with severe mental illness, people who use drugs, those of with a history of incarceration, people of varying ages.
• An interest in and commitment to accessible gender affirming health care, abortion and primary care for marginalized populations.

Desired :

• Bilingual Spanish / English fluency; other bilingual or multilingual fluency
• Experience using Epic
22 hours ago