Psychiatric ARNP


The Psychiatric Nurse Practitioner performs psychiatric assessments and medication management for BHR clients, with available consultation/supervision from a psychiatrist.

RESPONSIBLE TO:  Director of Medical Services


  • As defined by WAC 275-56-175, a Psychiatric Nurse Practitioner must be an Advanced Registered Nurse Practitioner as currently licensed in Washington State with prescriptive authority and must possess a minimum of two years experience in the treatment of the mentally ill.
  • Maintain current DEA license and necessary certificates/working agreements for prescribing schedule II-V drugs.


  • Depending on program to which assigned, provide diagnostic/psychiatric assessments on adults and/or children.
  • Provide services at BHR locations, which may include BHR residential programs, the CSTU, and BHR offices in Thurston, Mason or Grays Harbor Counties.
  • Prescribe medications for BHR clients, as adjusting dosage clinically indicated.
  • Provide consultation with CSTU staff regarding medication management for clinicians clients staying there.
  • Order labs, EKG?s, sleep studies, specialist referrals and medically indicated.
  • Utilize BHR?s e-prescribing program for ordering/reordering client medications as needed.
  • Perform routine side effects monitoring on assigned clients to include periodic weight, blood pressure, and pulse checks, AIMS assessments.
  • Review clients overall adjustments in terms of activities of daily living and ability to cope with life situations at the time of scheduled medication review.
  • Administer injectable medication as ordered.
  • Meet weekly with CMO for clinical/administrative supervision/consultations.
  • Consult with psychiatrist(s) weekly to discuss client care and receive supervision.
  • Meet with psychiatric nurses and medical assistants regularly to review treatment of individual clients and offer consultation.
  • May act as co-facilitator of client medication groups that offer psycho-education regarding medications.
  • Respond to phone calls from clients, family members and significant others regarding medical needs as appropriate.
  • Maintain accurate electronic health records in accordance with agency, department, WAC, Title XIX, and other funding and regulatory requirements.
  • Be available for consultation with other BHR staff (e.g. therapists/case managers) to discuss medication needs of their clients.
  • Participate in agency staff and inservice meetings.
  • Participate in medical staff program meetings.
  • Arrange transfer of clients medications to other providers as needed.
  • As allowed by law, communicate with other treatment providers(e.g. hospital ER?s, PCP?s) about client medications.
  • Meet medical department productivity expectations of 62.5% billable face-to-face time.
  • Be familiar with current billing and insurance regulations and fulfill those requirements.
  • Maintain current professional training relevant to job setting, clinical responsibilities, program needs and license requirements.
  • Other duties as negotiated.