Comprehensive Care Nurse Practitioner I

The Comprehensive Care Nurse Practitioner I (CCNP I) - Psychiatric Mental Health Nurse Practitioner (PMHNP) position provides psychiatric assessment diagnosis treatment medication management crisis intervention and ongoing mental health care to incarcerated adults within the Orange County Jail system. Services are delivered in collaboration with psychiatrists nursing staff psychologists therapists social workers and custody personnel.

• Conduct psychiatric evaluations and mental status examinations.
• Assess and treat inmates with acute and chronic mental illness including serious mental illness (SMI) co-occurring disorders and substance use disorders.
• Prescribe monitor and adjust psychotropic medications pursuant to established protocols and scope of practice.
• Respond to urgent psychiatric concerns including suicide risk self-harm behaviors decompensation and psychiatric emergencies.
• Provide patient education regarding diagnoses medications and treatment recommendations.
• Participate in multidisciplinary treatment planning and case conferences.
• Coordinate care with psychiatrists nursing staff behavioral health clinicians and custody personnel.
• Maintain timely and accurate documentation within the electronic health record.
• Rotate through assigned correctional facilities and specialty housing units as needed.
• Participate in quality improvement peer review and ongoing professional development activities.

• Performing psychiatric assessments including interviewing patients to obtain complete medical histories as well as ordering interpreting and evaluating diagnostic tests and examinations
• Establishing and documenting treatment plans and prognosis maintaining records of each case that are detailed and complete for any psychiatrist/physician reviewing to evaluate the plans effectiveness
• Following standardized protocol in initiating drug therapy taking responsibility for appropriate dosage indications contradictions and side effects
• Assuming preceptorship and other supervision responsibilities for Nurse Practitioner Psychiatric Mental Health nursing students as needed

• Creating a climate of patient-centered care to include confidentiality privacy comfort emotional support mutual trust and respect
• Providing genuine and compassionate nursing care towards incarcerated clients
• Applying ethically sound solutions to complex issues related to mentally ill clients
• Relaying essential medical information efficiently to mental health staff for clients continuity of care
• Work collaboratively with other CHS staff and processes including OC Sheriff personnel

• Working effectively in a changing and stressful environment and adjusting as necessary
• Reducing jail-related liability risks by being compliant with Federal and State laws and mandated standards
• Being aware of any environmental hazards while working inside the facility
• Being alert and aware of personal safety and security while providing care and/or treatment to unstable or unpredictable clients

• Applicants must NOT have felony convictions or be on any form of probation
• Must be able to pass and maintain background investigation to the satisfaction of the Orange County Sheriff-Coroner. Background screening includes: completing a Personal History Form interview with a background investigator fingerprinting and may include a polygraph test. Some of the areas considered in the background screening include prior convictions traffic violations drug use and credit problems employment history professional references and education verification (i.e. degree license or official transcripts. Foreign degrees require an evaluation of U.S. equivalency by an agency that is a member of the National Association of Credential Services (N.A.C.E.S.)
• The Correctional facilities are a 24-hour 7 day a week facility incumbents must be able to work on weekends evenings or night shift and holidays