Comprehensive Care Nurse Practitioner II

Immediate vacancy is for the Comprehensive Care Nurse Practitioner II (CCNP II) - Psychiatric Mental Health Nurse Practitioner (PMHNP) however future vacancies may be for the CCNP II - Medical Services; thus qualified candidates are encouraged to apply

The CCNP II -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.

• Independently evaluating and managing inmates with complex psychiatric presentations including SMI dual-diagnosis and high-risk populations.
• Providing advanced medication management and treatment planning for patients with chronic and treatment-resistant psychiatric disorders.
• Leading psychiatric case reviews and participate in multidisciplinary care coordination meetings.
• Serving as a clinical resource and mentor to nursing staff new providers and trainees.
• Supporting continuity of care and discharge planning for inmates transitioning to community treatment services.
• Providing consultation regarding psychiatric treatment suicide prevention crisis intervention and behavioral management strategies.
• Assisting with development and implementation of clinical protocols evidence-based practices and quality improvement initiatives.
• Collaborating with psychiatrists and leadership regarding program development operational needs and system-wide mental health initiatives.
• Participating in peer review and performance improvement activities

The CCNP II - Medical Services (MS) position provides advanced primary and urgent medical care to incarcerated adults within the Orange County Jail system. The CCNP II - MS delivers chronic disease management performs urgent care procedures conducts diagnostic testing completes physical examinations and provides Medication-Assisted Treatment (MAT) for individuals with substance use disorders (SUD). Services are delivered in collaboration with onsite physicians registered nurses mental health providers and custody personnel to ensure comprehensive and coordinated patient care.

The ideal candidate for the CCNP II - MS position will have the ability to initiate and manage medications for opioid use disorder and treat STIs (sexually transmitted infections) HIV and Hepatitis C. The candidate will be able to perform common primary care procedures. They will be mission-driven to serve marginalized population including individuals with severe mental illness substance use disorders and those experiencing homelessness.

• 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 student as needed
• Providing MAT to SUD patients
• Providing the full spectrum of health care services including health promotion disease prevention health protection disease management (including HIV) urgent care services
• Using advanced health assessment skills to differentiate between normal and abnormal findings
• Prescribing medications within scope of practice
• Directing and establishing clear directions to nursing staff for continuity of care

• 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
• Relaying essential medical information efficiently to 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 of 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