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Psychiatric Nurse Practitioner

Little Shell Tribe of Chippewa Indians of Montana
Great Falls, MT Full Time
POSTED ON 10/16/2026
AVAILABLE BEFORE 2/13/2027

Position Summary

The Psychiatric Nurse Practitioner (PMHNP) provides comprehensive mental health assessment, diagnosis, treatment, medication management, and follow-up care for patients across the lifespan. The PMHNP collaborates with physicians, therapists, social workers, case managers, and other healthcare professionals to promote optimal mental health outcomes. This position supports integrated behavioral health services and delivers culturally sensitive, Customer-Owner care consistent with tribal values, organizational policies, and professional standards.

Essential Duties and Responsibilities

Clinical Services

  • Conduct comprehensive psychiatric evaluations and mental health assessments.
  • Diagnose psychiatric, emotional, behavioral, and substance use disorders.
  • Develop individualized treatment plans based on patient needs.
  • Prescribe, monitor, and manage psychotropic medications in accordance with state and federal regulations.
  • Provide medication education, counseling, and follow-up care.
  • Monitor patient response to treatment and adjust plans as necessary.
  • Assess and manage psychiatric emergencies, including crisis intervention and suicide risk assessments.
  • Order and interpret diagnostic and laboratory tests as appropriate.
  • Coordinate patient care with primary care providers and behavioral health professionals.

Patient Care and Case Management

  • Maintain accurate and timely documentation in the electronic health record.
  • Participate in treatment team meetings and case consultations.
  • Refer patients to specialty services, community resources, and support programs as appropriate.
  • Promote preventative mental health practices and patient wellness.
  • Educate Customer-Owners and families regarding diagnoses, treatment options, medications, and recovery strategies.

Compliance and Quality Assurance

  • Adhere to all applicable federal, state, tribal, and organizational regulations.
  • Maintain patient confidentiality in accordance with HIPAA requirements.
  • Participate in quality improvement initiatives and accreditation activities.
  • Maintain current licensure, certifications, and continuing education requirements.

Community and Tribal Engagement

  • Provide culturally competent care that respects tribal customs, traditions, and values.
  • Participate in community outreach, educational programs, and health promotion activities.
  • Support organizational efforts to reduce behavioral health disparities in tribal communities.

Required Qualifications

Education

  • Master's Degree or Doctor of Nursing Practice (DNP) in Psychiatric Mental Health Nursing from an accredited program.

Licensure and Certification

  • Current Registered Nurse (RN) license in the State of Montana or ability to obtain.
  • Current Advanced Practice Registered Nurse (APRN) license.
  • Board Certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC).
  • Current DEA registration or ability to obtain.
  • Current Basic Life Support (BLS) certification.
  • Current CPR certification

Experience

  • Minimum two (2) years of psychiatric or behavioral health experience preferred.
  • Experience working with Native American or Tribal populations preferred.
  • Experience in outpatient mental health, integrated healthcare, or community health settings preferred.

Knowledge, Skills, and Abilities

  • Knowledge of psychiatric diagnoses, medications, and treatment modalities.
  • Knowledge of crisis intervention and risk assessment principles.
  • Ability to prescribe and manage psychiatric medications safely and effectively.
  • Strong clinical assessment and diagnostic skills.
  • Excellent interpersonal, communication, and counseling skills.
  • Ability to work effectively with diverse populations.
  • Knowledge of trauma-informed care principles.
  • Proficiency with electronic health records and standard office software.
  • Ability to maintain professional boundaries and confidentiality.

Physical Requirements

  • Ability to sit, stand, walk, and move throughout the clinic setting.
  • Ability to communicate effectively in person and by telephone.
  • Ability to occasionally lift up to 25 pounds.
  • Ability to respond to crisis situations and medical emergencies.

Work Environment

  • Clinical and office setting.
  • Frequent interaction with Customer-Owners experiencing acute and chronic mental health conditions.
  • Potential exposure to emotionally challenging situations and crisis intervention scenarios.

Preferred Qualifications

  • Experience in tribal health, rural healthcare, or Indian Health Service facilities.
  • Knowledge of historical trauma and culturally responsive behavioral health practices.
  • Experience treating children, adolescents, adults, and geriatric populations.

MAT (Medication-Assisted Treatment) experience preferred

Pay: From $128,000.00 per year

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Paid time off
  • Professional development assistance
  • Vision insurance

Ability to Commute:

  • Great Falls, MT 59404 (Required)

Work Location: In person

Salary : $128,000

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