ARNP- Community Outreach Psychiatric

MultiCare Health System; United States; On-site; USD 172,000 - 183,000; Full time

Job summary

MultiCare Behavioral Health is seeking an experienced Family Nurse Practitioner to support the Greater Lakes HOST program, delivering field-based psychiatric care to adults with behavioral health and substance use challenges in Pierce County and the South Puget Sound region.

The role involves consultation, evaluation, medication management, and collaboration with PACT, ECS, outpatient psychiatry, and primary care teams.

Qualifications

• Meets WA licensure requirements by start of employment.
• Advanced practice with prescriptive authority in WA.
• PMHNP-BC certification (Across the Lifespan) or PMHCNS-BC eligibility/alternative.
• Current BLS certification for Health Care Providers.
• DEA/NPI and prescriptive authority requirements.
• Driving is an essential function and travel between sites is required.

Responsibilities

• Provides community outreach psychiatric services, including medication management and patient education.
• Collaborates with internal and external prescribers and clinical staff to ensure coordinated care.
• Possible community-based service delivery.
• Stays on-call when program staff require medical consultation.
• Maintains compliance with community prescribing standards.
• Supports flexible scheduling to meet patient needs.
• Provides case management support with team coordination.
• Coaches and de-escalates in crisis situations as needed.

Skills

Field-based care

Collaboration

Crisis intervention

Communication

Education

Advanced Registered Nurse Practitioner with prescriptive authority (WA)

PMHNP-BC certification (Across the Lifespan)

PMHCNS-BC certification

DEA/NPI + prescriptive authority

BLS certification (Health Care Provider)

Job description

Join a team that shares your calling At MultiCare, you’re more than just a job title — you’re part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you’ll find a place to grow, do meaningful work and build a career you love in a community that feels like home.

Additional Job Description MultiCare Behavioral Health is seeking an experienced and compassionate Family Nurse Practitioner to join our thriving and well-supported behavioral health team. This role will primarily support the Greater Lakes Homeless Outreach Stabilization and Transition (HOST) program, delivering field-based care to adults (ages 18–59) facing serious behavioral health and substance use challenges.

Greater Lakes Homeless Outreach Stabilization and Transition (HOST) program provides outreach-based treatment services to individuals with serious behavioral health challenges including substance use disorder (SUD). This multidisciplinary teams can provide SUD, medical, rehabilitative, and peer services in the field to individuals who lack consistent access to these vital services.

Why Join Us?

You’ll be part of a close-knit, collaborative team providing life-changing psychiatric services throughout Pierce County and the South Puget Sound region. Our mission is to restore hope and help individuals achieve their personal goals through accessible, high-quality care.

Position Highlights

• FTE: 0.8 (32 hours/week)
• Schedule: Monday–Friday, flexible daytime hours
• Location: Greater Lakes Main Building, Lakewood, WA (with community-based outreach)

Position Summary

Provides psychiatric services to members residing in the community enrolled in outreach services including, but not limited to, consultation, evaluation, medication management, and follow-up. Supports various clinical teams which could include PACT, IC SRP, ECS, outpatient psychiatry providers, clinicians, peer support specialists, collaborative care teams, primary care providers, allied support staff and others. Advises urgent care, emergency services, inpatient providers, primary care providers on appropriate medications, treatment strategies, educational support on diagnosing and managing behavioral health conditions.

Responsibilities

• Provides psychiatric services to clients enrolled in community outreach programs, including medication administration and monitoring as well as general nursing care and patient education.
• Collaborates with internal and external medication prescribers and other clinical staff to ensure effective patient care.
• Services could be provided in the community via outreach.
• Responsible for remaining on call if in the event program staff need to consult regarding medical treatment that may be needed for patients.
• Follows community standards for prescribing.
• Maintains a flexible schedule during scheduled shift depending on patient needs.
• Provides case management support to patient as needed in coordination with team members.
• Provides and receives effective consultation, internally and externally, to coordinate patient care effectively.
• Monitors quantitative measures, blood pressure, heart rate, AIMS testing, laboratory work, weight, as clinically appropriate.
• Assists other community outreach staff with general client care management throughout the shift as needed, including participating in crisis intervention and management of patient emergencies.
• Demonstrate effective de-escalation skills.

Requirements

• Meets state of Washington licensure requirements by the time of employment.
• Advanced Reg Nurse Practitioner with prescriptive authority license - Washington Department of Health.
• American Nurses Credentialing Center Board Certification as a Psychiatric-Mental Health Nurse Practitioner (Across the Lifespan) Certification (PMHNP-BC™) or if one of the following active certifications (available for renewal only).
• Adult Psychiatric-Mental Health Nurse Practitioner Certification (PMHNP-BC) Adult Psychiatric-Mental Health Clinical Nurse Specialist Certification (PMHCNS-BC) Child/Adolescent Psychiatric-Mental Health Clinical Nurse Specialist Certification (PMHCNS-BC)
• Current Health Care Provider level BLS certification such as American Heart Association or American Red Cross.
• DEA, NPI & prescriptive authority.
• Driving is an essential function of this position.
• The incumbent will routinely travel between clinic, community, patient, and business locations in the performance of assigned duties and may be required to operate a personal vehicle and/or agency-owned vehicle.
• A valid driver's license, current automobile insurance, and acceptable driving record in compliance with agency vehicle-use requirements are required.

About Greater Lakes Mental Health

Greater Lakes Mental Health is part of MultiCare’s Behavioral Health Network, serving more than 10,000 individuals across Pierce County each year. Providing mental health and substance use disorder treatment for adults, children and families with Medicaid coverage, Greater Lakes operates six convenient locations, including a 16-bed inpatient facility for voluntary and involuntary care. With experienced teams and robust training, caregivers help deliver recovery-oriented, trauma-informed care.

Why MultiCare?

Rooted in the local community Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years. Growth and education Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you. Well-being and support Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life. Living our values Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other. Belonging for all Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued. Pacific Northwest lifestyle Work and live where natural beauty, adventure and strong community connections are part of everyday life.

Pay and Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $171,600.00 - $183,000.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align. Associated benefit information can be viewed here. MultiCare is a not-for-profit health care organization with more than 28,000 team members, including employees, providers and volunteers. MultiCare has been caring for our community for well over a century, since the founding of Tacoma’s first hospital and today is the largest community-based, locally governed system of health in the state of Washington, serving communities across Washington and Northern Idaho. MultiCare’s comprehensive system of health includes numerous primary care, urgent care and specialty services — including Mary Bridge Children’s Hospital & Health Network; MultiCare Indigo Urgent Care; Pulse Heart Institute; MultiCare Medical Associates, affiliated physicians; MultiCare Rockwood Clinic, the largest multispecialty clinic in the Inland Northwest region; and MultiCare Connected Care, our Accountable Care Organization. Thirteen hospitals complete the organization: Allenmore Hospital, Auburn Medical Center, Capital Medical Center, Covington Medical Center, Deaconess Hospital, Good Samaritan Hospital, Mary Bridge Children’s Hospital — the Puget Sound region’s only children’s hospital and state-designated Level II Pediatric Trauma Center for Western Washington — Overlake Medical Center, Navos Behavioral Health Hospital, Valley Hospital, Yakima Valley Hospital, Tacoma General Hospital — which is home to the South Puget Sound region’s only Level IV Neonatal Intensive Care Unit — and Wellfound Behavioral Health Hospital. Our core values of Respect, Integrity, Stewardship, Excellence, Collaboration, Kindness and Joy, serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other. MultiCare is also proud of our commitment to workforce diversity and culturally competent care. This commitment is led by our CEO and supported through employee education and community outreach.

Equal Employment Opportunity

MultiCare provides equal employment opportunity to all employees and job applicants. We do not tolerate discrimination or harassment based on race, color, religion, age, sex, national origin, disability status, genetic information, protected veteran status, sexual orientation, gender identity or expression or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Accommodation for External Applicants

If you are an external job applicant who requires reasonable accommodation in the job application process, please contact the Employee Resource Center (ERC) at 253-403-6947 and we will assist you with submitting a ticket to initiate your request for accommodation. If you are a current employee, you can submit an ERC ticket or call the ERC for assistance.