Psychiatric Mental Health Nurse Practitioner - Nursing Home

Xpress Wellness and Integrity · Highland Park, TX Full Time

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Job Description

Position Summary: Responsible for providing behavioral health services to residents of residential, skilled, group and other long-term care facilities. Duties and Responsibilities: Performs initial psychiatric evaluation for patients referred for behavioral health services by Primary Care Physician. Provides routine follow up visits to patients referred and evaluated for behavioral health consultation services. Monitor efficacy, tolerability, and continued necessity of medication treatment(s). Monitor and measure progress of any behavioral interventions, as indicated. Provide documentation for initial and follow up visits as outlined by State and federal guidelines. Provide documentation for initial and follow up visits as outlined by state and federal guidelines. Discuss patients identified as being in need of additional specialty mental health care (e.g., community mental health center, day hospital or inpatient level of care, etc.) with Director of Nursing "DON" or their designee, providing clinical direction regarding treatment interventions indicated until patients are engaged in such care. When staff request psychiatric intervention for a patient (when unable to evaluate in person) clearly communicate to the Director of Nursing or their designee the treatment recommendations and/or related medication orders. Provide oversight on federally mandated psychotropic reduction trials as allowed by facility guidelines. Seeks consultation as indicated. Ability to synthesize medical and psychiatric data formulate effective and evidence based clinical recommendations. Demonstrated ability to collaborate effectively in a team setting. Complete documentation in a timely fashion, for inclusion in the facility record system. Manages special projects and duties assigned. Qualifications: Education: Degree from accredited Nurse Practitioner or Physician Assistant program. Experience: Board Certified Psychiatric Mental Health Nurse Practitioner, Physician Assistant, Experienced FNP, AGNP Skills: Understanding of medical coding and billing. Knowledge of state and federal regulations including OSHA, HIPAA, blood borne pathogens and others. Competent with common PC applications including Internet, Email and Microsoft Office. Ability to supervise, train and evaluate new and current provider staff. Demonstrate ability to collaborate effectively in a team setting. Excellent communication skills. Positive, flexible and solution-focused attitude. Working Conditions: Subject to varying and unpredictable situations and interruptions. Occasionally subjected to irregular hours. Occasional pressure due to the fast paced environment. Available to travel as required for provision of services.

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Support roles in senior living — housekeeping, maintenance, activities, and social work — are far more resident-facing than similar positions in other industries. Housekeepers and maintenance staff interact with residents in their personal living spaces daily, which requires discretion, patience, and genuine respect for the people who live there. In Texas, even non-clinical staff must complete facility-specific training on topics like abuse prevention, infection control, and emergency procedures.

Activities coordinators and social workers play a direct role in resident well-being — isolation and depression are significant concerns in senior living, and programming that keeps residents socially engaged has measurable health outcomes. Maintenance staff in senior care need to understand life-safety systems (fire alarms, emergency generators, call systems) and are often the first responders for building emergencies. Background checks are required for all positions, and many facilities prefer candidates who have previous experience working with older adults.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the DFW area.

For housekeeping roles, the day follows a room-by-room schedule — cleaning resident rooms, sanitizing common areas, managing laundry, and responding to spill or accident cleanups as they happen. Infection control protocols are more rigorous than in hotels or commercial cleaning, especially during flu season or respiratory illness outbreaks.

Maintenance staff handle a daily work order queue — everything from changing light bulbs and fixing call buttons to HVAC maintenance and plumbing repairs. Life-safety equipment checks (fire extinguishers, exit lighting, generator testing) happen on set schedules. Activities professionals plan and lead group programming — exercise classes, crafts, music sessions, outings — and also provide one-on-one engagement for residents who cannot participate in group settings. Social workers manage care conferences, discharge planning, family mediation, and community resource referrals. Across all these roles, the common thread is that you become a familiar, trusted presence in residents' daily lives.

DFW Area Salary Data

According to the Bureau of Labor Statistics, Home Health and Personal Care Aide positions in the DFW metroplex area earn a median wage of $12.93/hr ($26,894/yr). The typical range is $11.12 – $14.51/hr (25th–75th percentile).

Entry Level (10th) $22,381/yr

DFW Median $26,894/yr

Experienced (90th) $36,005/yr

vs. National Median -24.9%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Dallas-Fort Worth-Arlington, TX Metro Area). Salary data provided by DFW Senior Living Guide.