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Mental Health Nurse Practitioner, Napa, CA

County of Napa

Nurse Practitioner

Napa, CA

May 30, 2019

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Mental Health Nurse Practitioner (EXTENDED)

An Equal Opportunity Employer


$62.35 - $75.09 Hourly $4,988.00 - $6,007.20 Biweekly $10,807.33 - $13,015.60 Monthly $129,688.00 - $156,187.20 Annually

OPENING DATE: 05/03/19
CLOSING DATE: 06/14/19
JOB TYPE: Full Time
Job Category: Mental Health
DEPARTMENT: Mental Health
LOCATION: Health and Human Services Agency - 2751 Napa Valley Corporate Dr, Napa, CA 94558



The Napa Valley - Internationally known for its fine wines, exciting restaurants and world-class resorts, is home to 140,000 residents who share a strong sense of community and a legacy of preserving and protecting our rich agricultural heritage.

Located in the heart of California's preeminent wine region, the Napa Valley is also part of the dynamic San Francisco Bay Metropolitan Area. With its sunny Mediterranean climate and proximity to the mountains and ocean, the Valley offers residents easy access to virtually unlimited shopping, dining, cultural and recreational opportunities.

The Napa Valley's strategic location, natural and cultural resources, history of responsible land use planning and attractive quality of life provide the ideal mix of small town living and big city amenities.


The County of Napa is a highly respected employer within the local community as well as throughout the region. We offer rewarding and challenging work, flexible hours, competitive salaries, a comprehensive benefits package and tremendous opportunities for career growth. At the County of Napa we truly value our employees and are committed to diversity in our family-oriented environment. This is why we are the Employer of Choice for more than 1,400 employees.

As an organization, the County is dedicated to improving the lives of our citizens and reflecting the best of the community's values: Respect, Accountability, Dedication, Integrity and Innovation.


Under the direction of the Psychiatric Medical Director, the Mental Health Nurse Practitioner provides psychiatric evaluation and medication management to individuals diagnosed with severe mental illness and coordinates care with services provided by various medical and mental health providers.



  1. Applications are due by 5:00 P.M. on Friday, June 14, 2019.
  2. Review and scoring of the Supplemental Questions will tentatively take place the week of June 17, 2019.
  3. Only the most qualified from the review of the job application and supplemental questions will participate in departmental interviews.
  4. Departmental Interviews will tentatively take place the week of July 1, 2019.

Only the most qualified candidates will be placed on the eligibility list and may be considered to fill this position.

Human Resources reserve the right to change the recruitment process and schedule at any time.


The following duties are typical for this classification. Incumbents may not perform all of the listed duties and/or may be required to perform additional or different duties from those set forth below to address business needs and changing business practices.

Obtain and accurately document relevant health history with an emphasis on mental health history; perform a comprehensive physical and psychiatric health assessment; analyze the relationship between normal physiology and specific system alterations associated with mental health problems, psychiatric disorders and treatment; identify and analyze factors that may be affecting the client's mental health such as genetics, family, environment, trauma, psychodynamics, culture & ethnicity, spiritual beliefs and practices, physiological processes, coping skills, cognition, developmental stage, socioeconomic status, gender and substance use; assess the impact of acute and/or chronic physical illness, psychiatric disorders and stressors on the family system; perform and accurately document appropriate systems and symptom-focused physical examinations; involve patients, significant others, and interdisciplinary team members in data collection and analysis; synthesize, prioritize and document relevant data in a retrievable form; order and interpret findings of relevant physical and mental diagnostic and laboratory tests; identify both typical and atypical presentations of psychiatric disorders and related health problems; differentiate psychiatric presentations of medical conditions from psychiatric disorders and arranges appropriate evaluation and follow-up; develop a differential diagnosis derived from the collection and synthesis of assessment data; differentiate between exacerbation and reoccurrence of a chronic psychiatric disorder and signs and symptoms of a new mental health problem or a new medical or psychiatric disorder; diagnose commonly occurring complications of mental health problems and psychiatric disorders, including physical health problems; evaluate the health impact of multiple life stressors and situational crises within the context of the family cycle; apply standardized taxonomy systems to the diagnosis of mental health problems and psychiatric disorders; evaluate potential abuse, neglect, and risk of danger to self and others; develop a treatment plan for mental health problems and psychiatric disorders based on bio-psychosocial theories, evidence-based standards of care and practice guidelines; treat acute and chronic psychiatric disorders and mental health problems; plan care to minimize the development of complications and promote function and quality of life using treatment modalities; under direction from a Physician, prescribe psychotropic and related medications based on clinical indicators of a patient's status to treat symptoms of psychiatric disorders and improve functional health status; recognize and accurately interpret the patient's implicit communication by listening to verbal cues and observing non-verbal behaviors; identify, measure and monitor clinical and related behavioral outcomes; make appropriate referrals to other health care professionals and community resources for individuals and families; provide anticipatory guidance to individuals and families to promote mental health and to prevent or reduce the risk of psychiatric disorders; order age appropriate tests and other procedures that provide data that contribute to the treatment plan; under direction from a Physician, prescribe pharmacologic agents for patients with mental health problems and psychiatric disorders; ensure patient safety through the appropriate prescription and management of pharmacologic and non-pharmacologic interventions; utilize interventions to promote mutual trust within therapeutic relationships; maintain a therapeutic relationship over time with individuals, groups and families to influence negotiated outcomes; conclude therapeutically the nurse-patient relationship and transitions the patient to other levels of care, when appropriate; monitor own emotional reaction and behavioral responses to others and uses this self-awareness to enhance the therapeutic relationship; use the therapeutic relationship to promote positive clinical outcomes; identify and maintain professional boundaries to preserve the integrity of the therapeutic process; teach patients and significant others about intended effects and potential adverse effects of treatment options; provide psychoeducation to individuals, families and groups to promote knowledge, understanding and effective management of mental health problems and psychiatric disorders; demonstrate sensitivity in addressing topics such as, but not limited to, sexuality, substance abuse, violence and risk-taking behaviors; collaborate as a member of the interdisciplinary mental health and other health care team(s) to provide best possible care to client; consult with health care providers and others to enhance quality and cost-effective services for patients and to effect change in organizational systems; coordinate referral and ongoing access to primary and other health care services for patients.



Practices used in clinical mental health settings.
Principles, techniques and procedures used in clinical mental health settings.
Multiple factors contributing to the occurrence of mental health illness.
Treatment plans used to assist a client in resolving his/her mental health issues.
Techniques used for the early detection of mental health issues.
Physiology of diseases, disabling conditions, mental illness and addiction.
Community and regulatory standards for the documentation of patient care.
Environmental, sociological, psychological, and physical conditions relevant to advanced mental health nursing.
Federal, State and local laws and regulations governing mental health practices.
Comprehensive multigenerational family assessment methodologies.
Comprehensive physical assessment methodologies to identify physical illness.
Physical and mental symptoms associated with abuse, neglect, and addiction.
Meaning associated with non-verbal communication signals.
Community prevention programs to help reduce the number of occurrences of mental illness.
Various psychotropic and related medications and the effects and side effects of the medications.
Microsoft Office products (Word, Excel, Power Point and Outlook) needed to complete required paperwork.


Perform physical examinations and health assessments.
Perform comprehensive mental health assessments.
Safely administer psychotropic and related medications.
Analyze and interpret findings resulting from histories taken, assessments and tests ordered and/or conducted.
Recognize deviations from normal findings and determine action needed.
Formulate appropriate nursing case management health care plans.
Work effectively with individuals and families to assist them in satisfactory resolution and/or management of mental health problems.
Teach mental and physical health care techniques to patients and families.
Refer patients as expediently as possible to appropriate resources.
Read, write and communicate in English.
Follow written and verbal directions.
Prepare and maintain clear, concise and complete records, reports and charts.
Carry out assigned tasks and meet specific deadlines.
Consult with physicians, other nurse practitioners and other members of the staff and with other agencies.
Follow established policies and procedures of the Mental Health Division.


Exercise independent judgment to plan, organize and carry out diagnostic and treatment activities.
Work effectively with individuals and families to assist them in satisfactory solution of mental and physical health problems.
Work independently or as part of a team.
Interact appropriately and respectfully with individuals and groups.
Demonstrate tact, diplomacy and compassion to individuals and groups.
Analyze situations accurately, make recommendations and take appropriate action.
Work cooperatively with health and other professions, the general public and outside agencies.
Develop and maintain effective relationships with clients, staff and community groups and organizations.
Work independently in the absence of close supervision.
Adapt quickly and appropriately to a variety of situations and personalities.
Demonstrate flexibility in adapting to changes in priorities, assignments and other interruptions, which may affect pre-established timelines and courses of action for completing projects and assignments.
Maintain control over own emotions while treating client and families.


Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying. A typical way to obtain the knowledge, skills and abilities would be:


Three years of mental health nursing experience in either a clinical or hospital setting or three years of nursing experience and two years of experience as a mental health clinician (e.g., Marriage and Family Therapist (MFT) or Licensed Clinical Social Worker (LCSW)).


Baccalaureate degree in Nursing and completion of a California State approved Psychiatric/Mental Health Nurse Practitioner program.

Required License or Certificate:

Possession of a valid license to practice as a Registered Nurse and certification as a Psychiatric/Mental Health Nurse Practitioner issued by the California Board of Registered Nursing.

Possession of a current Furnishing Number issued by the California Board of Registered Nursing.

Possession of a current Department of Drug Enforcement number to order Schedule II, III, IV, V drugs.

Possession of a valid California Driver's License is required.

*Any license, certification, or registration required for this position shall be maintained (i.e. active and in good standing) at all times during employment with Napa County. For continued employment with Napa County, you must maintain such license, certification, or registration to meet the minimum qualifications of this position.

ADA Accommodation

Applicants requiring accommodation during the application and/or selection process pursuant to the Americans with Disabilities (ADA) Act should contact County of Napa Human Resources at (707) 253-4303.

Napa County is an Equal Opportunity Employer.
1195 Third Street, Suite 110,
Napa, CA 94559

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