Port Gamble S'Klallam Tribe logo
Port Gamble S'Klallam Tribe
Kingston, Washington

Psychiatric Mental Health Nurse Practitioner

Nurse PractitionerFull-Time Full Practice Authority

Listed compensation

$121k-$187k

Listing transparency2 of 6 stated

Ask the employer about the work setting, call expectations and weekend coverage.

Employment & setting
Full-Time
Call expectations
Not specified
Weekends
Not specified
Posted 2h ago · Verified live

Job Description

Job Details: Job Location: Port Gamble S'Klallam Tribe - Kingston, WA, Position Type: Full Time - 30 - 40 hrs/week, Education Level: Certification - Required, Salary Range: $120784.00 - $187215.00Salary/year, Travel Percentage: Occasional travel to trainings, The PMHNP is a part of the Integrated Clinical Care Team.

They will diagnose, conduct, and prescribe medications for patients having psychiatric-mental health problems and those likely to have them. The psychiatric mental health nurse practitioner is responsible for providing psychiatric services and physical and psychosocial examination of their patients.

Their role also includes developing appropriate treatment plans and providing effective management of patient care with proper evaluation.

They may also function as educators and consultants to staff, families, and groups and participate in developing policies and healthcare reforms, improving service quality, and evaluating practice.

Duties

Include: Clinical duties: Provides crisis intervention as needed, including safety planning, relapse prevention planning, referral to community resources, and same-day evaluation and possible stabilization.

Responsible for providing outpatient care to patients showing a change or decline in mental status, chronic or urgent medical conditions.

Take part in an interdisciplinary team that provides primary care to employees and patients Conduct initial evaluations and collaboratively develop treatment plans for medication, therapy, or a combination of both with patients.

Proactively follow up with patients at least monthly to assess the efficacy of recommended interventions and ongoing care until treatment goals are achieved. Utilize a combined medication and therapy approach. Must be comfortable providing various modalities of talk therapy and incorporating behavioral interventions.

Collect and document patients’ relevant health history, risk factor assessment, ordering of therapeutic and diagnostic tests; and attend consultations and appointments. Prescribe medications following the clinic’s policy, formulary, and relevant regulations.

Consult with physicians on cases that are beyond the scope of qualification of PMHNP Enter all relevant patient data in medical records and case presentations.

Formulate, execute, and review healthcare education delivered to patients and families for disease prevention Ensure smooth communication with other health professionals to effectively deliver patients high-quality, collaborative care.

Consult with the clinic’s medical and behavioral health staff to help improve patient service delivery. Practices in an independent role while consulting and collaborating with department staff and community partners.

Presents client cases in regularly scheduled case staffing meetings to discuss status, updates, collaboration, referral, deposition, consultation, and recommendations.

Participates in professional development and maintains required licensure and certification Policy Oversight/Development: Provide leadership and direction in developing or modifying policies and procedures. Communicate changes to staff and monitor compliance.

Monitors and implements quality assurance reviews and improvements. Ensure that all assigned services are compliant with all PCHS policies, procedures and guidelines, as well as applicable federal, state and local laws and regulations.

Community Development: Supports Tribal community development efforts by participating in special events and other efforts, applying professional knowledge and skills.

Personal Contacts: Maintains regular contacts of a positive nature with patients, patients' families, staff, community members, Tribal staff, various outside agencies, and others to accomplish program objectives and preserve good public relations.

Reporting is mandatory for tribal employees and contractors with the tribe who perform services to the community in the areas of education, health and human services, law enforcement and members of the clergy. Remote Work: This position is eligible for situational remote work as needed.

The schedule must be discussed with and approved by supervisor and director and may be subject to change depending on role and department need. Other Duties as Assigned. Education and Certifications: Master's or Doctoral Degree in Nursing. Board-Certified Psychiatric Mental Health Nurse Practitioner.

Licensed to provide services (ARNP and RN) in Washington state, for adults and children. 3 years’ experience providing services as a Psychiatric Mental Health Nurse Practitioner. BLS/CPR and AED certifications.

WA State driver’s license is required Experience: Experience working within American Indian and/or Alaska Native communities preferred. Physical Requirements: Regularly required to finger, handle, reach with hands and arms Frequently required to walk, sit, stand. Occasionally required to lift and move up to 25 pounds.

Normal audio and visual acuity Moderate physical activity. Requires handling of average-weight objects up to 25 pounds or standing and/or walking for more than four (4) hours per day.

Work environment involves exposure to potentially dangerous materials and situations that require following extensive safety precautions and may include the use of protective equipment. Will work with blood or blood-borne pathogens and will require applicable training. Travel Requirements: Local, Statewide, and out-of-state travel may be required.

Qualifications

Key Responsibilities

The PMHNP will diagnose, treat, and prescribe medications for patients while developing comprehensive treatment plans within an integrated clinical care team. They are also responsible for providing crisis intervention, conducting patient evaluations, and collaborating with staff to improve service quality and policy development.

Requirements

Candidates must hold a Master's or Doctoral degree in Nursing and be a Board-Certified Psychiatric Mental Health Nurse Practitioner. A minimum of 3 years of experience in the field and active Washington state licensure (ARNP and RN) are required.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
2+ years of experience

Certifications

Board Certification

Key Skills

Psychiatric assessmentMedication managementTreatment planningPatient educationDiagnostic testingInterdisciplinary collaborationElectronic health records

Psychiatry — Nurse Practitioner Career Context

Of the 50 active Psychiatry listings this role was benchmarked against, 40% are remote, 48% have no call, 76% require no weekends.

Psychiatry pay on WeekdayDoc is down 1.5% vs. the prior quarter (through Aug 2026).

The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$154k midpoint carries the purchasing power of roughly $144k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$154k midpoint, that is roughly $6k–$11k a year versus a typical 4–7% state rate.

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Annual compensation range

Benefits & Perks38 jobs · 34 employers

401k / retirement match
89%
CME allowance
71%
Sign-on bonus
32%
Loan repayment
18%
Relocation assistance
16%

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Work-life snapshot

3.0/ 10
Listing-based score

Living in Kingston

Typical 3-bedroom home value
$646k
Typical market rent
$2,667/mo
Residents’ average commute
31 min
Metro price indexU.S. average = 100
105.6
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Bremerton-Silverdale-Port Orchard, WA metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

Port Gamble S'Klallam Tribe logo

About Port Gamble S'Klallam Tribe

Government Administration
Kingston, WA
51-200 employees

Benefits & Perks

Independent Practice Authority
Situational remote work eligible