Jamestown Sklallam Tribe logo
Jamestown Sklallam Tribe
Sequim, Washington

JSS Psychiatric Mental Health Nurse Practitioner (PMHNP)

Nurse PractitionerIncludes callIncludes weekendsFull-Time Full Practice Authority

Listed compensation

$138k-$193k

The week · per this posting · Thursday – Sunday

Ask the employer about nights and shift pattern, benefits and time off.

Posted 51m ago · Verified live

Job Description

  • Job Location: Jamestown Salish Seasons - Sequim, WA
  • Position Type: Full Time
  • Salary Range: $137954.00 - $193135.00Salary

Jamestown Salish Seasons (JSS) is seeking a compassionate and experienced Psychiatric Mental Health Nurse Practitioner (PMHNP) to join our multidisciplinary team at our 16-bed voluntary residential Evaluation & Treatment (E&T) facility.

Our program provides 24/7 crisis stabilization and inpatient behavioral health services for individuals experiencing acute mental health needs.

As our PMHNP, you will play a vital role in evaluating patients, prescribing and managing psychiatric medications, determining medical necessity for treatment, reviewing referrals, and making admission decisions.

You'll work alongside an interdisciplinary team dedicated to delivering high-quality, culturally responsive care that supports recovery and long-term wellness.

Schedule Thursday-Sunday - 7AM - 5PM What You'll Do Psychiatric Evaluation & Treatment Conduct comprehensive psychiatric evaluations, diagnostic assessments, and intake screenings. Determine medical necessity for admission, continued stay, or discharge.

Develop individualized treatment plans in collaboration with the interdisciplinary team. Provide crisis stabilization services for individuals experiencing acute psychiatric or behavioral health crises.

Medication Management Prescribe, monitor, and adjust psychotropic medications, including antipsychotics, antidepressants, anxiolytics, and mood stabilizers. Ensure safe, evidence-based medication practices in accordance with state and federal regulations. Monitor medication effectiveness, side effects, and adherence.

Collaborate with nursing staff to ensure accurate medication administration and documentation. Clinical Decision Making & Care Coordination Serve as the primary clinical decision-maker for psychiatric care within scope of practice.

Collaborate with the Associate Medical Director, nursing staff, therapists, and other clinical team members to support positive patient outcomes. Participate in interdisciplinary treatment team meetings, case reviews, and care coordination activities.

Provide clinical guidance during urgent or emergent situations as appropriate. Admission & Referral Determinations Review referrals and clinical documentation to determine patient eligibility and appropriateness for admission.

Make final decisions regarding patient acceptance or redirection to alternative levels of care. Coordinate with referral sources, community partners, and internal staff to support smooth transitions.

Compliance & Quality Assurance Ensure clinical practice complies with all applicable local, state, and federal regulations, including RCW, WAC, HIPAA, and 42 CFR Part 2. Maintain accurate, timely, and complete clinical documentation in the electronic health record (EHR).

Participate in quality assurance and performance improvement (QA/PI) activities. Support audits, chart reviews, and corrective action planning as needed.

Cultural Competence Provide culturally responsive psychiatric care that respects the values, traditions, and needs of Tribal communities and diverse patient populations. Collaborate with Tribal representatives and JSS leadership to integrate culturally informed practices into patient care. Demonstrate cultural humility and awareness in all clinical interactions. General

Participate in on-call or after-hours consultation as assigned to support 24/7/365 operations. Adhere to all Jamestown Salish Seasons and Jamestown Healthcare E&T policies and procedures. Perform other duties as assigned by the Associate Medical Director.

Qualifications Required Education & Licensure Master's or Doctoral degree from an accredited Psychiatric Mental Health Nurse Practitioner program. Current, unrestricted Washington State PMHNP license. Current DEA registration. Current BLS certification or ability to obtain within three (3) months of hire.

Required Knowledge Psychiatric diagnostic criteria and evidence-based treatment modalities. Psychopharmacology and medication management best practices. Crisis intervention and de-escalation techniques. Healthcare confidentiality regulations, including HIPAA and 42 CFR Part 2.

Behavioral health documentation standards and EHR proficiency. Required Skills Strong clinical assessment and diagnostic skills. Excellent communication and interpersonal skills. Ability to collaborate within an interdisciplinary team. Sound clinical judgment and decision-making abilities.

Cultural competence and commitment to inclusive, patient-centered care. Required Abilities Work independently and collaboratively in a fast-paced environment. Respond effectively to psychiatric emergencies. Maintain professionalism, ethical conduct, and patient confidentiality.

Demonstrate adaptability, resilience, and sound clinical judgment. Successfully pass a criminal background investigation.

Preferred

Qualifications

Experience providing or supporting medical care in a healthcare setting. Two (2) years of experience as a psychiatric provider. Experience in psychiatric, inpatient, residential, correctional, Evaluation & Treatment (E&T), or other behavioral health settings.

Experience in crisis stabilization or acute behavioral health environments. Experience treating individuals with serious mental illness (SMI), co-occurring disorders, or complex behavioral health needs. Experience working with Tribal communities or culturally diverse populations.

American Indian/Alaska Native hiring preference applies. Working Conditions Must be available to work any shift, including evenings, weekends, holidays, and on-call assignments to support 24/7/365 operations. Must be able to lift, push, and carry up to 30 pounds unassisted.

Must be able to stand, walk, bend, climb, squat, twist, and sit for extended periods. Requires manual dexterity, eye/hand coordination, and the ability to distinguish letters, numbers, and symbols.

Must be able to work in a fast-paced, high-acuity behavioral health environment while maintaining professionalism and excellent patient care.

Why Join Jamestown Salish Seasons? At Jamestown Salish Seasons, you'll become part of a mission-driven organization committed to providing exceptional behavioral healthcare while honoring the values and traditions of the communities we serve. If you're passionate about helping individuals through some of life's most challenging moments, we'd love to hear from you.

Qualifications

Key Responsibilities

The PMHNP will conduct comprehensive psychiatric evaluations, manage psychotropic medications, and provide crisis stabilization services within a 16-bed residential facility. They will serve as the primary clinical decision-maker, collaborating with an interdisciplinary team to develop individualized treatment plans and ensure high-quality patient care.

Requirements

Candidates must hold a Master's or Doctoral degree from an accredited PMHNP program and possess an unrestricted Washington State PMHNP license. Proficiency in psychiatric diagnostic criteria, psychopharmacology, and healthcare documentation standards is required, along with the ability to work a Thursday-Sunday schedule.

Qualifications

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

Certifications

DEA License

Key Skills

Diagnostic assessmentHIPAA complianceInterdisciplinary collaborationTreatment planning

Psychiatry — Nurse Practitioner Career Context

Of the 50 active Psychiatry listings this role was benchmarked against, 36% are remote, 48% have no call, 62% require no weekends.

Psychiatry pay on WeekdayDoc is up 3.4% vs. the prior quarter (through Oct 2026).

Psychiatry by the numbers
MeasureThis jobMarket
Cost-of-living adjusted pay~$155k in purchasing powerWashington index 107.0 (US = 100)BEA Regional Price Parities (2024)
Psychiatry listings in Washington63 active2,197 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 36% remote · 48% no call · 62% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedWashington Nurse Practitioner listings: 20% state a sign-on bonus (median $18k) · 13% offer loan repayment321 active listings, Nov 2026
Psychiatry hiring demand#14 of 19 specialtiespostings stay open a median 34 days · 18% state a sign-on bonusWeekdayDoc Hiring Index, October 2026 · 884 postings, 1,094 closed
New Psychiatry listings1,279 in the last 30 days1,013 the 30 days before (+26%)U.S., first seen on WeekdayDoc, Nov 2026
Psychiatry pay trend+3.4% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024), WeekdayDoc Hiring Index; as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$166k midpoint, that is roughly $7k–$12k a year versus a typical 4–7% state rate.

Top Nurse Practitioner Jobs

39 matches · ranked by pay

Salary Distribution

39 jobs · 31 employers
16
<$160k
13
$160k-190k
5
$190k-220k
2
$220k-250k
3
$250k+

Annual compensation range

Benefits & Perks

36 jobs · 31 employers
401k / retirement match
97%
CME allowance
56%
Sign-on bonus
39%
Loan repayment
14%
Relocation assistance
8%

Share of similar jobs offering each benefit

#1

Psychiatric Nurse Practitioner (PMHNP) (DNP)

LifeStance Health · Waukesha, Wisconsin

$218k-$280k
#2

Psychiatric Nurse Practitioner - Outpatient - Hybrid

LifeStance Health · Norwood, Ohio

$220k-$280k
#3

Psychiatric Mental Health Nurse Practitioner

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#4

Nurse Practitioner - Ute Mountain Ute Health Center - Towaoc, CO

$229k-$239k
+ 37 more · ranked by pay

Work-life snapshot

median 6.4this job 4.2
Better work-life than 30% of Psychiatry (NP) listings

Listing-based score, 0–10, across 2,161 comparable listings. Shaded area = the share scoring below this one.

  • On-site
  • Includes call
  • Includes weekends
Jamestown Sklallam Tribe logo

About Jamestown Sklallam Tribe

Government Administration
Sequim, WA
51-200 employees

Living in Sequim

Typical 3-bedroom home value
$594k≈ 4.3× annual pay
Typical market rent
$2,313/mo≈ 20% of gross pay
Residents’ average commute
21 min
State income tax
None
Sources & methodology

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

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.