Psychiatric Nurse Practitioner

HOMELESSNESS HURTS. HEALTH CARE HELPS.

If you are passionate about giving back to your community, we want you to join our team. Fourth Street Clinic, in downtown Salt Lake City, has been providing essential health care services to those experiencing homelessness for nearly 35 years. When you join our growing team, you're not just taking a job-you're impacting the lives of others.

Position Overview

Fourth Street Clinic seeks a Psychiatric APRN interested in providing high-quality behavioral health care in a progressive, integrated medical and behavioral health setting. Behavioral health services focus on psychiatric assessments, screening, and prescribing psychotropic medications. Nurse Practitioners serve as treatment providers and advocates, helping clients access resources while addressing their behavioral health needs, including mental illness and substance use disorders.

This position will primarily be based in the main clinic, with occasional limited hours on the mobile medical bus.

This role is perfect for APRNs who

• Are skilled in psychiatric evaluation, diagnosis, and treatment planning.
• Have a passion for working with diverse and medically vulnerable populations.
• Thrive in collaborative, interdisciplinary healthcare teams.
• Demonstrate flexibility, professionalism, and calm under pressure.
• Possess excellent communication and relationship-building skills.

Key Responsibilities

• Serve as a member of the integrated care team, ensuring patients have access to whole-person care including medical, pharmaceutical, and dental services.
• Perform psychiatric diagnostic interviews and examinations, assessing mental health and substance use concerns.
• Create individualized treatment plans incorporating medications, psychotherapy, and appropriate diagnostic or laboratory interventions.
• Prescribe psychotropic medications as appropriate.
• Collaborate with primary care providers and case managers on care management, patient education, and chronic disease self-management strategies.
• Provide assessment, consultation, and brief intervention for mental health concerns.
• Maintain accurate, timely documentation in the electronic health record (EHR).
• Follow HIPAA and other confidentiality guidelines.
• Maintain professional knowledge through continuing education, workshops, and professional associations.

Supervisory Relationships

• Reports to the Behavioral Health Director.

Required Qualifications & Competencies

• Graduate of an accredited Nurse Practitioner program.
• Active, unrestricted APRN license in the State of Utah.
• DEA number or eligibility.
• NPI number.
• Strong ethical and professional standards.
• Excellent verbal and written communication skills.
• Ability to work effectively with interdisciplinary teams and community partners.
• Flexibility to adapt to changing priorities and urgent patient needs.

Preferred Qualifications

• Bilingual in English/Spanish.
• Experience with vulnerable populations and/or behavioral health in community settings.

More about our benefit package:

Fourth Street Clinic supports employees across all aspects of wellness and provides a comprehensive benefits package:

• 100% of the premium for individual health insurance
• Affordable dental & vision coverage
• Health Savings Account (HSA) with company match each payroll
• Company-paid Life & Long-Term Disability insurance
• 3% employer contribution to 401(k), plus dollar-for-dollar match of employee contributions up to 2%
• Generous paid time-off starting at 3 weeks/year for full-time employees
• 13 paid holidays, plus 2 personal holidays and 2 wellness days per year
• Tuition reimbursement
• Employee Assistance programs

Why Fourth Street Clinic?

Fourth Street Clinic reduces barriers to care for vulnerable individuals and families experiencing homelessness. Founded in 1988, we operate with a staff of nearly 100 and an eight-figure budget. Last year, we provided comprehensive healthcare to 5,369 unsheltered individuals through more than 20,000 visits.

We embrace diversity, equity, inclusion, and belonging, striving for every employee to feel comfortable being their authentic self at work. We value a team with a variety of backgrounds, identities, and ideas, fostering belonging and improving access to high-quality healthcare as an essential human right.

Apply now to join our dedicated, innovative, mission-driven team providing integrated healthcare to the most vulnerable members of our community.