Job post summary
Date posted: November 20, 2025

Pay: $110,000.00 – $125,000.00 per year

Job description

WebMed is seeking a Family Nurse Practitioner (FNP) to join our outpatient mental health and substance use clinic. This position will work a split schedule between our Duluth and Cloquet locations and assist in overseeing our Treatment Resistant Depression Programming. Tasks will include providing consultation, education, treatment and follow up for TMS and esktamine services. Experience working with TMS and/or Spravato is not required and on-sight training can be provided to the right candidate.

Essential Duties and Responsibilities including but not limited to:

General

Provides mental health related services to a diverse client population at the clinic system’s main office
The provision of clinical services including conducting treatment resistant depression programming evaluations, treatment planning, medication management, medical cannabis programming, suboxone management, and discharge planning for patients of the clinic
Providing intermittent didactics within clinic’s training program if desired
Compliance with clinic documentation standards
Compliance with licensing board rules, applicable codes of ethics, and DHS regulations
Maintain professionalism in all interactions with staff, patients, and business associates of clinic
Carrying assigned treatment caseload
Ability to provide medical services under independent licensure
Compliance with clinic and training program policies and procedures, if applicable
Follow facility policy and protocol
Coordination with a multidisciplinary team.
Provide a safe, friendly, approachable environment for clients to enter and build rapport.
Be an active member of the WebMed team to promote a comfortable climate, culture and environment while seeking the best outcomes for the clients we serve.
Coordination with providers/team members from other facilities for client care.
Act as a preceptor for potential students that are seeking clinical experience.
Other duties as assigned

Treatment Resistant Depression (TRD) Program Champion

Develop a deep understanding of the TRD programming offered at WebMed: esketamine & TMS
Able to answer programming questions to staff, clients and the public regarding programming
Work with esketamine (Spravato) representatives for prior authorization and client billing questions
Understand and able to decipher the different prior authorizations needed from different insurances for clients seeking esketamine or TMS treatment.
Provide consultation for clients seeking Treatment Resistant Depression Programming at WebMed under the supervision of a licensed provider
Assist with ordering esketamine for buy & bill clients
Coordinating with pharmacies to ensure esketamine is delivered on time
Creating, updating and maintaining Prior Authorizations for esketamine & TMS within the clients EHR.
Reviewing insurance to ensure the WebMed has the proper Coordination of Benefits prior to starting the Prior Authorization process.
At the beginning of each month for each client that is currently active in the TRD programming, a review of the client’s insurance is to be completed to ensure accurate insurance on file for the client
Able to verbalize both program schedules, basic rule in/out needs, insurance coverage and enrollment to the public at different events.
Champion Treatment Resistant Depression Programming and act as a resource for clinicians, staff, clients, client family, outside providers and community
Other duties as assigned

Transcranial Magnetic Stimulation (TMS)

Provide supervision, documentation and /or procedure for transcranial magnetic stimulation (TMS) after completion of TMS training.
Discuss and explain the programming, criteria, expected prognosis, process and evaluation
Rule in/out TMS evaluation
Refer to physician for further evaluation if needed
TMS initial mapping and redetermination
Following progress of TMS clients
Referring for further medication management with psychiatry

Esketamine (Spravato)

Discuss and explain programming, criteria, expected prognosis, process and evaluation
Refer clients to outpatient SUD if appropriate
Review insurance requirements
Spravato REMS registration
Ordering of Spravato for specific clients
Monitoring daily count of Spravato
Wasting unused/expired Spravato with REMS
Providing education for administration of Spravato
Assessing clients mental status and blood pressure prior to client self administration of Spravato
Assessing blood pressure 40minutes after Spravato administered
Assessing blood pressure 2 hours after Spravato administered and approving discharge from facility
Follow up appointment after first month of Spravato treatment and develop follow up plan with client

Suboxone

Providing follow up appointments face to face or telehealth for clients receiving suboxone.
Review with SUD team for clients participation in outpatient treatment
Coordinate with multidisciplinary team and any additional outside resources as appropriate for ongoing MAT management
Provide care for clients seeking suboxone induction, discussing plans with patient and team.

Follow Up Care

Provide follow up medication management appointments as directed by the Medical Director that fall within the scope of practice of the Family Nurse Practitioner

Qualifications

Graduate of a school or nursing and accredited Family Nurse Practitioner training program.
BC/BE through the AANP or ANCC
Licensed or ability to obtain APRN license with the Minnesota Board of Nursing
Ability to obtain and maintain DEA certification for the State of Minnesota
Obtain and maintain BLS/CPR certification
Meet threshold criteria/qualifications for Credentialing and Privileges (if required)
Ability to successfully complete the required background check process
Evidence of a high level of professionalism within the field
Strong clinical acumen and judgment
Ability to base clinical assessment and intervention methods on science and professional best practice
Ability to work both independently and as part of a multidisciplinary treatment team
Excellent interpersonal and written/verbal communication skills
Ability to respect diversity and integrate issues of culture into case conceptualizations
Ability to engage with patients who may be ambivalent about treatment
Ability to adapt interventions to patients’ strengths, skills, and developmental levels
Commitment to empowering patients to solve their own problems when necessary
Ability to intervene decisively, when necessary, to protect patient safety
Ability to set appropriate boundaries and limits for best practice
Ability to comply with clinic documentation standards

Preferred Qualifications

At least 2 years of APRN practice experience in psychiatric clinical practice is preferred.
Licensed and experienced in treating pediatric patients is also preferred, but not required.
Documented 2 years freedom from chemical use problems.
Exhibit strong commitment to the client’s needs and the mission statement of WebMed.
Excellent written and verbal skills.
Very well organized.
Ability to manage multiple tasks with competing deadlines.
Ability to remain on task and follow through projects to their completion.
Excellent word processing skills.
Maintain professional standards of conduct and appearance with co-workers and the public.
Exceptional ability to successfully manage multiple concurrent projects with competing deadlines and frequent interruptions.
Strong ability to relate to and coach people with life-controlling problems.
Strong leadership skills (one on one and group situations).
Assertive individual with pleasant, cordial attitude when working with people.
Excellent computer skills including typing, word processing, spreadsheets and general familiarity with database programs.
Ability to learn various software programs to meet the needs of the organization.

Job Type

Full-time / 0.6-1.0 Flex

Benefits

401(k)
Dental insurance
Flexible schedule
Health insurance
Life insurance
Paid time off
Vision insurance

Purpose:  Under the direction of the Clinical Supervisor, the ARMHS Worker provides direct services to adult clients with severe mental illness. This position will focus primarily on helping clients develop basic living and social skills and assisting with advocacy through community intervention within an individual and/or group basis. This includes helping the client to develop a realistic vision of improved functioning as well as the skills to manage their illness in order to minimize its impact. The person will have assigned clients; with each client, the ARMHS Worker will be given direction on the skills and goals using the Functional Assessment Packet and Individual Treatment Plan that identifies skills the clients need or wishes to increase and will work with the clients on these goals. The job is performed in the clinic and in the community in a variety of situations, both in the recipient’s home and in community programs in all geographical areas of the community, including both high- and low-crime areas.

Essential duties and responsibilities include but are not limited to: 

• Provide client-centered services that include (either in an individual or group setting):
  • budgeting & shopping skills
  • healthy lifestyle skills
  • household management skills
  • interpersonal communication skills
  • transportation skills
  • crisis support
  • medication skills
  • mental illness symptom management skills
  • community resource utilization and integration skills
  • relapse prevention skills
  • health care directives
  • employment related skills
  • transition to community living services

• Assess client skills, knowledge and needs, and contribute to the development of the overall treatment of the client using the diagnostic assessment and other available records. Responsible for documentation and developing the following by connecting with each client at minimum once per week:
  • Develop and Complete Functional Assessment and LOCUS at intake and Individual Treatment plan within 30 days of Functional Assessment; Update Functional Assessment/Individual Treatment Plan at a maximum of 180 days or as needed based on client’s status and changes in functioning
  • Complete other mandatory state and agency documentation on timely basis

• Act as advocate and work with the people significant to the client in support of their recovery.

• Complete Authorization of Release with individuals, providers, friends/family relevant to client recovery, communicate and collaborate with these connections

• Include relevant individuals in client meetings as client is comfortable

• Complete all required written documentation;
  • Charts each ARMHS meeting according to Goal, Intervention, Response, Plan, and Substantial Observation
  • Document data required according to federal requirements for billing purposes and submit on required time lines (within 48 hours of meeting completion),
  • Progress notes reflect accuracy and consistency with actual recipient contact relevant to individual treatment plans and goals.

• Receive and participate in clinical supervision from a Mental Health Professional at least monthly, but most often weekly individually or in small groups to discuss:
  • Treatment topics of interest
  • Treatment plans of recipients and approve by signature and document in recipient’s file any plan updates
  • Request consultation by telephone or in person as needed for the purpose of service provision to recipients.

• Participate in staff meetings, all required WebMed Mental Health training, and meetings with clinical supervisors; Monitor own schedule to assure that all required trainings are completed each year
  • Demonstrate positive and supportive interactions with other program staff, in an effort to build a cohesive team approach
  • Actively participate in individual and group supervision led by the clinical supervisor.

• Follow all Agency, state regulatory, program policies and procedures;
  • Conduct duties in an unbiased manner in accordance with the agency’s mission statement and guiding principles by which all clients, volunteers and staff are treated equally regardless of race, gender, religion, age, physical and mental abilities and/or sexual orientation.

• Respond to in-office crisis and emergency situations
• Perform other related duties as requested by the Clinical Supervisor of Community Support Programming

• Perform non-routine duties related to the overall functioning of the services.

Required Skills and Abilities:

• Use an effective communication model in working relationships with each other, clients, and the community.

• Demonstrate good listening skills and ability to positively accept feedback from supervisors and co-workers. Incorporate feedback and demonstrate appropriate self-care methods on the job. WebMed Mental Health is opposed to violence and offensive behavior in the workplace. Clients participating in this program, however, may experience anxiety, mental illness, physical illness, frustration and helplessness in their daily lives which occasionally results in inappropriate verbal and physical expressions of anger, threats or violence towards employees. Training is available to staff on verbal crisis intervention and prevention. Employees are expected to be able to serve angry and disgruntled clients with patience and courtesy.

• Language Skills: Ability to write reports, log entries, and correspondence. Ability to effectively present information and respond to questions from medical professionals, management, staff and clients. Bilingual skills are a plus, but not required.

• Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization may exist. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form.

• Physical Demands: While performing the duties of this job, the employee is regularly required to walk, stand, climb stairs, bend, kneel, or crouch, use hands to write, use computers, and perform verbal crisis prevention/intervention techniques. An employee in this position may need to lift at least twenty-five pounds. Successful performance requires vision, ability to complete logs and charts, and ability to drive a car with a valid driver’s license

• Ability to work in fast paced, quickly changing environment

• Must be able to think and react quickly and decisively

• Strong social and leadership skills

• Ability to work independently with little direction

• Proficient in the use of computers and databases

• Ability to maintain professional boundaries with clientele

Minimum Qualifications:

Must meet DHS qualifications for Mental Health Practitioner in one of the following ways: 

• Has completed at least 30 semester hours or 45 quarter hours in behavioral sciences or related fields and has at least 2,000 hours of supervised experience in the delivery of services to adults or children with:  
  • Mental illness, substance use disorder, or emotional disturbance, or  
  • Traumatic brain injury or developmental disabilities and completes training on mental illness, recovery from mental illness, mental health de-escalation techniques, co-occurring mental illness and substance abuse, and psychotropic medications and side effects 

• Has at least 4,000 hours of supervised work experience in the delivery of services to adults or children with any of the following:  
  • Mental illness, substance use disorder, or emotional disturbance, or  
  • Traumatic brain injury or developmental disabilities and completes training on mental illness, recovery from mental illness, mental health de-escalation techniques, co-occurring mental illness and substance abuse, and psychotropic medications and side effects 
• Has at least 2,000 hours of supervised experience in the delivery of services to adults or children with any of the following:  
  • Mental illness, substance use disorder, or emotional disturbance, or  
  • Traumatic brain injury or developmental disabilities and completes training on mental illness, recovery from mental illness, mental health de-escalation techniques, co-occurring mental illness and substance abuse, and psychotropic medications and side effects; and receives clinical supervision as required at least once a week from a mental health professional until the requirement of 4,000 hours of supervised experience is met.
• Has a graduate student internship or a bachelor’s or master’s degree and is a graduate student in behavioral sciences or related fields and is formally assigned by an accredited college or university to an agency or facility for clinical training
• Has a bachelor’s or master’s degree with any of the following:  
  • Holds a master’s or other graduate degree in behavioral sciences or related fields  
  • Holds a bachelor’s degree in behavioral sciences or related fields and completes a practicum or internship that (1) requires direct interaction with adults or children served, and (2) is focused on behavioral sciences or related fields.

Mental Health Practitioners Who Are Qualified as Clinical Trainees 

A mental health practitioner working as a clinical trainee must: 

• 1. Be complying with requirements for licensure or board certification as a mental health professional including supervised practice in the delivery of mental health services for the treatment of mental illness; OR 
• 2. Be a student in a bona fide field placement or internship under a program leading to completion of the requirements for licensure as a mental health professional. 
• The clinical trainee’s clinical supervision experience helps the practitioner gain knowledge and skills necessary to practice effectively and independently and may include supervision of: 
  • Direct practice
  • Treatment team collaboration
  • Continued professional learning
  • Job management

Other Qualifications:

• Ability to successfully pass a background check process
• Current and valid drivers license
• Ability to work in both Duluth & Cloquet

Classification:  Educational Student Intern 

Reports to: LADC Clinical Supervisor

Essential Duties and Responsibilities:

• Screening: The student intern will learn the process by which a client is determined appropriate for admission to WebMed’s Outpatient Treatment Program.

• • Intake: The student intern will engage in administrative and initial assessment procedures for admission to the outpatient program. This process will include: intake paperwork, DAANES completion, Consent to Treat, Releases of Information, Vulnerable Adult, Comprehensive Assessments, Initial Service Plan, etc.
  • Orientation: The student intern will learn how to describe to the client the general nature and goals of the outpatient program, i.e. Sessions with counselors, orientation sessions; curriculum, policies and procedures etc. 

• Assessment: The student intern will gather relevant information that determines level of problems, strengths, need for treatment planning, and review of Rule 25 Assessment, review of Diagnostic Assessment and reviewing all other chart documentation to provide an initial assessment of the client.

• Client Education: The student intern will provide educational information to individuals and psychotherapy groups concerning mental illness, alcohol and drug abuse. Student interns will teach and promote healthy coping skills to manage both the clients mental and chemical health related issues/concerns to prevent relapse and increase stability in client’s recovery.
• Community Referrals: The student intern will identify the needs of the client that cannot be met by the counselor or agency and assist the client to access services, i.e. identifying needs and scheduling for psychotherapist, psychologists, outside mental health workers, and legal, etc.
• Community Education/Marketing: The student intern will participate in community health fairs, public speaking events, and events that promote WebMed’s outpatient treatment program. Student interns will be allowed to assist with marketing and community outreach.
• Counsel: The student intern will assist clients through individual counsel and psycho educational groups in exploring problems/solutions, i.e. observing, co-facilitating and facilitating.
• Treatment Planning: The student intern will gain an understanding through treatment planning by which the client and counselor/Mental Health Professional identify and rank problems; establish goals, and objectives and interventions to assist them to meet their treatment needs. I.e. initial development and ongoing work with clients in 1-1 sessions and psychotherapy groups. 

• Discharge Planning: The student intern will gain insight on how to therapeutically close a client’s file and discharge a client from the therapeutic relationship and treatment environment.

• Professional & Ethical Responsibilities: The student intern will be allowed to practice in an environment that upholds all ethical and professional standards.

• • Reports and Record Keeping: The student intern will learn documentation skills through the standardized progress note. The student intern will learn how to develop and maintain clear documentation in their assessments, treatment planning, written reports, progress notes, and other client related data, i.e. filing; charting; weekly treatment planning.
  • Consultation: The student intern will gain insight in relating with other professionals to assure comprehensive quality care for clients, i.e. psychologists, outside mental health providers, educational areas and legal issues.

• Case Management: The student intern will orchestrate activities which bring services, agencies, and resources together. The student intern will participate in Team review meetings; meeting with WebMed’s outpatient physicians, Mental Health Professionals, probation, mental health workers and Adult Rehabilitative Mental Health Workers.

• • Comprehensive Assessment: The student intern will learn how to complete a Comprehensive Assessment for treatment services. Through this process, the student intern will learn the requirements for 245G, chemical health and required standards for dimension work.
  • Crisis Intervention: The student intern will learn how to respond to client needs during an acute emotional or physical distress, i.e. 1-1 counseling sessions, psychotherapy group, psycho educational sessions.

• Diagnostic Assessment: The student intern (Master’s level) will complete Diagnostic Assessments on individuals who have been assessed using a standardized co-occurring screening tool to identify any emotional, behavioral or cognitive deficits and to assess the clients function in significant life areas, such as support systems, relationships, impulsivity healthy coping skills and other severe emotional or behavioral symptoms that would place the client or others at acute risk. In addition, the assessment will include obtaining a history of psychotherapy, psychiatric treatment/or psychiatric medications. Student interns will use the Diagnostic and Statistical Manual (DSM-V) for diagnosing clients who may present with a mental health disorder.

• Psychotherapy: The student intern (Master’s level) will meet with clients who present with mental health diagnosis to provide psychotherapy one time per week. Student interns will carry a small caseload of clients.
• Group Therapy: The student intern will observe and/or co-facilitate psycho educational classes and psychotherapy groups to gain knowledge of the group process.
• Psycho-education: The student intern will provide treatment services to outpatient clients who present for chemical and mental health services at WebMed’s outpatient program.

Minimum Qualifications:

• Bachelor or Graduate level student in social work or one of the behavioral sciences or a student enrolled in chemical dependency studies from an accredited college.
• Internship agreement between college internship agreement between the school and the program.
• The graduate student must be formally assigned by an accredited college to WebMed for clinical training and must be under weekly supervision of a Mental Health Professional and kept in the employee/intern file.
• Exhibit strong commitment to the client’s needs and the mission statement of WebMed.
• Ability to successfully complete the required background check process.
• Excellent written and verbal skills.
• Very well organized.
• Ability to manage multiple tasks with competing deadlines.
• Ability to remain on task and follow through projects to their completion.
• Excellent word processing skills.
• Maintain professional standards of conduct and appearance with co-workers and the public.
• Exceptional ability to successfully manage multiple concurrent projects with competing deadlines and frequent interruptions.
• Knowledge and understanding of implications of parts 245G
• Strong ability to relate to and coach people with life-controlling problems.
• Strong leadership skills (one on one and group situations).
• Assertive individual with pleasant, cordial attitude when working with people.
• Excellent computer skills including typing, word processing, spreadsheets and general familiarity with database programs.
• Ability to learn various software programs to meet the needs of the organization.