Position Summary
You will round in skilled nursing and long-term care facilities alongside OhanaPsych's psychiatric APRNs, helping deliver psychiatric care to nursing home residents. This position is based in Honolulu. You prepare each facility visit, support the APRN during rounds, work directly with facility staff, and keep follow-up moving between visits. As an LPN, you provide hands-on nursing support within your licensed scope under APRN direction. You will drive between facilities, so reliable transportation is required.
About Ohana
OhanaPsych and Ohana Care Clinic are clinician-led organizations serving Hawaii's behavioral health and primary care population. OhanaPsych delivers psychiatric care across the Hawaiian Islands — in outpatient clinics, nursing and long-term care facilities, and through telepsychiatry — and is expanding island by island across the state.
Essential Duties & Responsibilities
The duties below are considered essential functions of this position under the Americans with Disabilities Act (ADA). Reasonable accommodations will be considered for qualified individuals with disabilities.
- Round with OhanaPsych psychiatric APRNs in skilled nursing and long-term care facilities in your assigned territory, supporting resident psychiatric visits.
- Prepare each facility visit in advance: rounding lists, census changes, new admissions and consult requests, medication changes, labs, and prior visit notes.
- Obtain and document vital signs and visit intake information; collect collateral information from facility nursing staff, social workers, and families as directed by the APRN.
- Administer and score standardized screening and rating tools (e.g., PHQ-9, GAD-7, AIMS, cognitive screens) as directed by the APRN.
- Provide practical nursing support within the LPN scope of practice under the direction of the psychiatric APRN, including medication reconciliation against the facility MAR, monitoring and reporting medication side effects, and communicating APRN orders and instructions to facility nursing staff.
- Facilitate telepsychiatry visits when the APRN is remote: set up and troubleshoot the telehealth connection, bring the resident to the visit, remain present as needed, and relay findings to facility staff.
- Serve as the day-to-day liaison between OhanaPsych and facility staff: track follow-up items, confirm orders and visit notes reach the facility chart, and coordinate scheduling of the next rounding date.
- Document accurately and timely in the OhanaPsych EHR; obtain, scan, and upload facility records needed for each visit.
- Track new consult requests from facilities and route them to the Director of Facility-Based Psychiatric Services.
- Follow facility infection-control, visitor, and safety protocols at every site, including TB clearance and any facility-specific vaccination or screening requirements.
- Maintain HIPAA-compliant handling of all patient information, including verbal, written, and electronic.
- Performs other duties as assigned consistent with the role and within scope of practice.
Required Qualifications
Education
Graduate of an accredited practical nursing program required.
Licensure / Certification
- Current, unrestricted Licensed Practical Nurse (LPN) license in the State of Hawaii required.
- Current BLS/CPR certification required.
- Valid Hawaii driver's license, reliable personal transportation, and current auto insurance required.
- TB clearance and annual screening per facility requirements; annual HIPAA, OSHA, and infection-control training (provided by Ohana).
Experience
Minimum 1 year of LPN experience required; skilled nursing facility, long-term care, geriatric, or behavioral health experience strongly preferred.
Skills & Competencies
- Comfortable, respectful communication with elderly residents, including those with dementia, psychiatric conditions, or agitation.
- Accurate vital signs, documentation, and EHR use.
- Ability to organize a multi-facility rounding day independently and keep the APRN's visit list moving.
- Professional working relationships with facility nursing staff, social workers, and administrators.
- Basic telehealth setup and troubleshooting (tablet/laptop, camera, connectivity).
- Reliable, punctual, and self-directed in a field-based role with minimal on-site supervision.
Preferred Qualifications
- Existing experience working in Hawaii skilled nursing or long-term care facilities.
- Psychiatric or behavioral health experience, including de-escalation training (CPI or equivalent).
Physical & Environmental Requirements (ADA)
- Daily driving between skilled nursing and long-term care facilities in the assigned territory; must maintain a valid driver's license and reliable transportation.
- Frequent standing and walking during facility rounds, up to 6–8 hours per day.
- Occasional assistance with resident positioning or transfers performed together with facility staff and per facility policy.
- Lifting and carrying of telehealth equipment, vitals equipment, and records up to 25 lbs between car and facility units.
- Visual and auditory acuity for vital signs, resident observation, and communication in busy facility environments.
- Clear spoken and written English for communication with residents, families, facility staff, and providers.
Work is performed inside skilled nursing and long-term care facilities, with daily travel between sites. Regular exposure to ill and elderly residents, and periodic exposure to residents who are confused, agitated, or combative; de-escalation support and facility protocols apply. PPE is provided and facility infection-control requirements must be followed at all times. Schedule is primarily weekday business hours, aligned to APRN rounding schedules.
OSHA Bloodborne Pathogen Exposure Determination: Category II (occasional exposure to blood or other potentially infectious materials may occur incidental to direct resident contact in facilities). Hepatitis B vaccination is offered at no cost per the OhanaPsych Bloodborne Pathogen Exposure Control Plan.
Confidentiality & Compliance
This position requires strict compliance with HIPAA where applicable, and all OhanaPsych policies governing protected health information (PHI), confidentiality, and information security. Violation of confidentiality obligations is grounds for immediate termination.
Compensation & Benefits
Compensation Range: Between $27-$34 per hour. Final offer based on experience, credentials, and internal equity. OhanaPsych offers a competitive benefits package, subject to plan terms, which may include medical, dental, vision, paid time off, retirement plan with employer contribution, malpractice coverage (for licensed roles), CME allowance (for licensed roles), and license/credentialing fee reimbursement (for licensed roles).
Equal Employment Opportunity
OhanaPsych and Ohana Care Clinic are Equal Opportunity Employers. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, genetic information, or any other status protected by federal, state, or local law. Reasonable accommodations will be provided to qualified individuals with disabilities in accordance