Location: Calamity Rose Ranch, Muscatine, Iowa
Job Type: Full-Time
Setting: In-Person Only – On-Site and Nursing Home Visits
About Calamity Rose Ranch
Calamity Rose Ranch is a unique, privately owned mental health practice in Muscatine, Iowa, providing compassionate, community-based care with a healing, down-to-earth approach. Founded by psychiatric nurse practitioner Kayla Carlsten, the ranch blends clinical expertise with a human-centered mission, serving rural populations and underserved individuals who often fall through the cracks of the traditional healthcare system.
We are expanding our services to meet the growing mental health needs of geriatric patients in long-term care facilities, and we are seeking a dedicated in-person Psychiatric Nurse Practitioner to support this mission.
Position Summary
We are looking for a full-time Psychiatric Nurse Practitioner (PMHNP) to provide in-person psychiatric care to geriatric patients residing in nursing homes and long-term care facilities in and around Muscatine, Iowa. This role focuses on compassionate, skilled mental health support for older adults—many of whom are dealing with conditions such as dementia, depression, anxiety, and grief.
This is a mobile/in-person-only role, and no telehealth work is involved.
Key Responsibilities
- Perform psychiatric evaluations, diagnoses, and medication management for geriatric patients in nursing homes.
- Conduct routine follow-ups and monitor the effectiveness and side effects of psychiatric medications.
- Collaborate closely with nursing home staff, primary care providers, and caregivers to ensure coordinated care.
- Maintain clear and compliant documentation using electronic health records (EHR).
- Educate facility staff on mental health conditions and behavioral interventions when appropriate.
- Provide compassionate, patient-centered care that respects the dignity and complexity of older adults.
- Participate in team meetings and case consultations with Calamity Rose Ranch staff.
Qualifications
- Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC).
- Current, unrestricted Iowa license to practice as a nurse practitioner.
- Minimum of 2 years’ experience in psychiatry; experience with geriatric populations strongly preferred.
- Knowledge of psychiatric conditions common in aging adults (e.g., dementia, depression, late-onset psychosis).
- Strong interpersonal skills and the ability to build rapport with patients with cognitive decline.
- Comfortable working independently in nursing home settings and collaborating with facility staff.
- Reliable transportation to travel to multiple nursing home sites in the Muscatine area.
What We Offer
- Competitive compensation based on experience and caseload.
- Flexible scheduling within a full-time framework.
- Mileage reimbursement for nursing home visits.
- Administrative and scheduling support provided by Calamity Rose Ranch.
- Collaborative environment focused on high-quality, ethical, and personalized care.
- A chance to make a real difference in the lives of often-overlooked elderly populations.
To Apply:
Please send your resume, cover letter, and proof of licensure to office@calamityroseranch.com. In your cover letter, please include:
- Your experience with geriatric or nursing home populations
- Why in-person care matters to you
- Your availability and preferred start date
Calamity Rose Ranch is an equal opportunity employer. We value diversity, equity, and inclusion, and welcome applications from professionals of all backgrounds and identities.