Job Description
Our client is seeking a Psychiatric Mental Health Nurse Practitioner (PMHNP) to provide psychiatric assessment, diagnosis, treatment, and medication management to patients in an outpatient, private practice setting. The provider will work with a multidisciplinary team (therapists, case managers, medical staff) to deliver trauma-informed, evidence-based, patient-centered care, helping clients manage mental health conditions across the lifespan (children, adolescents, adults). The PMHNP may also provide brief psychotherapy or counseling as needed / desired.
Position Type
- Full-time or part-time
- W-2 salaried or split of receipts generated by clinician
- Daytime work hours (M-F, between 0800–1800) set within that parameter by clinician and employer
- Evening / weekend appointments available if desired by clinician
- No inpatient call (unless specified)
Key Responsibilities / Duties
Conduct psychiatric evaluations, including history, mental status exam, risk assessment (suicidality, violence, self-harm), medical / psychiatric review, psychosocial factors.Diagnose mental health / psychiatric disorders using DSM-V-TR criteria.Develop and implement individualized treatment plans.Prescribe, adjust, monitor, and manage psychotropic medications and other interventions.Monitor for medication side effects, interactions, adherence, labs, and perform appropriate follow-up.Order, interpret, and follow up on laboratory tests, EKGs, imaging (as needed).Provide psychoeducation to patients and families about diagnoses, treatments, medications, side effects, behavioral management.Offer brief psychotherapy or counseling (e.g. supportive therapy, CBT elements, motivational interviewing) as appropriate.Collaborate with therapists, psychologists, social workers, primary care providers, and other professionals to coordinate care.Maintain accurate, timely, and compliant medical records in line with legal, regulatory, and clinical policies.Participate in case review, chart review, quality assurance, performance improvement initiatives.Engage in peer consultation and supervision (or mentorship).Possibly supervise or provide training to other nursing or clinical staff.Stay up to date with advances in psychiatric care, standard of care, clinical guidelines.Participate in staff meetings, clinical meetings, and continuing education.May assist with patient intake, triage, or crisis evaluation as needed.Requirements
Qualifications & Requirements
Education / Licensure / Certification
Master’s or Doctoral degree in Nursing with specialization as a Psychiatric Mental-Health Nurse Practitioner (PMHNP).Current, unrestricted Registered Nurse license in Virginia.Current national board certification as a PMHNP (e.g., via ANCC).Authorized to prescribe in Virginia (furnishing license, DEA registration as needed).Preferably 3 years of full-time PMHNP work experience and eligible for autonomous practice in Virginia.Excellent candidates with less than three years’ experience may be considered for a fellowship-type role.Skills & Competencies
Strong clinical judgment, diagnostic skills, and psychopharmacology knowledge.Ability to manage complex cases, comorbid medical / psychiatric conditions.Excellent communication (verbal and written) and interpersonal skills.Ability to build rapport with diverse patients and families.Time management and ability to manage a moderate caseload.Competency in electronic medical records (EMR), charting, documentation.Ability to work independently as well as part of a team.Sensitivity to cultural, socioeconomic, and diversity issues.Ability to handle stressful situations, crisis stabilization.Preferred / Desirable
Experience with child / adolescent populations, geriatric, or dual diagnosis / substance use.Experience in outpatient community psychiatry settings.Experience in psychotherapy modalities.Experience with telepsychiatry or hybrid practice.Familiarity with behavioral health billing, insurance, managed care.Experience in quality improvement or program development.Working Conditions
Clinic-based, outpatient setting.Typical business hours (e.g., Monday to Friday), with possible evening / weekend slots.Patient-facing, office-based environment with option for intermittent remote work.One-hour initial consultations, 20- or 30-minute follow-ups for established patients.Occasional requirement to rotate or cover for other providers.Use of computer, phone, record systems, EMR with remote access.Possible minimal travel between clinic sites.May need to handle crisis calls or emergency consults (depending on practice).Performance Metrics / Goals
Patient volume / productivity targets.Patient satisfaction / retention bonuses based on productivity and RVUs.Quality metrics (chart compliance, follow-up, adherence to guidelines).Participation in clinical audits, peer review.Contribution to clinical goals (e.g., access, outcomes, growth).Benefits
Compensation & Benefits
W-2 salaried or split of receipts generated by clinician.Malpractice insurance coverage (Virginia limits).Health, dental, and vision insurance after 90 days of employment.Retirement / 401(k) plan with match after 90 days of employment.Paid time off and paid sick leave earned monthly.Professional development stipend after 1 year of employment.Support services (scheduling, billing, administrative back-end).Potential sign-on bonus.Opportunities for telehealth or hybrid scheduling (after the first six months and with employer approval).