Psychiatric Nurse Practitioner

Psychiatric Nurse Practitioner (PMHNP / CRNP) — Child, Adolescent & Adult Psychiatry

Billings Advanced Psychiatry, PLLC — Billings, Montana

Billings Advanced Psychiatry is a physician-owned interventional psychiatry clinic specializing in treatment-resistant psychiatric illness. We serve a broad catchment across rural Montana, including veterans and American Indian communities, and operate a REMS-certified esketamine (Spravato) program alongside active IRB-approved clinical research. We are expanding to meet growing community demand and are seeking a motivated psychiatric nurse practitioner to build a practice with us.

This is a growth-oriented position with two primary clinical responsibilities from day one:

Provide psychiatric evaluations and medication management for children, adolescents, and adults, with a particular focus on ADHD assessment and treatment. Experience preparing school-related documentation (504 plans, IEP support letters, accommodation recommendations) is essential.

Conduct court-ordered evaluations and other independent psychiatric evaluations of adults (e.g., disability, fitness-for-duty, pre-employment, and related assessments). Prior evaluation experience preferred; training and mentorship available for a strong clinical candidate.

For a provider who demonstrates excellent performance in the core roles, additional responsibilities and revenue streams are available over time:

• Administration of long-acting injectable antipsychotics
• Participation in our Spravato (esketamine) program
• Involvement in clinical research, including anticipated psychedelic-assisted therapy trials (Phase 2–3)
• Potential future IV ketamine services

This is a rare opportunity in the region to combine outpatient psychiatry with interventional treatments and clinical research.

• Current certification as a Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC)
• Minimum 2 years of psychiatric practice experience as a nurse practitioner
• Active or eligible Montana APRN licensure with prescriptive authority; active DEA registration
• Experience treating children and adolescents, including ADHD diagnosis, treatment, and school documentation
• Experience with (or strong interest in) forensic and independent evaluations
• Excellent documentation and communication skills
• Comfortable working independently in a collaborative, physician-led practice

• Compensation is 40–50% of net collections, depending on experience — the practice covers all overhead, billing, and malpractice insurance, so your income grows directly with your panel, supported by strong referral flow from an established practice with existing demand
• As the position grows to full time, benefits will be added, including PTO, paid holidays, and health insurance
• Physician collaboration and mentorship from a board-certified interventional psychiatrist
• Flexible scheduling as your practice develops
• Pathway to expanded clinical and research roles

Billings Advanced Psychiatry, PLLC is an equal opportunity employer.