Psychiatric Nurse Practitioner

Job Title:

Psychiatric Nurse Practitioner

Reports To:
Medical Director / Executive Director

Department:
Medical

Location:
Remote

Employment Type:
Full-time | Salaried | Exempt

Compensation :

The pay for this position is $,000 salary, set in good faith based on the responsibilities of the role, qualifications, and market conditions

Mainspring Recovery is seeking a Nurse Practitioner to join our interdisciplinary clinical team supporting individuals in recovery from substance use disorders (SUD) and co-occurring mental health conditions. This position may be filled by a Psychiatric Nurse Practitioner (PMHNP) or a Medical Nurse Practitioner (FNP/AGNP) depending on the candidate’s licensure and area of expertise. The NP will provide specialty-focused care — psychiatric or medical — whilemaintaininga whole-person approach aligned with Mainspring’s mission.

Upon admission, conduct a comprehensive specialty-specific intake evaluation:

• Complete psychiatric intake evaluation including mental status exam (MSE), trauma history, and psychiatric review of systems
• Diagnose and document DSM-5 psychiatric conditions (e.g., mood disorders, anxiety, PTSD, psychosis) co-occurring with SUD
• Assess suicide/homicide risk andestablisha safety plan
• Review current psychotropic medication history andidentifymedication-assisted treatment (MAT) need
• Establish an individualized psychiatric treatment plan with short- and long-term goals
• Routinely approve continuation of medications upon intake until full assessment can be completed.

SUD & Mental Health Focus During Mainspring Care

• Identify and address SUD-specific clinical needs including withdrawal management, detox monitoring, and MAT initiation or continuation (buprenorphine, naltrexone, etc.)
• Collaborate with counselors, case managers, and behavioral health staff to ensure psychiatric and medical needs are integrated into the patient’s individualized treatment plan
• Participate in interdisciplinary treatment team meetings and case conferences
• Provide clinical consultation to staffregardingthe intersection of medical/psychiatric conditions and SUD recovery
• Screen for co-occurring disorders and refer internally or externally as appropriate

Routine Follow-Up & Ongoing Care

• Conduct scheduled follow-up appointments throughout the patient’s stay tomonitortreatment response, medication efficacy, and overall health status
• Reassess and update the care plan based on patient progress, emerging concerns, or changes in clinical status
• Document all clinical encounters, assessments, and care plan updates accurately andin a timely mannerin the EHR
• Monitor vital signs, labs, and diagnostic results; communicate critical values andinitiateappropriate follow-up
• Provide patient educationregardingdiagnosis, medications, side effects, and self-management strategies relevant to SUD recovery

Medication Ordering & Prescribing

• Prescribe and manage medications within scope of practice, including MAT medications, psychiatric medications, and medications for co-occurring medical conditions
• Conduct medication reconciliation upon admission, during treatment, and at discharge
• Monitor for medication interactions, contraindications, and adverse effects with attention to substances common in SUD populations
• Utilize the Virginia Prescription Monitoring Program (PMP) asrequiredprior to prescribing controlled substances
• Collaborate with the Medical Director on complex or high-risk medication regimens

Peer-to-Peer Reviews & Utilization Management

• Complete peer-to-peer (P2P) reviews with insurance medical directors asrequiredto advocate for medically necessary levels of care, continued stays, or treatment services
• Document clinical justification for level-of-care determinations in alignment with ASAM…