Psychiatric Mental Health Nurse Practitioner; PMHNP

Job Title:

Psychiatric Mental Health Nurse Practitioner (PMHNP)

Status:
Part-Time or Full-Time

Reports To:

Founding Psychiatrist

Here Now Health is the first virtual healthcare company specifically built for children and families impacted by the child welfare system. We deliver child welfare–informed, high-touch care to Medicaid-covered youth navigating foster care, adoption, kinship placements, and juvenile justice. Our model prioritizes consistency, trust, and accessibility in systems where they are too often missing.

You will be one of the first prescribers in a new psychiatry service designed specifically for youth in and around foster care. You will have direct collaboration with a child and adolescent psychiatrist, a therapy team trained in evidence based psychotherapy , and real influence over how the service works. Psychiatry launches in Virginia in early 2027 and will expand to other HNH states.

Clinical care

• Conduct 60-minute initial psychiatric evaluations and 30-minute medication management follow-ups by video.
• Build treatment plans that pair medication with the evidence-based therapy each patient receives from their HNH therapist.
• Prescribe and monitor psychotropic medications under HNH protocols, including baseline and follow-up labs, metabolic monitoring, and AIMS for antipsychotics.
• Review and simplify complex medication regimens, which many of our patients arrive with after multiple placements and prescribers.
• Prescribe electronically, including controlled substances through EPCS where permitted, and check state PDMPs as required.
• Practice measurement-based care using serial screening instruments, and adjust treatment based on the data.
• Assess risk at every visit and follow HNH safety protocols, escalating to the Lead Psychiatrist or emergency services when a patient needs a higher level of care.

Working within the child welfare system

• Obtain informed consent for psychotropic medication from whoever holds legal authority (agency, court, or parent, depending on state and custody status) and obtain the youth’s assent.
• Work within each state’s psychotropic medication oversight requirements for youth in foster care, including documentation and review processes.
• Communicate with foster, kinship, and adoptive caregivers, caseworkers, and other members of the child’s team, within the limits of consent and privacy law.
• Give caregivers clear, practical guidance on diagnoses, medications, side effects, and warning signs.
• Protect continuity of care through placement changes, including medication reconciliation and timely records transfer.

Team and program building

• Coordinate closely with each patient’s therapist and attend weekly interdisciplinary team meetings.
• Complete documentation within 24 hours, with accurate coding.
• Help build a new service by giving feedback on workflows, templates, and protocols, and taking part in quality improvement and peer review.

Children ages 6 and older, adolescents, and young adults through age 26 who have been in foster care. Most have histories of complex trauma and multiple placements.

Patients who need a higher level of care are referred out and may return after stabilization.

How we work

• Supervision. You report to the Founding Lead Psychiatrist, a board-certified child, adolescent, and adult psychiatrist, who provides (weekly case review and on‑call consultation) and collaborative practice oversight where state law requires it.
• Team. Psychiatry works alongside HNH therapists and Care Advocates. The full clinical team meets weekly; the medical team meets monthly.
• Visit cadence. Psychiatry follow‑up frequency is set by clinical need and can differ from therapy cadence.
• Training. All HNH…