Psychiatric Nurse Practitioner; PMHNP-BC)

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Hybrid. Ohana Psych operates offices in Honolulu (Oahu) and Hilo (Hawaii Island). Additional offices are targeted to open on Maui in December 2026 and on Kauai in March 2027.

This is not a fully remote position. The majority of clinical work is delivered by telepsychiatry from an approved, HIPAA-compliant Hawaii-based home office, but hybrid means in-person care is part of the job. Providers are expected to see patients in person at the Ohana Psych office serving their island. Where an Ohana Psych office is within reasonable commuting distance of your residence, in-office clinical blocks are a condition of employment.

If no office is yet open on your island, you will work telepsychiatry-primary until ours opens, with periodic travel to Honolulu or Hilo for in-person clinical blocks, onboarding, and team meetings; travel is supported by the practice.

Applicants must reside in the State of Hawaii and hold an unrestricted Hawaii APRN license with prescriptive authority.

You will provide direct psychiatric care to children, adolescents, and/or adults across Hawaii in a hybrid model: a high-volume telepsychiatry practice paired with in-person clinical care at Ohana Psych sites. You will carry a defined panel, manage acute and chronic psychiatric conditions, prescribe and monitor psychotropic medications including controlled substances, and coordinate care with primary care, therapy, and community resources. Strong autonomy, structured workflows, and full back-office support let you focus on patient care.

Ohana Psych is a clinician-led behavioral health organization serving patients across the Hawaiian Islands, primarily through telepsychiatry with in-person care as clinically indicated. The organization is part of a broader Ohana group expanding rural access to integrated mental health and primary care in Hawaii.

The duties below are considered essential functions of this position under the Americans with Disabilities Act (ADA). Reasonable accommodations will be considered for qualified individuals with disabilities.

• Conduct comprehensive psychiatric evaluations, diagnostic assessments, and treatment planning for assigned patients via telepsychiatry and in person.
• Prescribe, titrate, and monitor psychotropic medications, including Schedule II–V controlled substances, in accordance with Hawaii and federal law.
• Ohana Psych does not participate in Hawaii’s medical cannabis program. Providers do not issue written certifications for the qualifying patient registry card (“329 card”) under HRS chapter 329, Part IX. Patients seeking medical cannabis certification are referred to an outside provider.
• Provide medication management follow-up visits, brief supportive psychotherapy when clinically indicated, and crisis assessment as needed.
• Perform in-person clinical activities as assigned, which may include physical examination components relevant to psychiatric care (e.g., AIMS), in-office injectable administration (e.g., long-acting injectable antipsychotics), and direct patient assessment.
• Document all patient encounters in the electronic health record within established timeliness standards (typically same-day close).
• Submit complete, accurate charge information to support timely billing and clean-claim performance.
• Coordinate care with primary care providers, therapists, schools, hospitals, and community agencies; respond to clinical messages and refills within posted turnaround times.
• Maintain compliance with…