APP -PMHNP- Mental Health- ED

Employment Status:
Full time

Shift: Day/Evening (United States of America) Facility: 1906 Belleview Ave SE - Roanoke

Requisition Number: R162213 APP
-PMHNP
- Mental Health- ED (Open)

Psychiatric Mental Health Nurse Practitioner (PMHNP) – Emergency Psychiatry Make an Impact When Patients Need It Most Carilion Clinic is seeking a Psychiatric Mental Health Nurse Practitioner (PMHNP) to join our Emergency Psychiatry team, providing psychiatric evaluation, treatment, and consultation for patients presenting to emergency departments across the Carilion system. This is a unique opportunity for a PMHNP who thrives in a fast-paced, collaborative environment and wants to make a meaningful impact on both patient care and the way behavioral health services are delivered in the emergency setting.

The Emergency Psychiatry APP provides psychiatric evaluation and management for patients with a wide range of behavioral health and medical needs. Patient populations may include individuals experiencing:

• Suicidal ideation or self-harming behaviors
• Mood and psychotic disorders
• Intoxication and substance withdrawal
• Delirium and dementia
• Difficulty coping with acute or chronic illness
• Behavioral crises and other complex psychiatric presentations

You will provide care within our Level I Trauma Center Emergency Department as well as support emergency departments throughout the Carilion system.

This position combines direct patient care, psychiatric consultation, staff education, crisis intervention, and quality improvement. The PMHNP will take a proactive and engaged approach to improving the care and safety of behavioral health patients in the emergency setting.

• Conducting psychiatric evaluations and developing treatment recommendations.
• Providing psychiatric medication management when appropriate.
• Responding to behavioral health emergencies and assisting with crisis stabilization.
• Supporting efforts to reduce the use of restraints through early intervention and de-escalation strategies.
• Evaluating and supporting patients who screen positive for specific behavioral health concerns, including suicidal ideation and trauma-related symptoms.
• Developing and implementing individualized behavioral plans.
• Providing real-time, "just-in-time" education and training for emergency department staff.
• Serving as a clinical resource for de-escalation, crisis mitigation, and early identification of behavioral health needs.
• Participating in initiatives designed to improve quality, safety, and the patient experience.

You won’t do this work alone. You'll be part of a multidisciplinary team that includes psychiatrists, physicians, social workers, therapists, peer recovery specialists, nurses, and other healthcare professionals. The position also works closely with Carilion’s dedicated Emergency Psychiatry Program and Addiction Medicine team, providing an integrated approach for patients with complex psychiatric, medical, and substance-use needs.

Primarily daytime hours Weekends as needed Holidays rotated equitably among team members

The ideal candidate is a Psychiatric Mental Health Nurse Practitioner who is comfortable working with complex patients and enjoys collaborating with both behavioral health and emergency medicine teams. Candidates should demonstrate strong clinical judgment, excellent communication skills, flexibility, and an interest in education and improving systems of care.

Carilion Clinic is a physician-led, not‑for‑profit healthcare organization serving communities throughout Virginia. Our integrated system brings together clinical care, education, and research and provides APPs with the resources and collaboration of a comprehensive healthcare system. Carilion offers a competitive compensation and benefits package, including:
Employer-funded pension plan Comprehensive medical, dental, and vision benefits Paid time off CME and professional development support Retirement savings opportunities Live and Work in Virginia's Blue Ridge

Based in Roanoke,…