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Nurse Practitioner - HOTT; Head of Treatment Team

Job in Staunton, Augusta County, Virginia, 24402, USA
Listing for: Department of Behavioral Health and Developmental Services
Full Time position
Listed on 2026-02-18
Job specializations:
  • Nursing
    Psychiatry, Mental Health Nurse, Healthcare Nursing, Nurse Practitioner
Salary/Wage Range or Industry Benchmark: 128524 USD Yearly USD 128524.00 YEAR
Job Description & How to Apply Below
Position: Nurse Practitioner - HOTT (Head of Treatment Team)

Title: Nurse Practitioner - HOTT (Head of Treatment Team)

State Role

Title:

RN III/Nurse Prct II

Hiring Range: starting at $128,524 (commensurate based on experience)

Pay Band: 6

Agency: Dept Behavioral Health/Develop

Location: Western State Hospital

Agency Website: (Use the "Apply for this Job" box below)./

Recruitment Type: General Public - G

Job Highlights
  • Competitive salary starting at $128,524, salary commensurate based on experience.
  • $10,000 will be added to the base pay for a Board Certified Psychiatric Nurse Practitioner.
  • An additional $15,000 will be added to the base pay if the candidate holds an autonomous Psychiatric Nurse Practitioner license.

Location:

Western State Hospital

103 Valley Center Drive, Staunton, VA 24401.

Who We Are

Western State Hospital, part of the Virginia Department of Behavioral Health and Developmental Services (DBHDS), has been a leader in psychiatric treatment since 1828. WSH is a 302-bed Joint Commission/CMS-accredited psychiatric facility located in the scenic Shenandoah Valley. Just 30 minutes from vibrant university towns, our hospital serves adults with serious mental health needs and is nationally recognized for our Psychosocial Rehabilitation “Learning” programs.

WSH provides a modern clinical setting and a therapeutic environment for patients, supported by highly qualified staff. Employees also enjoy the beauty and tranquility of the Shenandoah Valley, with nearby cities such as Charlottesville and Harrisonburg offering dining, entertainment, and outdoor activities, making Staunton an attractive place to live and work.

Position Overview

Western State Hospital is seeking a Psychiatric Nurse Practitioner to serve as a Head of Treatment Team (HOTT). The Psychiatric Nurse Practitioner (PMHNP) provides comprehensive psychiatric care to patients on assigned units under the supervision of a psychiatrist. This role includes conducting psychiatric assessments, managing psychopharmacologic treatment, delivering psychotherapy, and collaborating with multidisciplinary teams to ensure individualized, recovery-focused care. The PMHNP also participates in teaching, training, and hospital-wide initiatives to support quality improvement and patient safety.

Key Responsibilities
  • Direct Patient Care
    • Perform psychiatric assessments and diagnostic reassessments as needed.
    • Conduct patient and family interviews and provide education.
    • Manage psychopharmacologic treatment and indicated psychotherapies (individual, group, family).
    • Obtain and document treatment consents.
    • Deliver psychosocial rehabilitation interventions (education, skills training, group therapy).
    • Complete all required documentation for direct-care services.
    • Provide weekday and weekend Staff On-Duty coverage (7 AM–7 PM or 7 PM – 7 AM) as needed.
  • Treatment Team Collaboration
    • Serve as Head of Treatment Team (HOTT) with multidisciplinary staff to develop and implement unit programs.
    • Plan and implement psychiatric, medical, and behavioral rehabilitation treatment plans.
    • Supervise milieu therapy and support staff working with families.
    • Liaise with community mental health centers for discharge planning.
    • Provide cross-coverage for other units when needed.
  • Teaching and Training
    • Supervise psychiatric nurse practitioner students and review case formulations, treatment plans, and documentation for students.
  • Committee and Hospital Activities
    • Participate in medical staff committees and hospital-wide service delivery initiatives.
    • Report safety issues within 24 hours and maintain mandatory training.
  • Performance Improvement
    • Engage in hospital and medical staff quality improvement activities.
Benefits Includes
  • Health, vision, and dental insurance
  • Retirement with cash match
  • 13 paid holidays
  • Paid time off 96 hours annually.
  • 64 hours of Sick
  • 32 hours of family personal
  • 16 hours of community service
  • Life insurance
  • Malpractice coverage
  • Potential eligibility for the Virginia Behavioral Health Loan Repayment Program (BH-LRP), subject to program criteria and restrictions.
Minimum Qualifications
  • Graduate of an accredited Nurse Practitioner program.
  • Certified as a Psychiatric Mental Health Nurse Practitioner (PMHNP).
  • Licensed Nurse Practitioner with Prescriptive Authority in Virginia.
  • A…
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