Outpatient PMHNP

Psychiatric Mental Health Nurse Practitioner (PMHNP)

Kaleidoscope Rx | Vancouver, WA |
In‑Person | Exempt Full Time – 4 days per week
Part‑time considered (minimum 3 days per week)

Kaleidoscope Rx is a neurodiversity‑affirming, LGBTQIA+‑affirming outpatient psychiatric medication management clinic in Vancouver, WA. Founded by a PMHNP and an RN, we prioritize unconditional patient dignity and clinician support.

As a queer, neurodivergent‑owned practice, our team's lived experience with ADHD and autism shapes our clinical approach. We provide thoughtful, comprehensive care; our tagline, "Clear perspective is good medicine," reflects our commitment to patients.

We serve patients ages 4 and up across Washington and Oregon—including adults, adolescents, and children—via in‑person and telemedicine visits, focusing on complex, longitudinal care that values clinical skill and patient autonomy.

We are an equal opportunity employer and strongly encourage applications from LGBTQIA+ individuals and underrepresented communities.

We are seeking a PMHNP dedicated to intentional, collaborative practice. You approach complex cases with curiosity and view medication management as a partnership with the patient, families, and broader care teams.

Our practice is rooted in neurodiversity‑affirming and LGBTQIA+‑affirming care, which we uphold as core values in every interaction. We prioritize thoughtful, whole‑patient care and active coordination with outside treatment teams.

We serve patients starting at age 4 and require a commitment to delivering high‑quality pediatric and adolescent care. We offer mentorship and support for clinicians dedicated to growing their skills in pediatric psychopharmacology.

• Provide comprehensive psychiatric assessments and evidence‑based medication management for patients aged 4 and older, including those with complex medical histories.
• Partner with patients and their families to develop personalized treatment plans focused on achieving unique personal goals.
• Maintain accurate, timely clinical documentation and efficiently handle administrative tasks like patient messages and refill requests.
• Collaborate actively with our leadership team and colleagues through regular case reviews and peer consultation.
• Apply a neurodiversity‑affirming approach as the standard foundation for all patient interactions and clinical decision‑making.

We prioritize sustainable, high‑quality care by structuring our clinical model to prevent burnout.

• Schedule: Monday–Thursday, 8:00 AM – 5:30 PM (No Fridays). Part‑time roles (minimum 3 days) are available.
• Patient Appointments: 90‑minute intakes and 30‑minute follow‑ups.
• Dedicated Admin Time: 90 minutes of protected time daily for documentation, refills, authorizations, and case management.
• Location: This is an in‑person position, based at our Vancouver, WA clinic, with options for telemedicine follow‑ups for established patients.

• You hold a Master's or Doctorate in Psychiatric Mental Health Nursing.
• You have an active, unrestricted APRN/ARNP license in Washington.
• Active Oregon APRN license required prior to start date (we see Oregon patients via telemedicine).
• You maintain an active DEA registration.
• You are board‑certified as a PMHNP through the ANCC or AANPCB.
• You feel comfortable prescribing for pediatric patients (ages 4+) or are excited to grow in this area. We value this focus and provide mentorship and training.
• You share our commitment to neurodiversity‑affirming and LGBTQIA+‑affirming care.

• Background working with children, adolescents, or neurodivergent populations.
• Familiarity with evidence‑based psychopharmacology across the lifespan, especially managing complex comorbidities.
• Experience with collaborative care or brief therapeutic interventions.
• Telepsychiatry experience.
• Previous use of Valant or similar EHR systems.
• Bilingual skills.

Salary range: $140,000 – $187,000 annually (equivalent to $75 – $100 per hour), commensurate with experience and career level.

Benefits include:

• Employer‑paid medical, dental, and vision insurance
• CME stipend with DEA registration and licensure support
• Paid time off
• 9 paid holidays per year
• Unpaid time off available
• 401(k) with employer match
• Employer‑sponsored whole life insurance
• EAP program available

This is a salaried exempt position. Compensation is tied to our PMHNP Career Levels framework, which provides a structured pathway for growth and advancement based on demonstrated clinical performance.