Psychiatric Mental Health Nurse Practitioner – PMHNP

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⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $130k - $140k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Here Now Health

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1 - 10 employees

🏥 Healthcare

🌍 Social Impact

🏛️ Government

Healthcare • Social Impact • Government

Here Now Health is a virtual mental healthcare provider focused on children, young adults, and families connected to the foster care system. The company delivers trauma-informed telehealth therapy, care empowerment through dedicated care advocates, and caregiver support by partnering with Medicaid plans and state programs to provide no-cost services to eligible members. Here Now Health emphasizes lived-experience-informed clinical teams and practical care navigation to keep vulnerable youth connected to consistent mental health and support services.

📋 Description

• Conduct 60-minute initial psychiatric evaluations and 30-minute medication-management follow-ups by video • Build treatment plans pairing medication with evidence-based therapy provided by the patient’s HNH therapist • Prescribe and monitor psychotropic medications, including baseline and follow-up labs, metabolic monitoring, and AIMS for antipsychotics • Review and simplify complex medication regimens • 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 data • Assess risk at every visit and follow HNH safety protocols, escalating to the Lead Psychiatrist or emergency services when needed • Obtain informed consent for psychotropic medication and youth assent • Follow each state’s psychotropic medication oversight requirements for youth in foster care • Communicate with caregivers, caseworkers, and other members of the child’s team within consent and privacy-law limits • Provide caregivers guidance on diagnoses, medications, side effects, and warning signs • Protect continuity of care through placement changes, including medication reconciliation and timely records transfer • Coordinate with therapists and attend weekly interdisciplinary team meetings • Complete documentation within 24 hours with accurate coding • Provide feedback on workflows, templates, and protocols • Participate in quality improvement and peer review • Care for children ages 6+, adolescents, and young adults through age 26 who have been in foster care

🎯 Requirements

• PMHNP-BC certification • Active RN license valid in Virginia (multistate compact license accepted) and active Virginia APRN license, or ability to obtain both before start • Active DEA registration, or eligibility in each state of practice, plus any required state controlled substance registrations • 3 or more years of post-certification experience in psychiatric evaluation and medication management of children and adolescents • Experience treating youth with trauma histories and complex, multi-medication presentations • Telehealth experience or clear comfort with it • Eligibility for Medicaid and commercial payer credentialing • Ability to pass background checks, including child abuse and neglect registry checks • Preferred APRN licenses in NM, MO, and NC • Experience with foster care, kinship care, adoption, or child welfare agencies, including psychotropic consent and oversight processes • Experience with young adults transitioning out of care • Experience with measurement-based care • Experience building a new clinical program or working at an early-stage company • Fluency in Spanish or another language spoken by HNH families • Lived experience within the child welfare system is highly valued and welcomed in lieu of, or alongside, formal experience within child welfare • Must have access to a private, quiet workspace with reliable high-speed internet • Current and ongoing authorization to work in the United States without employer sponsorship

🏖️ Benefits

• Medical, dental, and vision insurance with 100% employer-paid employee-only premiums and significant contributions toward family coverage • Company-sponsored 401(k) retirement plan • Paid time off (PTO), paid sick leave, company holidays, and floating holidays • Health Savings Account (HSA) for eligible high-deductible health plans • Company-provided laptops and equipment, as applicable • Reimbursement for approved business-related travel expenses • Flexible and remote work arrangements • Weekly case review and on-call consultation • Collaborative practice oversight where state law requires it • Training in engaging youth with complex trauma histories and measurement-based care

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