Psychiatric Mental Health Nurse Practitioner (PMHNP)
Budget / Salary$130,000–140,000
TypeFull-time job
LocationUnited States
Posted5 hours ago
Job Title: Psychiatric Mental Health Nurse Practitioner (PMHNP)
Status: Part-Time or Full-Time
Reports To: Founding Psychiatrist
About Here Now Health:
Here Now Health is the first virtual healthcare company specifically built for children and families impacted by the child welfare system. We deliver child welfare–informed, high-touch care to Medicaid-covered youth navigating foster care, adoption, kinship placements, and juvenile justice. Our model prioritizes consistency, trust, and accessibility in systems where they are too often missing.
Role Summary
You will be one of the first prescribers in a new psychiatry service designed specifically for youth in and around foster care. You will have direct collaboration with a child and adolescent psychiatrist, a therapy team trained in evidence based psychotherapy , and real influence over how the service works. Psychiatry launches in Virginia in early 2027 and will expand to other HNH states.
Key Responsibilities
Clinical care
Conduct 60-minute initial psychiatric evaluations and 30-minute medication management follow-ups by video.
Build treatment plans that pair medication with the evidence-based therapy each patient receives from their HNH therapist.
Prescribe and monitor psychotropic medications under HNH protocols, including baseline and follow-up labs, metabolic monitoring, and AIMS for antipsychotics.
Review and simplify complex medication regimens, which many of our patients arrive with after multiple placements and prescribers.
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 the data.
Assess risk at every visit and follow HNH safety protocols, escalating to the Lead Psychiatrist or emergency services when a patient needs a higher level of care.
Working within the child welfare system
Obtain informed consent for psychotropic medication from whoever holds legal authority (agency, court, or parent, depending on state and custody status) and obtain the youth’s assent.
Work within each state’s psychotropic medication oversight requirements for youth in foster care, including documentation and review processes.
Communicate with foster, kinship, and adoptive caregivers, caseworkers, and other members of the child’s team, within the limits of consent and privacy law.
Give caregivers clear, practical guidance on diagnoses, medications, side effects, and warning signs.
Protect continuity of care through placement changes, including medication reconciliation and timely records transfer.
Team and program building
Coordinate closely with each patient’s therapist and attend weekly interdisciplinary team meetings.
Complete documentation within 24 hours, with accurate coding.
Help build a new service by giving feedback on workflows, templates, and protocols, and taking part in quality improvement and peer review.
Who You’ll Care For
Children ages 6 and older, adolescents, and young adults through age 26 who have been in foster care. Most have histories of complex trauma and multiple placements.Patients who need a higher level of care are referred out and may return after stabilization.
How we work
Supervision. You report to the Founding Lead Psychiatrist, a board-certified child, adolescent, and adult psychiatrist, who provides (weekly case review and on-call consultation) and collaborative practice oversight where state law requires it.
Team. Psychiatry works alongside HNH therapists and Care Advocates. The full clinical team meets weekly; the medical team meets monthly.
Visit cadence. Psychiatry follow-up frequency is set by clinical need and can differ from therapy cadence.
Training. All HNH clinicians are trained in engaging youth with complex trauma histories and in our measurement-based care framework.
Setup. Fully virtual. HNH provides the EHR, e-prescribing, and telehealth platform.
Qualifications
Required
PMHNP-BC
Active RN license valid in Virginia (multistate compact license accepted) and active Virginia APRN license, or the 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 other states, NM, MO, 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
Work Environment & Hours
100% remote
Must have access to a private, quiet workspace with reliable high speed internet.
Compensation and Benefits
Compensation
Base Salary: Up to $130,000 - $140,000 annually for Full-Time
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
Benefits eligibility may vary based on employment classification, scheduled hours, plan requirements, and applicable company policies.
This position is not eligible for employment visa sponsorship. Candidates must have current and ongoing authorization to work in the United States without employer sponsorship.
Originally posted on Himalayas
Status: Part-Time or Full-Time
Reports To: Founding Psychiatrist
About Here Now Health:
Here Now Health is the first virtual healthcare company specifically built for children and families impacted by the child welfare system. We deliver child welfare–informed, high-touch care to Medicaid-covered youth navigating foster care, adoption, kinship placements, and juvenile justice. Our model prioritizes consistency, trust, and accessibility in systems where they are too often missing.
Role Summary
You will be one of the first prescribers in a new psychiatry service designed specifically for youth in and around foster care. You will have direct collaboration with a child and adolescent psychiatrist, a therapy team trained in evidence based psychotherapy , and real influence over how the service works. Psychiatry launches in Virginia in early 2027 and will expand to other HNH states.
Key Responsibilities
Clinical care
Conduct 60-minute initial psychiatric evaluations and 30-minute medication management follow-ups by video.
Build treatment plans that pair medication with the evidence-based therapy each patient receives from their HNH therapist.
Prescribe and monitor psychotropic medications under HNH protocols, including baseline and follow-up labs, metabolic monitoring, and AIMS for antipsychotics.
Review and simplify complex medication regimens, which many of our patients arrive with after multiple placements and prescribers.
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 the data.
Assess risk at every visit and follow HNH safety protocols, escalating to the Lead Psychiatrist or emergency services when a patient needs a higher level of care.
Working within the child welfare system
Obtain informed consent for psychotropic medication from whoever holds legal authority (agency, court, or parent, depending on state and custody status) and obtain the youth’s assent.
Work within each state’s psychotropic medication oversight requirements for youth in foster care, including documentation and review processes.
Communicate with foster, kinship, and adoptive caregivers, caseworkers, and other members of the child’s team, within the limits of consent and privacy law.
Give caregivers clear, practical guidance on diagnoses, medications, side effects, and warning signs.
Protect continuity of care through placement changes, including medication reconciliation and timely records transfer.
Team and program building
Coordinate closely with each patient’s therapist and attend weekly interdisciplinary team meetings.
Complete documentation within 24 hours, with accurate coding.
Help build a new service by giving feedback on workflows, templates, and protocols, and taking part in quality improvement and peer review.
Who You’ll Care For
Children ages 6 and older, adolescents, and young adults through age 26 who have been in foster care. Most have histories of complex trauma and multiple placements.Patients who need a higher level of care are referred out and may return after stabilization.
How we work
Supervision. You report to the Founding Lead Psychiatrist, a board-certified child, adolescent, and adult psychiatrist, who provides (weekly case review and on-call consultation) and collaborative practice oversight where state law requires it.
Team. Psychiatry works alongside HNH therapists and Care Advocates. The full clinical team meets weekly; the medical team meets monthly.
Visit cadence. Psychiatry follow-up frequency is set by clinical need and can differ from therapy cadence.
Training. All HNH clinicians are trained in engaging youth with complex trauma histories and in our measurement-based care framework.
Setup. Fully virtual. HNH provides the EHR, e-prescribing, and telehealth platform.
Qualifications
Required
PMHNP-BC
Active RN license valid in Virginia (multistate compact license accepted) and active Virginia APRN license, or the 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 other states, NM, MO, 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
Work Environment & Hours
100% remote
Must have access to a private, quiet workspace with reliable high speed internet.
Compensation and Benefits
Compensation
Base Salary: Up to $130,000 - $140,000 annually for Full-Time
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
Benefits eligibility may vary based on employment classification, scheduled hours, plan requirements, and applicable company policies.
This position is not eligible for employment visa sponsorship. Candidates must have current and ongoing authorization to work in the United States without employer sponsorship.
Originally posted on Himalayas
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