Psychiatric Nurse Practitioner

Psychiatric Mental Health Nurse Practitioner

PMHNP • Integrated Behavioral HealthAbout the RoleAre you a PMHNP who wants to practice psychiatry the way it should work - embedded alongside primary care, behavioral health clinicians, and care managers, not siloed in a separate system? Thundermist Health Center is looking for a Psychiatric Mental Health Nurse Practitioner to join our integrated behavioral health team. You'll conduct psychiatric evaluations, manage complex medication regimens, provide MAT for substance use disorders, and collaborate daily with LICSWs, PCPs, pediatricians, and community partners. Your patients are diverse, largely medically underserved, and many have co-occurring medical and behavioral health conditions. No after-hours call, no hospital coverage - just meaningful, team-based psychiatric care in a community that needs you.What You'll DoPsychiatric Clinical Care

Conduct comprehensive psychiatric evaluations including mental status exams, risk assessments, substance use screening, and diagnostic formulation using DSM-5-TR and ICD-10Develop, implement, and update individualized psychiatric treatment plans in collaboration with patients and the care teamPrescribe, titrate, and monitor psychiatric medications including controlled substances; adjust regimens based on clinical response and tolerabilityProvide Medication-Assisted Treatment (MAT) for substance use disorders, including buprenorphine induction and maintenanceAssess clinical emergencies including suicide risk and risk of harm to others; determine appropriate level of care and coordinate transitionsProvide brief supportive counseling, psychoeducation, and motivational interviewing within the scope of medication management visits

Integrated Care & Collaboration

Collaborate within Thundermist's integrated behavioral health model alongside LICSWs, PCPs, pediatricians, care managers, and community partnersParticipate in warm hand-offs from primary care and behavioral health for new psychiatric evaluations and medication consultationsProvide curbside consultation to primary care providers on psychiatric presentations, medication questions, and risk assessmentParticipate in team-based care conferences, complex case reviews, and care management roundsCoordinate care with external psychiatric providers, community mental health centers, inpatient facilities, and SUD treatment programs

Documentation & Compliance

Complete clinical documentation in the EHR (eClinicalWorks) accurately and within same-day charting requirementsEnsure compliance with HIPAA, 42 CFR Part 2 (SUD confidentiality), Rhode Island APRN scope of practice, and DEA prescribing requirementsSupport HRSA UDS reporting for behavioral health measures (depression screening and follow-up, SBIRT, tobacco cessation counseling)Participate in chart audits, peer review, and quality improvement activities

What We're Looking ForYou're a psychiatric NP who's as comfortable managing a complex polypharmacy regimen as you are sitting with a patient in crisis. You value team-based care, believe in meeting patients where they are, and want your work to directly advance health equity.

MSN or DNP from an accredited PMHNP programCurrent PMHNP-BC certification through ANCCFull, unrestricted Rhode Island APRN licensure with PMHNP specialtyCurrent DEA registration and RI Controlled Substance Registration with full Schedule II-V prescriptive authorityMAT/buprenorphine prescribing authority (or willingness to obtain within established timeframes)Current BLS certificationEligibility to enroll with Medicare, Medicaid, and commercial payers (current CAQH profile required)Demonstrated proficiency in psychiatric evaluation, psychopharmacology, and clinical emergency assessment

Preferred:

Prior experience in an FQHC, community mental health center, or safety-net behavioral health settingExperience with integrated behavioral health / primary care behavioral health (PCBH) modelsExperience with MAT including buprenorphine induction and maintenanceExperience with perinatal mental health, pediatric/adolescent psychiatry, geriatric psychiatry, or trauma-informed careBilingual (Spanish/English or Portuguese/English) strongly preferredEligibility for NHSC or Rhode Island state loan repayment programs

Compensation & Provider SupportCompetitive compensation and benefits including: malpractice coverage through the Federal Tort Claims Act; health, dental, and vision insurance; retirement plan with employer match; generous PTO and CME allowance; eligibility for state and federal loan repayment programs. Thundermist is committed to provider wellness and is an AMA Joy in Medicine practice site - you'll be supported by AI scribes, pharmacy technician refill assistance, prior authorization and referral support, cross-coverage support for PTO, and a nurse triage service.Schedule & LocationFull-time (40 hours/week), benefit-eligible, based at an assigned Thundermist location. Monday through Friday during clinic hours, with some evening sessions to support patient access. Visits are primarily in-person with telehealth available as clinically appropriate. Occasional float coverage across other Thundermist sites may be required. No after-hours call or hospital inpatient coverage.Benefits at Thundermist Health CenterFull-Time Employees Working 40+ Hours/Week

Health, Dental, and Vision InsuranceLife Insurance ($75,000) and Long-Term Disability - at no costFlexible Spending Accounts (Health FSA up to $3,300 / Dependent Care FSA up to $5,000)Retirement Plan with 1:1 employer match up to 4%Critical Illness, Accident Insurance, and Hospital IndemnityWellness Reimbursement up to $200/yearPTO starting at 22 days, increasing with tenure, plus 6 paid holidays

Work Environment

Onsite at a Thundermist location in an ambulatory clinical settingPrimarily in-person with telehealth sessions as clinically appropriateModerate physical activity: walking, standing, stooping, and occasional liftingPotential exposure to blood-borne pathogens, respiratory disease, infectious diseases, and other biohazardous materials requiring universal standard precautions

Our ValuesEverything we do at Thundermist is guided by five core values: Integrity, Innovation, Excellence, Community, and Caring. If those resonate with you, you'll feel at home here.

Ready to join a team that truly cares?Apply today.Thundermist Health Center is an equal opportunity employer. We prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.