[Hiring] Psychiatric Mental Health Nurse Practitioner @Here Now Health

Role Description

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

• 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

• 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.