Contracted Psychiatric Mental Health Nurse Practitioner

Job Description:\n\nBenefits:\n\n 401(k)\n Flexible schedule\n Opportunity for advancement\n Training & development\n Wellness resources\n\nPosition Information\nDepartment: Clinical Services\nEmployment Classification: Independent Contractor (1099)\nReports To:\n\n Clinical Director (or Designee)\nProgram Assignment:\n\n Outpatient Behavioral Health Services (OP) \n Intensive Outpatient Program (IOP) \n Partial Hospitalization Program (PHP) \nPrimary Practice Location:\n\nDelaware\n\nWork Arrangement\n\nThe Psychiatric Mental Health Nurse Practitioner (PMHNP) provides services primarily from approved CRHE clinical locations.\n\nServices may be provided through:\n\n In-Person \n Hybrid \n Tele-behavioral Health \nTele-behavioral health services may be provided only following authorization under CRHE Telehealth Policies and Procedures, Delaware law, applicable payer requirements, HIPAA, and other applicable federal and state regulations.\n\nCompensation\n$61.00 per clinical hour\n\nCompensation is based upon completed billable clinical services in accordance with the Independent Contractor Agreement, CRHE policies and procedures, and applicable payer requirements.\n\nSchedule\n\nThis is a variable-hour independent contractor position.\n\nClinical schedules are established collaboratively between CRHE and the contractor based upon:\n\n Contractor availability \n Client demand \n Program assignment \n Referral volume \n Organizational priorities \nEvening and occasional weekend availability may be requested to improve client access to psychiatric services.\n\nAbout CRHE\n\nThe Center for Research & Health Equity (CRHE) is an integrated behavioral healthcare organization dedicated to expanding equitable access to comprehensive mental health, substance use disorder, and co-occurring disorder treatment. Through culturally responsive care, evidence-based practice, interdisciplinary collaboration, and community partnerships, CRHE seeks to improve behavioral health outcomes while addressing the social and structural factors influencing health and recovery.\n\nCRHE provides outpatient behavioral health services, intensive outpatient programming (IOP), partial hospitalization programming (PHP), psychiatric medication management, integrated care coordination, and recovery-oriented services designed to promote long-term wellness.\n\nPosition Summary\n\nThe Psychiatric Mental Health Nurse Practitioner (PMHNP) serves as CRHE's Qualified Psychiatric Practitioner and provides comprehensive psychiatric evaluation, diagnosis, psychopharmacologic treatment, medication management, and integrated behavioral healthcare services for adults experiencing mental health disorders, substance use disorders, and co-occurring conditions.\n\nThe PMHNP collaborates closely with Licensed Clinicians, Counselor I staff, Counselor II staff, Clinical Supervisors, case management personnel, and community healthcare providers to develop individualized, evidence-based treatment plans that promote recovery, psychiatric stabilization, improved functioning, and continuity of care.\n\nThe PMHNP practices independently within the scope of Delaware law while supporting CRHE's interdisciplinary model of integrated behavioral healthcare.\n\nRegulatory Classification\n\nIn accordance with the Delaware Division of Substance Abuse and Mental Health (DSAMH), this position functions as a Qualified Psychiatric Practitioner (QPP).\n\nFor purposes of CRHE operations, the Qualified Psychiatric Practitioner shall be a Psychiatric Mental Health Nurse Practitioner licensed to practice independently in the State of Delaware.\n\nThe PMHNP shall maintain all professional licenses, registrations, certifications, continuing education, and clinical competencies required by Delaware law, DSAMH regulations, applicable payer requirements, and CRHE policies and procedures.\n\nEssential Functions\n\nThe PMHNP is responsible for providing evidence-based psychiatric assessment, medication management, consultation, and integrated behavioral healthcare services.\n\nPrimary responsibilities include, but are not limited to:\nPsychiatric Assessment\n\n Conduct comprehensive psychiatric evaluations. \n Obtain psychiatric, medical, substance use, family, developmental, trauma, and psychosocial histories. \n Complete comprehensive Mental Status Examinations. \n Evaluate suicide risk, homicide risk, self-injurious behaviors, abuse, neglect, and other safety concerns. \n Establish DSM-5-TR psychiatric diagnoses and differential diagnoses. \n Assess functional impairment and psychiatric symptom severity. \n Identify social and environmental factors influencing treatment and recovery. \n\nMedication Management\n\nProvide comprehensive psychopharmacologic services including:\n\n Initial medication evaluations. \n Medication initiation. \n Medication adjustment. \n Ongoing medication monitoring. \n Medication reconciliation. \n Evaluation of medication effectiveness. \n Monitoring adverse reactions. \n Medication adherence counseling. \n Client and family education regarding prescribed medications. \n\nSubstance Use Disorder Treatment\n\nProvide psychiatric services for individuals experiencing substance use disorders and co-occurring behavioral health conditions.\n\nResponsibilities include:\n\n Psychiatric consultation regarding co-occurring disorders. \n Evaluation for medication-assisted treatment (MAT). \n Prescribing and management of buprenorphine, when appropriately credentialed and clinically indicated. \n Management of opioid antagonist medications. \n Psychotropic medication management for individuals with co-occurring disorders. \n Collaboration regarding withdrawal management and recovery planning. \n Participation in ASAM-informed level-of-care recommendations. \n\nIntegrated Behavioral Healthcare\n\nCollaborate effectively with:\n\n Licensed Clinicians. \n Counselor I staff. \n Counselor II staff. \n Clinical Supervisors. \n Case Management. \n Peer Recovery Specialists. \n Primary Care Providers. \n Hospitals. \n Pharmacies. \n Community Behavioral Health Providers. \n Referral Partners. \nParticipate in interdisciplinary treatment planning, case consultation, and coordinated care meetings.\n\nCrisis Intervention\n\n Conduct psychiatric crisis evaluations. \n Assess psychiatric emergencies. \n Participate in emergency psychiatric consultations. \n Develop psychiatric safety plans. \n Coordinate referrals to higher levels of care when clinically indicated. \n Provide consultation to clinical staff regarding psychiatric emergencies. \n\nClinical Consultation\n\nProvide consultation regarding:\n\n Diagnostic clarification. \n Complex psychiatric presentations. \n Psychopharmacology. \n Treatment-resistant conditions. \n Co-occurring disorders. \n Medication management. \n Integrated treatment planning. \nSupport the interdisciplinary treatment team through clinical consultation and education within the scope of practice.\n\nDocumentation Responsibilities\n\nThe PMHNP is responsible for maintaining accurate, timely, and clinically appropriate documentation in accordance with CRHE policies and procedures, DSAMH regulations, Delaware Board of Nursing requirements, HIPAA, 42 CFR Part 2, and applicable payer standards.\n\nDocumentation responsibilities include:\n\n Comprehensive psychiatric evaluations. \n Medication management notes. \n Psychiatric progress notes. \n Medication reconciliation. \n Treatment recommendations. \n Psychiatric consultation notes. \n Controlled substance documentation. \n Crisis intervention documentation. \n Safety plans. \n Clinical correspondence. \n Care coordination documentation. \n Discharge recommendations. \n Other documentation required by CRHE and applicable regulatory agencies. \nClinical documentation shall be completed within established organizational timeframes and support medical necessity, continuity of care, and quality clinical practice.\n\nCaseload Expectations\n\nThe PMHNP maintains a psychiatric caseload appropriate to:\n\n Contractor availability. \n Clinical complexity. \n Referral volume. \n Program assignment. \n Organizational priorities. \nThe PMHNP is expected to provide timely psychiatric consultation and medication management while collaborating with the interdisciplinary treatment team to promote continuity of care across outpatient, intensive outpatient, and partial hospitalization services.\n\nQuality Improvement & Compliance\n\nThe PMHNP is expected to:\n\n Participate in interdisciplinary treatment team meetings. \n Participate in psychiatric case consultation. \n Support organizational quality improvement initiatives. \n Participate in peer review and documentation audits. \n Complete required organizational education and training. \n Maintain compliance with CRHE policies and procedures. \n Report critical incidents and client safety concerns in accordance with organizational policy. \n Practice in accordance with Delaware law, professional nursing standards, DSAMH regulations, and applicable ethical codes. \n\nMinimum Qualifications\nCRHE Required Qualifications\n\nApplicants must possess:\n\n Doctor of Nursing Practice (DNP) from an accredited institution. \n Current unrestricted Delaware Advanced Practice Registered Nurse (APRN) license. \n Eligibility to practice independently within the State of Delaware. \n Current DEA registration, when required. \n Delaware Controlled Substance Registration (CSR), when applicable. \n Demonstrated clinical experience providing psychiatric care for adults with mental health disorders and substance use disorders. \n Specific education and clinical training in: \n \n Psychopharmacology. \n Buprenorphine treatment. \n Opioid antagonist medications. \n Medication management for individuals with co-occurring disorders. \n \n Experience utilizing electronic health record systems. \n\nPreferred Qualifications\n\nPreference will be given to applicants who possess:\n\n Board Certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC). \n Two (2) or more years of experience providing psychiatric services in outpatient behavioral healthcare. \n Experience treating adults with co-occurring mental health and substance use disorders. \n Experience within outpatient, intensive outpatient, or partial hospitalization programs. \n Experience providing integrated behavioral healthcare within an interdisciplinary treatment team. \n Experience utilizing tele-behavioral health technology. \n Working knowledge of the American Society of Addiction Medicine (ASAM) Criteria. \n\nKnowledge, Skills & Abilities\nClinical Knowledge\n\n Psychiatric assessment and diagnosis. \n Psychopharmacology. \n Medication-assisted treatment. \n Integrated treatment of co-occurring disorders. \n DSM-5-TR diagnostic formulation. \n Crisis intervention. \n Recovery-oriented behavioral healthcare. \n Trauma-informed care. \n Professional ethics. \nProfessional Skills\n\n Psychiatric interviewing. \n Clinical decision-making. \n Medication management. \n Interdisciplinary collaboration. \n Professional consultation. \n Client education. \n Time management. \n Clinical documentation. \nTechnical Skills\n\n Electronic Health Record documentation. \n Tele-behavioral health technology. \n Microsoft Office applications. \n Secure electronic communication systems. \n\nProfessional Expectations\n\nThe PMHNP is expected to:\n\n Demonstrate professionalism, integrity, accountability, and sound clinical judgment. \n Practice independently within the scope of Delaware law. \n Deliver culturally responsive, trauma-informed, and recovery-oriented psychiatric care. \n Maintain timely and accurate clinical documentation. \n Collaborate effectively with interdisciplinary team members. \n Maintain professional boundaries and ethical conduct. \n Support CRHE's mission, vision, and organizational values. \n Maintain all required licensure, certifications, registrations, and continuing education. \n\nContractor Opportunities\n\nCRHE offers PMHNP contractors the opportunity to:\n\n Practice within an integrated behavioral healthcare organization. \n Provide psychiatric services across OP, IOP, and PHP levels of care. \n Collaborate with Licensed Clinicians, Counselors, and community healthcare partners. \n Participate in organizational quality improvement initiatives. \n Contribute to program development, implementation of evidence-based psychiatric services, and interdisciplinary care coordination. \n\nPhysical Requirements\n\nReasonable accommodations may be provided to enable qualified individuals to perform the essential functions of this position.\n\nThe PMHNP must be able to:\n\n Sit, stand, walk, bend, and reach as necessary to perform clinical responsibilities. \n Communicate effectively with clients, colleagues, and community partners. \n Utilize electronic health record systems and tele-behavioral health technology. \n Perform psychiatric evaluations and medication management services in a professional clinical environment. \n Safely respond to behavioral health emergencies consistent with organizational policy. \n\nEqual Opportunity Statement\n\nThe Center for Research & Health Equity (CRHE) is committed to fostering a professional environment grounded in integrity, collaboration, innovation, accountability, and respect. CRHE recruits qualified professionals based upon demonstrated competency, education, experience, and organizational need. We are committed to delivering equitable, evidence-based psychiatric and behavioral healthcare that promotes recovery, improves health outcomes, and expands access to comprehensive mental health and substance use treatment for the communities we serve.\n\n \n\nFlexible work from home options available.