Psychiatric Nurse Practitioner

About Mainspring Recovery Mainspring Recovery is a mission-driven behavioral health organization built on the belief that healing happens when the right people are in the room. We provide care across multiple levels, including Residential, Partial Hospitalization (PHP), and Intensive Outpatient (IOP), supporting individuals and families throughout the recovery process. Every role at Mainspring, clinical and non-clinical alike, contributes to creating safe, structured, and effective environments where people can rebuild their lives. We invest in strong teams, clear systems, and thoughtful leadership, believing meaningful impact comes from doing the work well, supporting one another, and holding ourselves to high standards across the organization. Job Title: Psychiatric Nurse Practitioner Reports To: Medical Director / Executive Director Department: Medical Location: Remote Employment Type: Full-time | Salaried | Exempt Compensation: The pay for this position is $170,000-180,000 salary, set in good faith based on the responsibilities of the role, qualifications, and market conditions Job Summary Mainspring Recovery is seeking a Nurse Practitioner to join our interdisciplinary clinical team supporting individuals in recovery from substance use disorders (SUD) and co-occurring mental health conditions. This position may be filled by a Psychiatric Nurse Practitioner (PMHNP) or a Medical Nurse Practitioner (FNP/AGNP) depending on the candidate's licensure and area of expertise. The NP will provide specialty-focused care — psychiatric or medical — while maintaining a whole-person approach aligned with Mainspring's mission. Key Responsibilities Upon admission, conduct a comprehensive specialty-specific intake evaluation: For Psychiatric NPs (PMHNP): Complete psychiatric intake evaluation including mental status exam (MSE), trauma history, and psychiatric review of systems Diagnose and document DSM-5 psychiatric conditions (e.g., mood disorders, anxiety, PTSD, psychosis) co-occurring with SUD Assess suicide/homicide risk andestablisha safety plan Review current psychotropic medication history andidentifymedication-assisted treatment (MAT) need Establish an individualized psychiatric treatment plan with short- and long-term goals Routinely approve continuation of medications upon intake until full assessment can be completed. SUD & Mental Health Focus During Mainspring Care Identifyand address SUD-specific clinical needs including withdrawal management, detox monitoring, and MAT initiation or continuation (buprenorphine, naltrexone, etc.) Collaborate with counselors, case managers, and behavioral health staff to ensure psychiatric and medical needs are integrated into the patient's individualized treatment plan Participate in interdisciplinary treatment team meetings and case conferences Provide clinical consultation to staffregardingthe intersection of medical/psychiatric conditions and SUD recovery Screen for co-occurring disorders and refer internally or externally as appropriate Routine Follow-Up & Ongoing Care Conduct scheduled follow-up appointments throughout the patient's stay tomonitortreatment response, medication efficacy, and overall health status Reassess and update the care plan based on patient progress, emerging concerns, or changes in clinical status Document all clinical encounters, assessments, and care plan updates accurately andin a timely mannerin the EHR Monitor vital signs, labs, and diagnostic results; communicate critical values andinitiateappropriate follow-up Provide patient educationregardingdiagnosis, medications, side effects, and self-management strategies relevant to SUD recovery Medication Ordering & Prescribing Prescribe and manage medications within scope of practice, including MAT medications, psychiatric medications, and medications for co-occurring medical conditions Conduct medication reconciliation upon admission, during treatment, and at discharge Monitor for medication interactions, contraindications, and adverse effects with attention to substances common in SUD populations Utilize the Virginia Prescription Monitoring Program (PMP) asrequiredprior to prescribing controlled substances Collaborate with the Medical Director on complex or high-risk medication regimens Peer-to-Peer Reviews & Utilization Management Complete peer-to-peer (P2P) reviews with insurance medical directors asrequiredto advocate for medically necessary levels of care, continued stays, or treatment services Document clinical justification for level-of-care determinations in alignment with ASAM criteria Communicate with payers andutilizationmanagement teams to support authorization of clinical services Partner with the clinical and administrative team to ensuretimelycompletion of P2P requests to avoid disruptions in patient care Additional Responsibilities Refer patients to outside healthcare resources and specialists when clinical needs exceed on-site scope of care Maintain up-to-da