Psychiatric Nurse Practitioner (Psych NP)

Position Overview:

Paradigm Recovery Center is a startup behavioral health treatment center providing structured, evidence-based treatment for individuals with substance use disorders and co-occurring mental health conditions. The Psychiatric Nurse Practitioner (PMHNP) provides psychiatric evaluation, medication management, and integrated behavioral health care within ASAM 2.5 and 2.1 levels of care.

Key Responsibilities:

Psychiatric Evaluation & Medication Management:

Conduct comprehensive psychiatric evaluations and diagnostic assessments

Prescribe, adjust, and monitor psychiatric medications in accordance with Missouri scope of practice

Provide medication management for co-occurring substance use and mental health disorders

Monitor medication effectiveness, side effects, and adherence

Coordinate care related to MAT or psychotropic medications as clinically indicated

Clinical Collaboration & Treatment Planning:

Collaborate with therapists, case managers, nursing staff, and leadership

Participate in multidisciplinary treatment team meetings and case reviews

Provide consultation regarding psychiatric symptoms and medication concerns

Support referrals and discharge planning

Documentation & Compliance:

Complete timely and accurate documentation in the electronic health record

Maintain records consistent with Missouri regulations, HIPAA, and payer requirements

Document assessments, progress notes, medication orders, and follow-ups

Safety & Risk Management:

Assess psychiatric risk factors including suicidality and symptom escalation

Respond to medication reactions or adverse events

Communicate urgent clinical concerns promptly

Program Development (Startup Environment):

Assist with psychiatric workflow and policy development

Support program build-out and quality improvement initiatives

Maintain flexibility in a startup environment

Qualifications:

Required:

Active, unrestricted Missouri APRN license

Board certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP)

Current DEA registration or ability to obtain

Experience in behavioral health or substance use treatment

Strong clinical judgment and documentation skills

Preferred:

Experience in ASAM 2.1 and/or 2.5 levels of care

Experience in PHP or IOP settings

Familiarity with trauma-informed and recovery-oriented care

Startup or program development experience

Schedule Expectations:

Daytime and/or evening hours based on program needs

Flexible scheduling during startup phase

Physical & Professional Requirements:

Ability to conduct psychiatric evaluations for extended periods

Ability to work in a fast-paced clinical environment

Reliable attendance and professionalism