About the role
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 and
establish
a safety plan Review current psychotropic medication history and
identify
medication-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
Identify
and 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 staff
regarding
the 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 to
monitor
treatment 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 and
in a timely manner
in the EHR Monitor vital signs, labs, and diagnostic results; communicate critical values and
initiate
appropriate follow-up Provide patient education
regarding
diagnosis, 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) as
required
prior 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 as
required
to 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 and
utilization
management teams to support authorization of clinical services
Partner with the clinical and administrative team to ensure
timely
completion 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-date knowledge of SUD treatment guidelines, MAT protocols, and psychiatric best practices
Perform all other duties as assigned by the Executive Director or Medical Director
Minimum Qualifications
Education / Credentials
Active Nurse Practitioner licensure in the Commonwealth of Virginia (required)
Board certification as a PMHNP-C/PMHNP-BC
Active DEA registration in Virginia (required)
Current BLS/CPR certification (required)
Experience
Minimum of one (1) year of clinical experience in a psychiatric, SUD, behavioral health, or related healthcare setting preferred
Experience with medication-assisted treatment (MAT) preferred
Experience completing peer-to-peer reviews with insurance companies preferred
Knowledge / Skills
Strong clinical assessment skills with ability to
identify
and manage acute and chronic conditions in SUD/MH populations
Familiarity with ASAM criteria and levels of care for SUD treatment
Proficiency
with electronic health records (EHR) Excellent written and verbal communication skills Commitment to trauma-informed, culturally responsive, and patient-centered care Working Conditions Direct Care Position Full-time,
40 hours
per week, Monday-Friday 10:00am-6:30pm, on-call Remote Why This Role Matters At Mainspring Recovery, we believe that healing from substance use disorder requires addressing the full picture of a person's health — mind and body. Our Nurse Practitioners are essential to that mission. Whether your
expertise
is psychiatric or medical, your work directly supports patients in one of the most vulnerable and transformative periods of their lives. You will be part of a compassionate, collaborative team dedicated to meeting patients where they are and guiding them toward lasting recovery.
Pre-Employment Requirements
Mainspring conducts, as required, job-related background checks, drug testing, TB testing, verification of employment history, and/or reference checks prior to employment.
Equal Employment Opportunity Statement
Mainspring is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other protected status in accordance with applicable federal, state, and local laws.
EEO is the Law:
http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf
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.