Part-time Psychiatric Nurse Practitioner

Paradigm Recovery Center, a startup behavioral health treatment center, is seeking a part-time Psychiatric Nurse Practitioner to provide psychiatric evaluation, medication management, and integrated behavioral health care for individuals with substance use disorders and co-occurring mental health conditions. You will work within ASAM 2.5 and 2.1 levels of care in a collaborative, multidisciplinary treatment environment.

Responsibilities

• 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 medication-assisted treatment (MAT) or psychotropic medications as clinically indicated
• Collaborate with therapists, case managers, nursing staff, and leadership on treatment planning
• Participate in multidisciplinary treatment team meetings and case reviews
• Provide consultation regarding psychiatric symptoms and medication concerns
• Support referrals and discharge planning
• Assess psychiatric risk factors including suicidality and symptom escalation
• Respond to medication reactions or adverse events
• Communicate urgent clinical concerns promptly
• Complete timely and accurate documentation in the electronic health record
• Maintain records consistent with Missouri regulations, HIPAA, and payer requirements
• Assist with psychiatric workflow and policy development
• Support program build-out and quality improvement initiatives

Clinical Setting

This is a startup environment providing structured, evidence-based treatment for substance use disorders and co-occurring mental health conditions. You will work in a fast-paced clinical setting and maintain flexibility as the program develops.

Required Qualifications

• 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 Qualifications

• Experience in ASAM 2.1 and/or 2.5 levels of care
• Experience in PHP (Partial Hospitalization Program) or IOP (Intensive Outpatient Program) settings
• Familiarity with trauma-informed and recovery-oriented care
• Startup or program development experience

Schedule

• Daytime and/or evening hours based on program needs
• Flexible scheduling during startup phase

Physical and Professional Requirements

• Ability to conduct psychiatric evaluations for extended periods
• Ability to work in a fast-paced clinical environment
• Reliable attendance and professionalism