Advance Practice Provider Psychiatry Fellowship

Brightli • Columbia, MO

24d

About The Position

The Advanced Practice Provider Fellow participates in a structured six-month fellowship that develops safe, high-quality clinical practice in psychiatry, behavioral health crisis care, and substance use treatment. The fellow may be a newly graduated or early-career Nurse Practitioner or Physician Assistant and practices only within applicable licensure, credentialing, privileging, and organizational requirements.

The position combines supervised patient care, didactic education, clinical case conferences, direct observation, chart review, and progressive responsibility across outpatient, crisis, child/adolescent, adult, and substance use settings. The fellow works under an assigned physician supervisor and senior APP mentor, receiving increased clinical responsibility as competencies are demonstrated. Training focuses on psychiatric evaluation, differential diagnosis, treatment planning, psychotropic medication management, risk assessment, crisis stabilization, and care coordination.

The fellow participates in interdisciplinary teams and collaborates with physicians, APPs, therapists, nurses, pharmacists, case managers, and community partners. The role requires timely, accurate, clinically defensible documentation and developing competence in coding, billing, EMR, and productivity standards. The fellow is expected to demonstrate professional communication and accountability, receive feedback constructively, and appropriately escalate clinical uncertainty or risk. Completion requires satisfactory competency evaluation and approval to transition to full clinical capacity, subject to credentialing and organizational requirements.

The fellowship is six months. Work may be performed in office, clinical, residential, and/or community-based environments depending on role and assignment. The position is classified as sedentary, though duties may involve prolonged sitting, standing, walking, and computer use. Hours may include evenings, weekends, holidays, or extended shifts based on program needs. The position has no supervisory responsibilities.

Requirements

• Nurse Practitioners: Master of Science in Nursing, or Doctor of Nursing Practice within six months of program initiation.
• Physician Assistants: Master of Physician Assistant Studies from an NCCPA-accredited program.
• Nurse Practitioners: Registered Nurse in Missouri and all requirements met for ARNP, or Physician Assistant within six months of program initiation.
• Physician Assistants: Registered Physician Assistant licensure through the Board of Healing Arts.
• Work only within applicable licensure, credentialing, privileging, and organizational requirements.
• Strong teamwork and communication skills.
• Comfort working with patients across diverse ages, diagnoses, acuity levels, and care settings.

Nice To Haves

• Prior clinical experience in behavioral health, psychiatry, emergency medicine, primary care, inpatient medicine, pediatrics, or substance use treatment.
• Experience with psychiatric interviewing, medication management, crisis assessment, or integrated behavioral health.
• Interest or experience in quality improvement, clinical education, or evidence-based practice.

Responsibilities

• Conduct supervised psychiatric, behavioral health, medical, and substance use evaluations appropriate to the fellow’s training level and legal scope.
• Develop differential diagnoses and evidence-informed treatment plans under appropriate clinical supervision.
• Provide supervised medication management, including medication selection, initiation, adjustment, monitoring, education, and follow-up within authorized scope.
• Perform suicide, violence, medical, intoxication, and withdrawal risk assessments and escalate care appropriately.
• Participate in behavioral health crisis evaluations, stabilization, safety planning, disposition planning, and referrals to higher levels of care.
• Participate in substance use disorder treatment and MAT experiences, including assessment, motivational interviewing, relapse prevention, and medication treatment when legally and organizationally authorized.
• Complete timely, accurate, and compliant clinical documentation and develop competence in EMR, coding, billing, and workflow requirements.
• Participate in interdisciplinary treatment teams, case conferences, supervision, and clinical consultation.
• Complete required rotations, didactic assignments, competency assessments, and a quality-improvement project.
• Demonstrate professional judgment, accountability, communication, patient-centered care, and ongoing incorporation of supervisory feedback.

Benefits

• Paid time off package for full-time employees.
• Health, dental, vision, retirement, and life benefits for full-time employees.
• Initial, ongoing, comprehensive, and supportive training.
• Career mobility and advancement opportunities, including promoting from within.
• A welcoming, warm, and supportive work culture that promotes well-being and values employees.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level