Advance Practice Provider Psychiatry Fellowship

Brightli • Columbia, MO

26d

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. Fellows may be newly graduated or early-career Nurse Practitioners or Physician Assistants. They practice only within applicable licensure, credentialing, privileging, and organizational requirements.

The role combines supervised patient care, didactic education, clinical case conferences, direct observation, chart review, and progressively greater responsibility across outpatient, crisis, child/adolescent, adult, and substance use settings. The fellow works under an assigned physician supervisor and senior APP mentor. The position develops skills in psychiatric evaluation, differential diagnosis, treatment planning, psychotropic medication management, risk assessment, crisis stabilization, and care coordination.

Fellows participate in interdisciplinary teams and collaborate with physicians, APPs, therapists, nurses, pharmacists, case managers, and community partners. They maintain timely, accurate, and clinically defensible documentation while learning applicable coding, billing, EMR, and productivity standards. Fellows are expected to demonstrate professional communication and accountability, receive feedback constructively, and appropriately escalate clinical uncertainty or risk. Successful completion requires satisfactory competency evaluation and approval to transition to full clinical capacity, subject to credentialing and organizational requirements.

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 licensure in Missouri and all requirements met for ARNP, or Physician Assistant licensure within six months of program initiation.
• Physician Assistants: Registered Physician Assistant licensure through the Board of Healing Arts.
• Prior clinical experience in behavioral health, psychiatry, emergency medicine, primary care, inpatient medicine, pediatrics, or substance use treatment.
• Strong teamwork and communication skills.
• Comfort working with patients across diverse ages, diagnoses, acuity levels, and care settings.

Nice To Haves

• 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 current 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 medication-assisted treatment 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 continuous incorporation of supervisory feedback.

Benefits

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

What This Job Offers

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