Part Time Consultation-Liaison Psychiatric Nurse Practitioner

firsthand Health•Richmond, VA

35d•$70 - $75•Onsite

About The Position

firsthand supports individuals living with SMI (serious mental illness) through a holistic approach involving peer recovery specialists, benefits specialists, and clinicians. The organization focuses on meeting individuals where they are and guiding them on their journey to better health. firsthand's team members leverage their lived experience to build trust and help individuals reconnect with necessary healthcare while minimizing inappropriate utilization. The company collaborates with health plan partners to transform societal support for those most impacted by SMI. They are seeking passionate problem-solvers to address complex healthcare challenges, offering a role that is more than a job but a calling, with opportunities for purpose-driven work, learning from colleagues, and thriving in a creative and fun environment. The Consultation-Liaison Psychiatric Nurse Practitioner will be the founding clinician of firsthand's hospital psychiatric consult service and the primary representative within partner hospitals. This role involves conducting same-day psychiatric assessments and initiating treatment (medication management, long-acting injectables, MAT, therapeutic work) for patients referred by emergency physicians or hospitalists. The practitioner will follow admitted patients, document in the hospital's EHR, and build relationships with hospital teams. Collaboration with a consultation-liaison psychiatrist for supervision and complex cases is integral. A unique aspect of this role is managing the outpatient bridge, providing continuity of care for patients seen in the emergency department. This position is part-time, with 4-6 ten-hour shifts per month (minimum 2 shifts guaranteed), including weekend on-call duties and coverage for full-time NP absences. The hourly pay rate is $70-$75 USD. firsthand encourages candidates who may not meet all listed criteria to apply.

Requirements

Certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)
Active Virginia APRN license. Autonomous practice designation specific to psychiatric practice preferred
National psychiatric APRN certification (ANCC or equivalent)
DEA registration, including the ability to prescribe Schedule II–VI medications and buprenorphine
Active Medicare enrollment via PECOS as an individual provider, and active Virginia Medicaid (DMAS) enrollment, strongly preferred
Current, attested CAQH ProView profile
No history of Medicare or Medicaid sanctions or exclusions, and no unresolved licensure disciplinary actions
Active, unrestricted malpractice and professional liability coverage, or the ability to furnish a certificate of insurance upon offer
A belief in the impact of early psychiatric involvement on the overall care plan for medically complex patients and a conviction that the patients who are hardest to place deserve the same urgency as anyone else in the hospital
High emotional intelligence and genuine affability: the ability to walk into a hospital, and win over the charge nurse, the attending, and the patient in the same hour. Warm, unflappable, easy to work with, hard to rattle
A sound, evidence-based clinical assessment framework: a clear, defensible approach to deciding when a patient in the emergency department needs further observation, inpatient admission, or safe discharge to the community, with respect to suicide risk, ability to care for self, and risk of danger to others
Credibility with emergency physicians, hospitalists, and surgeons, and the communication skills to influence a team that is not your own
An owner's mindset and a tenacious, independent work ethic: you will build the workflows, the relationships, and the reputation of this service from zero. You will hear “that's not how we do it here” regularly, and you will treat it as information rather than an insult

Nice To Haves

Autonomous practice designation specific to psychiatric practice
Active Medicare enrollment via PECOS as an individual provider, and active Virginia Medicaid (DMAS) enrollment
Ability to furnish a certificate of insurance upon offer

Responsibilities

Conduct same day psychiatric consultations for patients based on requests from emergency, medical, and surgical teams
Collaborate closely with hospital teams including attending physicians, nursing staff, and case managers, to develop and implement treatment plans
Perform rapid assessment, crisis intervention, and stabilization for patients presenting in psychiatric crisis including suicide and violence risk assessments
Escalate to the collaborating psychiatrist for complex management, and practice within your training and experience with a referral plan for complex cases and emergencies
Provide outpatient services for stabilization, medication management and supportive psychotherapy
Establish and maintain working relationships with hospital departments and community partners, and contribute to consult workflow and care pathway development in collaboration with the consulting psychiatrist