Nurse Practitioner - Dually Licensed (PMHNP and FNP/AGNP)

Mainspring Recovery•Dumfries, VA

2d•$170,000 - $180,000•Onsite

About The Position

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.

Requirements

Active Nurse Practitioner licensure in the Commonwealth of Virginia
Board certification as a PMHNP-BC, FNP-C/FNP-BC, or AGNP-C/AGPCNP-BC
Active DEA registration in Virginia
Current BLS/CPR certification
Proficiency with electronic health records (EHR)
Excellent written and verbal communication skills
Commitment to trauma-informed, culturally responsive, and patient-centered care

Nice To Haves

Minimum of one (1) year of clinical experience in a psychiatric, SUD, behavioral health, or related healthcare setting
Experience with medication-assisted treatment (MAT)
Experience completing peer-to-peer reviews with insurance companies
Familiarity with ASAM criteria and levels of care for SUD treatment

Responsibilities

Conduct a comprehensive specialty-specific intake evaluation, including psychiatric intake evaluation (MSE, trauma history, psychiatric review of systems), diagnosis of DSM-5 psychiatric conditions, assessment of suicide/homicide risk, review of psychotropic medication history, and establishment of an individualized psychiatric treatment plan for Psychiatric NPs (PMHNP).
Perform a full history and physical examination (H&P) upon admission, identify and document acute and chronic medical conditions impacting SUD/MH treatment, complete a medical review of systems, order and interpret admission labs, toxicology screens, and diagnostic imaging/tests, and establish an individualized medical treatment plan for Medical NPs (FNP/AGNP).
Identify and address SUD-specific clinical needs including withdrawal management, detox monitoring, and MAT initiation or continuation.
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.
Conduct scheduled follow-up appointments 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.
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.
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.
Complete peer-to-peer (P2P) reviews with insurance medical directors 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.
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.