Nurse Practitioner, Med-Psych

Accompany Health•Detroit, MA

10d•$115,000 - $155,000•Remote

About The Position

Weâre seeking a Med/Psych Advanced Practice Clinician (APC) who thrives in a dynamic, collaborative environment and is eager to deliver high-quality care across both medical and behavioral health domains. The ideal candidate brings clinical expertise in primary care and psychiatric managementâcomfortable managing complex, comorbid patients in virtual settings. As a Med-Psychiatric Advanced Practice Clinician, you will serve patients in our High Risk Advanced Behavioral Health Model in a BH-first model as their longitudinal provider with the primary goal of keeping our patients healthy at home. Our High Risk Advanced BH patients are those who have Serious Mental Illness (SMI) and/or Substance Use Disorder (SUD) and often also have co-occurring complex chronic medical conditions who have high risk of hospital and ED utilization for either or both medical and psychiatric reasons. You will work as a part of a multidisciplinary team consisting of supervising med-psychiatric physicians, behavioral health clinicians (LCSW/LPC), and health advocates who have BH expertise. With your team, youâll provide longitudinal care and build trusted relationships with your patientsâdelivering care virtually and often facilitated by an in-home BH-trained health advocate. Youâll diagnose and manage chronic psychiatric and medical conditions, ensure evidence-based preventive care, address urgent needs, and identify and help overcome any barriers or obstacles to their health. This role is ideal for an APC who embraces innovation, values autonomy, and wants to help shape clinical models that merge technology, compassion, and evidence-based practice.

Requirements

Active Nurse Practitioner (NP) or Physician Assistant (PA) license in the state of employment and willingness to obtain additional licensure as requested
Active DEA registration or eligibility to obtain; X-waiver preferred but not required
Active or eligible state-controlled substance license
Current Basic Life Support (BLS) certification
Demonstrated strong clinical judgment and ability to make independent medical decisions
Proficiency in using electronic medical record (EMR) systems
5+ years of experience working in high risk populations with serious mental illness and substance use disorder with co-occuring complex medical conditions
2+ years of experience in assessing, provisional diagnosis, planning, and managing behavioral patient care as acquired through clinical experience
Expertise with DSM5 diagnostic criteria
Highly skilled in trauma-informed care and culturally sensitive care.
Experience and comfort working within an interdisciplinary care team, and specifically closely collaborating with community health workers and primary care providers

Nice To Haves

Certification by the American Nurses Credentialing Center (ANCC) in Psychiatric Mental Health (PMH) as a Psychiatric Mental Health Nurse Practitioner (PMHNP) or Physician Assistant with Psychiatry CAQ
Experience in working in community mental health and/or integrated care settings
Experience working with patients with substance use disorders including prescribing suboxone, naltrexone, acamprosate, and benzodiazepines for detoxification
Experience working in value-based care setting and/or managed care, including how to appropriately assess STARS/HEDIS measures, accurately and appropriately diagnose and code clinical comorbidities, and identify clinical care gaps

Responsibilities

Patient Care Delivery Conduct virtual onboarding and follow-up visits, facilitated by a Health Advocate, to complete comprehensive biopsychosocial assessments, diagnose and manage chronic conditions using evidence-based guidelines, perform preventive screenings, and close preventive and quality care gaps
This includes addressing BOTH medical and behavioral health diagnoses and treatment plans including chronic disease management, acute medical issues, depression, anxiety, bipolar disorder, PTSD, schizophrenia, substance use disorders, and other mental health disorders
Guarantees every patient is seen face-to-face annually and proactively completes additional visits when clinical needs or care gaps arise
Order and follow up on labs and imaging to inform diagnosis, prevention, and treatment
Manage patients with chronic conditions (e.g., hypertension, diabetes, COPD, heart disease) in collaboration with external providers by developing individualized, evidence-based care plans to optimize health outcomes
Manage patients with substance use disorders and prescribe medications for opioid use disorders, such as suboxone, and medications for alcohol use disorder, such as naltrexone (IM/PO) or acamprosate (this includes suboxone induction and outpatient alcohol detox for patients who are candidates, in supervision with the our Psychiatrist)
Prescribe long-acting injectable medications for appropriate patients
Provide health coaching, lifestyle counseling, and patient education to promote self-management and improved outcomes
Coordinate necessary referrals or home-based services with specialists and community partners
Participate in a rotating call schedule to address urgent clinical needs and support more healthy days at home
Clinical coverage and training in the Collaborative Care and Bridge Programs, including Behavioral Health Case Conference, for coverage when colleagues are on leave or vacation
Interdisciplinary Collaboration Work in close collaboration with Health Advocates- providing clinical support and guidance to their activities to help them coach and empower patients on successful self-management of their health, particularly with outpatient SUD treatment, LAI management, and mental health accompaniment
Work in close collaboration with our Behavioral Health Clinicians in supporting clinical goals and co-managing patients
Refer, collaborate and co-manage patients with our nursing and pharmacy teams
Collaborate with external providers and community organizations to ensure care aligns with patient goals as well as social, home health, and DME needs (this particularly includes external psychiatrists and care managers in community mental health)
Participate in the Advanced BH Case Conference where you will refine treatment plans in a multi-disciplinary fashion, addressing clinical documentation, quality gaps, treatment planning, transitions of care, and complex care planning
Clinical Diagnosis and Documentation, Quality, and Compliance Ensure accurate and appropriate diagnosis, coding and documentation of chronic conditions with evidence-based treatment plans, including BOTH physical and mental health conditions
Maintain timely, accurate documentation in EMR and custom care platforms
Own the quality of preventative care delivered by helping patients close HEDIS quality gaps
Respond to clinical documentation queries in a timely manner
Technical Fluency and Innovation Quickly learns and adapts to new tools, software, and systemsâincluding AI-driven solutionsâthat support patient engagement, care coordination, and clinical decision-making
Understands the intersection of healthcare and technology, leveraging data-driven platforms, electronic medical records, and AI-enabled insights to independently problem solve and improve patient outcomes and operational efficiency
Performs other duties as assigned