Psychiatric Mental Health Nurse Practitioner (PMHNP)

Here Now Health • Virginia Beach, VA

15d • $130,000 - $140,000 • Remote

About The Position

Here Now Health is hiring a Psychiatric Mental Health Nurse Practitioner to provide virtual psychiatric care for children and families impacted by the child welfare system. The PMHNP will be one of the first prescribers in a new psychiatry service for youth in and around foster care. Psychiatry is planned to launch in Virginia in early 2027 and expand to other Here Now Health states. The role offers direct collaboration with a child and adolescent psychiatrist, an evidence-based therapy team, and input into the development of the service.

The clinician will care for children age 6 and older, adolescents, and young adults through age 26 who have been in foster care. Many patients have complex trauma histories, multiple placements, and complex medication regimens. Patients requiring a higher level of care will be referred out and may return after stabilization.

The role is fully remote and uses company-provided EHR, e-prescribing, and telehealth platforms. The PMHNP reports to the Founding Lead Psychiatrist, who provides weekly case review, on-call consultation, and collaborative practice oversight where required by state law. The psychiatry team works alongside therapists and Care Advocates, with weekly full clinical-team meetings and monthly medical-team meetings. Follow-up frequency is based on clinical need. Compensation is up to $130,000–$140,000 annually for full-time work; benefits eligibility may vary by employment classification and scheduled hours.

Requirements

• PMHNP-BC certification.
• Active RN license valid in Virginia (a multistate compact license is accepted) and active Virginia APRN license, or ability to obtain both before starting.
• Active DEA registration or eligibility in each state of practice, plus any required state controlled-substance registrations.
• At least 3 years of post-certification experience in psychiatric evaluation and medication management of children and adolescents.
• Experience treating youth with trauma histories and complex, multi-medication presentations.
• Telehealth experience or clear comfort with telehealth.
• Eligibility for Medicaid and commercial payer credentialing.
• Ability to pass background checks, including child abuse and neglect registry checks.
• Current and ongoing authorization to work in the United States without employer sponsorship.

Nice To Haves

• APRN licenses in additional states, including NM, MO, or NC.
• Experience with foster care, kinship care, adoption, or child welfare agencies, including psychotropic consent and oversight processes.
• Experience with young adults transitioning out of care.
• Experience with measurement-based care.
• Experience building a new clinical program or working at an early-stage company.
• Fluency in Spanish or another language spoken by HNH families.
• Lived experience within the child welfare system, welcomed in lieu of or alongside formal child-welfare experience.

Responsibilities

• Conduct 60-minute initial psychiatric evaluations and 30-minute medication-management follow-ups by video.
• Develop treatment plans that pair medication with the evidence-based therapy patients receive from their HNH therapist.
• Prescribe and monitor psychotropic medications under HNH protocols, including baseline and follow-up labs, metabolic monitoring, and AIMS monitoring for antipsychotics.
• Review and simplify complex medication regimens.
• Prescribe electronically, including controlled substances through EPCS where permitted, and check state PDMPs as required.
• Use serial screening instruments for measurement-based care and adjust treatment based on results.
• Assess risk at every visit and follow safety protocols, escalating to the Lead Psychiatrist or emergency services when a higher level of care is needed.
• Obtain informed consent for psychotropic medication from the legal authority and obtain the youth’s assent.
• Follow each state’s psychotropic medication oversight requirements for youth in foster care, including documentation and review processes.
• Communicate with foster, kinship, and adoptive caregivers, caseworkers, and other members of the patient’s team within consent and privacy-law limits.
• Give caregivers practical guidance on diagnoses, medications, side effects, and warning signs.
• Support continuity of care through placement changes, including medication reconciliation and timely transfer of records.
• Coordinate closely with each patient’s therapist and attend weekly interdisciplinary team meetings.
• Complete documentation within 24 hours and use accurate coding.
• Provide feedback on workflows, templates, and protocols, and participate in quality improvement and peer review.

Benefits

• Medical, dental, and vision insurance, with 100% employer-paid employee-only premiums and significant contributions toward family coverage.
• Company-sponsored 401(k) retirement plan.
• Paid time off, paid sick leave, company holidays, and floating holidays.
• Health Savings Account for eligible high-deductible health plans.
• Company-provided laptops and equipment, as applicable.
• Reimbursement for approved business-related travel expenses.
• Flexible and remote work arrangements.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed