Psychiatric Nurse Practitioner

Thundermist Health Center • Woonsocket, RI

11d • Hybrid

About The Position

Thundermist Health Center is seeking a Psychiatric Mental Health Nurse Practitioner (PMHNP) to join their integrated behavioral health team. This role focuses on practicing psychiatry embedded within primary care, working alongside behavioral health clinicians and care managers. The PMHNP will conduct psychiatric evaluations, manage complex medication regimens, provide Medication-Assisted Treatment (MAT) for substance use disorders, and collaborate with LICSWs, PCPs, pediatricians, and community partners. The patient population is diverse, largely medically underserved, and often presents with co-occurring medical and behavioral health conditions. The position does not involve after-hours call or hospital coverage, emphasizing team-based psychiatric care.

Requirements

• MSN or DNP from an accredited PMHNP program
• Current PMHNP-BC certification through ANCC
• Full, unrestricted Rhode Island APRN licensure with PMHNP specialty
• Current DEA registration and RI Controlled Substance Registration with full Schedule II–V prescriptive authority
• MAT/buprenorphine prescribing authority (or willingness to obtain within established timeframes)
• Current BLS certification
• Eligibility to enroll with Medicare, Medicaid, and commercial payers (current CAQH profile required)
• Demonstrated proficiency in psychiatric evaluation, psychopharmacology, and clinical emergency assessment

Nice To Haves

• Prior experience in an FQHC, community mental health center, or safety-net behavioral health setting
• Experience with integrated behavioral health / primary care behavioral health (PCBH) models
• Experience with MAT including buprenorphine induction and maintenance
• Experience with perinatal mental health, pediatric/adolescent psychiatry, geriatric psychiatry, or trauma-informed care
• Bilingual (Spanish/English or Portuguese/English) strongly preferred
• Eligibility for NHSC or Rhode Island state loan repayment programs

Responsibilities

• Conduct comprehensive psychiatric evaluations including mental status exams, risk assessments, substance use screening, and diagnostic formulation using DSM-5-TR and ICD-10.
• Develop, implement, and update individualized psychiatric treatment plans in collaboration with patients and the care team.
• Prescribe, titrate, and monitor psychiatric medications including controlled substances; adjust regimens based on clinical response and tolerability.
• Provide Medication-Assisted Treatment (MAT) for substance use disorders, including buprenorphine induction and maintenance.
• Assess clinical emergencies including suicide risk and risk of harm to others; determine appropriate level of care and coordinate transitions.
• Provide brief supportive counseling, psychoeducation, and motivational interviewing within the scope of medication management visits.
• Collaborate within Thundermist’s integrated behavioral health model alongside LICSWs, PCPs, pediatricians, care managers, and community partners.
• Participate in warm hand-offs from primary care and behavioral health for new psychiatric evaluations and medication consultations.
• Provide curbside consultation to primary care providers on psychiatric presentations, medication questions, and risk assessment.
• Participate in team-based care conferences, complex case reviews, and care management rounds.
• Coordinate care with external psychiatric providers, community mental health centers, inpatient facilities, and SUD treatment programs.
• Complete clinical documentation in the EHR (eClinicalWorks) accurately and within same-day charting requirements.
• Ensure compliance with HIPAA, 42 CFR Part 2 (SUD confidentiality), Rhode Island APRN scope of practice, and DEA prescribing requirements.
• Support HRSA UDS reporting for behavioral health measures (depression screening and follow-up, SBIRT, tobacco cessation counseling).
• Participate in chart audits, peer review, and quality improvement activities.

Benefits

• Malpractice coverage through the Federal Tort Claims Act
• Health, dental, and vision insurance
• Retirement plan with employer match
• Generous PTO
• CME allowance
• Eligibility for state and federal loan repayment programs
• AI scribes
• Pharmacy technician refill assistance
• Prior authorization and referral support
• Cross-coverage support for PTO
• Nurse triage service
• Life Insurance ($75,000)
• Long-Term Disability
• Flexible Spending Accounts (Health FSA up to $3,300 / Dependent Care FSA up to $5,000)
• Critical Illness, Accident Insurance, and Hospital Indemnity
• Wellness Reimbursement up to $200/year

What This Job Offers

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