Psychiatric Nurse Practitioner

About the Role:

The Psychiatric Nurse Practitioner (PMHNP) at InStride is responsible for providing high-quality psychiatric treatment to our patients, with a specialized focus on children, adolescents, and young adults navigating anxiety and OCD. In this role, the PMHNP focuses on conducting clinical follow-up visits and providing ongoing medication management to support continuous patient progress. Operating within an interdisciplinary, physician-supported care model, the PMHNP works in close partnership with Board-Certified Child and Adolescent Psychiatrists (MD/DO) and a dedicated multidisciplinary team. This role relies on a strong collaborative relationship to optimize clinical workflows, ensuring the PMHNP is backed by dedicated medical oversight while independently executing standardized, evidence-based workflows for routine follow-up care within the collaborative protocol. The PMHNP creates and maintains a professional, friendly atmosphere for patients, families, InStride staff, and referring providers, and demonstrates a commitment to InStride Health’s Mission and Core Values.

Key Responsibilities

• Direct Clinical Care: In active collaboration with, and under the supervision of, an InStride Child & Adolescent Psychiatrist, and in compliance with InStride policies, procedures, and all applicable regulations, provides direct clinical care in the form of evidence-based psychiatric treatment. This consists of conducting psychiatric follow-up visits and ongoing psychopharmacological management to monitor symptoms and adjust treatment as needed for children, adolescents, and young adults.   At the discretion of the medical director and collaborating psychiatrist, the PMHNP could also complete intake evaluations.  
• Physician-NP Collaboration: Participates in a formal joint-practice model with a supervising child and adolescent psychiatrist, engaging in routine case consultations, joint care planning for complex presentations, and proactive communication to ensure a seamless continuum of medical oversight. 
• Medical Monitoring: Reviews and interprets specific medical monitoring through primary care physician offices (e.g., laboratory results, EKGs, vital signs, and other pertinent measures) in conjunction with prescribed medications to ensure ongoing pharmacological safety.
• Cross-Specialty Collaboration: Effectively and proactively communicates the complex treatment needs of patients across multiple medical and therapeutic specialties. Collaborates closely with primary care physicians/pediatricians, outpatient clinicians, and both internal and external medical teams to ensure highly coordinated patient care.
• Discharge Planning: Assists in developing thorough, safe, and coordinated post-discharge psychiatric follow-up plans, assuring continuity of care for medication management at the time of discharge.
• Team Communication & Case Review: Attends and actively participates in weekly treatment team meetings to discuss and review off-track clinical cases. Engages in regular, effective communication with the InStride treatment team (coaches, therapists) through synchronous and asynchronous means, including clinical rounds, App chat, and shared documentation.
• Case Elevation: Appropriately elevates cases in need of additional supervision to the collaborating child and adolescent psychiatrist.
• Timely Documentation: Completes all clinical and charting documentation within the EMR in a strict and timely manner, ensuring all follow-up and progress notes are fully completed within 24 hours of the patient encounter.
• Coverage Coordination: Coordinates clinical coverage for assigned patients (and families) during absences and planned PTO; provides clinical coverage to others on the team as needed (within the confines of current work hours).
• Value-Driven Practice: Prioritizes the psychiatric needs and interests of patients while being cognizant of cost, quality, and how it impacts the ability to deliver care. Contributes to a collaborative work environment that supports a positive provider experience and demonstrates respect for the unique contributions of each InStride employee.

Qualifications

Required Education

• Master’s or Doctoral degree from an accredited Nurse Practitioner program, with a specialization as a Psychiatric-Mental Health Nurse Practitioner (PMHNP).

Required Licensure & Board Certification

• Valid, unrestricted Nurse Practitioner license and prescriptive authority (DEA) in New Jersey (NJ) or Massachusetts (MA).
• Procurement and maintenance of licensure in additional state(s) upon request by InStride.
• Fulfillment of continuing education obligations commensurate with state law in state(s) of practice.

Required Knowledge, Skills, and Abilities

• Minimum of 2 years of clinical practice, with direct experience treating children, adolescents, and young adults with anxiety and OCD.
• Clinical expertise and experience in psychopharmacology for anxiety, OCD, and related disorders in pediatric and youth populations.
• Experience working seamlessly within a multidisciplinary team structure.
• Excellent communication, interpersonal, organizational, and time management skills.
• Ability to be flexible and work well both independently and as part of a team in a fast-paced, mission-driven environment.
• Comfort with fully virtual care and the use of computer and mobile technology to enhance care delivery, communication, and monitoring.
• Ability to handle sensitive and confidential information in a manner that inspires confidence and trust.

The expected annual salary for this role is between $135,000-$150,000, prorated to $67,500-$75,000 for 0.5 FTE (20 hr/week). Actual starting salary will be determined on an individualized basis and will be based on several factors including but not limited to specific skill set, work experience, licensure, etc. 

Work Schedule

This position is a part-time, 0.5 FTE status. To ensure reliable patient access, clinical continuity, and consistent multidisciplinary collaboration, the candidate must distribute their hours across a minimum of 4 days per week.

The PMHNP must be available to provide their clinical services during peak afternoon/evening times (considered to be between the hours of 3:00 p.m. – 7:00 p.m. EST) as determined by clinical and operational demands.

Commitment to Ethical Conduct

InStride Health is committed to building and maintaining an inclusive, equitable, and ethical environment. The Psychiatric Nurse Practitioner is required to comply with InStride Health’s Code of Conduct and its policies and procedures, and must refrain from participating in any activity that could be construed as fraud or abuse. Additionally, in any instance where there is suspicion or knowledge of fraud, abuse, or a violation of law or policy, the PMHNP is required to report the same to the Chief Compliance Officer. The PMHNP’s compliance with this requirement will be considered in evaluating overall job performance.