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Monarch

Behavioral health and substance use treatment

Nurse Practitioner or Physician Assistant - Primary Care

Full-Time
No salary listed
Mid
Master's
Wilson, NC, USA+1 moreMore locations: Rocky Mount, NC, USA
HybridTwo days on-site at each location and one day remote weekly; occasional community visits average one day per month.
Medical, Clinical & VeterinaryAdvanced Practice Providers

About the job

Requirements
  • A Master of Science in Nursing, Nurse Practitioner, Psychiatric Mental Health Nurse Practitioner, or Physician Assistant Studies is required.
  • Must qualify as a Nurse Practitioner or Physician Assistant.
  • A board-certified Physician Assistant credential from the National Commission on Certification of Physician Assistants, or a state Nurse Practitioner license from the State Board of Nursing, or a state Physician Assistant license from the State Medical Board is required.
  • Experience in a primary care practice setting is listed as not required.
Responsibilities
  • Provide primary care assessments, preventive screenings, chronic disease management, acute care, and urgent interventions in clinic and home or community settings.
  • Conduct physical exams, review prior treatments, order diagnostic tests and referrals, prescribe medications, and develop person-centered care plans in accordance with best practices and protocols.
  • Provide health education to individuals and families about diagnoses, treatment options, and preventive practices.
  • Partner with behavioral health providers, hospitals, outside primary care clinics, public health departments, and community agencies to provide integrated, whole-person care.
  • Support transitions from hospital or emergency settings back into the community and participate in care planning for high-risk or complex individuals.
  • Maintain timely, accurate records in the Electronic Health Record and adhere to agency policies, procedures, and training requirements.
  • Attend required meetings and trainings and maintain certifications and licensure.
  • Perform additional responsibilities as assigned and travel for community-based care delivery.

About the company

Monarch NC provides behavioral health services across North Carolina, addressing mental health and substance use disorders. It offers telehealth, crisis intervention, urgent care, and outpatient services to deliver personalized care. The approach combines in-person clinics, telehealth, and crisis support across multiple locations (Asheville, Charlotte, Greensboro) to coordinate care and support recovery. Its goal is to improve clients' mental health by delivering the right level of care tailored to each person and expanding access through integrated services.

Company Size

1,001-5,000

Company Stage

Series A

Total Funding

$23.9M

Headquarters

Albemarle, North Carolina

Founded

1958

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Simplify's Take

What believers are saying

  • North Carolina backed Monarch with a $32.5 million Cabarrus grant and $500,000 Nash allocation.
  • Monarch opened Pittsboro's Chatham Opportunities Center in summer 2026, broadening I/DD capacity.
  • Cabarrus expects Monarch's new behavioral health center to serve 200 youth in 2027.

What critics are saying

  • August 2022 ransomware settlement still exposes Monarch to trust and compliance damage in 2026.
  • Monarch's Concord expansion requires staffing about 150 jobs before mid-2026 opening.
  • North Carolina funding dependence ties Nash County and Cabarrus growth to state appropriations.

What makes Monarch unique

  • Monarch's June 2026 Concord center bundles urgent care, crisis, and residential youth services.
  • Monarch's mobile clinics reach six northeastern counties with on-site and telehealth treatment.
  • Monarch's I/DD and substance-use curriculum uniquely targets underserved patients with developmental disabilities.

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Benefits

  • Health Insurance
  • Paid Vacation
  • Professional Development Budget

Growth & Insights and Company News

Headcount

6 month growth

14%

1 year growth

14%

2 year growth

14%
The Financial Technology Report
Jun 6th, 2025
Monarch Raises $75M, Valued at $850M

Monarch, a personal finance app, raised $75M in a Series B round, valuing the company at $850M. The funding was co-led by FPV Ventures and Forerunner Ventures, with support from Accel, SignalFire, Clocktower Ventures, and Menlo Ventures. Following Intuit's announcement to shut down Mint, Monarch saw a surge in users. The company plans to expand its platform and team, hiring in engineering and marketing across North America.

Businessuite Media Group International
May 23rd, 2025
Fontana Reports $835.9M Gross Profit Growth

Fontana Limited reported a Q3 2025 gross profit of $835.9 million, a 15.2% increase from the previous year, driven by a 15.3% rise in revenue to $2.2 billion. The Monarch acquisition led to a 13.3% increase in operating expenses, mainly due to staffing costs. Operating profit grew 25% to $148.1 million. Finance costs rose 38.4% to $63 million due to foreign exchange losses and loan interest. Net profit increased by 10.6% to $102.8 million, with earnings per share rising to $0.08.

CNBC
May 23rd, 2025
Monarch raises $75M amid fintech downturn

Monarch, a personal finance app, raised $75 million in a Series B round, valuing the company at $850 million. This funding comes amid a challenging period for consumer fintechs. Monarch's growth surged after Mint's closure, as it offers a paid, ad-free service. The round, led by FPV, highlights Monarch's innovative approach to financial planning. Despite a 38% decline in fintech funding, Monarch's success stands out in the current "nuclear winter" for fintech startups.

PR Newswire
Oct 11th, 2023
Monarch Breaks Ground With Free, Online Curriculum For Those With Intellectual Or Developmental Disabilities Struggling With Addiction

ALBEMARLE, N.C., Oct. 11, 2023 /PRNewswire/ -- Monarch has launched "Understanding Addiction and Developmental Disabilities," a first-of-its-kind web-based resource to help an underserved population of people living with intellectual or developmental disabilities (I/DD) and substance use disorders (SUD)."Substance use is often overlooked and people with I/DD are less likely to seek help." - Peggy Terhune, Ph.D. Tweet this Understanding Addiction and Developmental Disabilities, a curriculum developed by Monarch to assist professionals and caregivers in helping those with Intellectual and/or developmental disabilities and substance use disorders, features our hero Eddie learning about the health risks that come from mixing medicines and alcohol, and the importance of taking only the medicines and dosages prescribed by his doctor.The " Understanding Addiction and Developmental Disabilities '' website features screening tools and helpful guides for those who work with individuals with I/DD, such as mental health clinicians and caregivers, guardians or parents and teachers. The free, open-source curriculum consists of 14 animated videos that provide relevant therapeutic information for the person with I/DD and SUD. To learn more, visit understanding.monarchnc.org .Those interested in learning more can attend the "Understanding Addiction and Developmental Disabilities" webinar, a free training for professionals, family members and other caregivers, Friday, Nov. 17, 2023 11 a.m

Roanoke-Chowan News-Herald
Feb 24th, 2023
Monarch’s Mobile Integrated Care Clinic services begin in Bertie and Hertford counties

Monarch, in partnership with Trillium Health Resources, has launched its second Mobile Integrated Care Clinic offering mental health and substance use disorder services to communities within Bertie and Hertford counties.