Per Diem Psychiatric ARNP
- PRN / per diem
How this pay compares
This posting states $91.47 an hour. Open psychiatric nurse practitioner jobs in Washington post a median of $87.55 an hour, the middle half $80.51–$93.60, across 8 jobs that state their pay, so this one is within the middle half of what they post. Psychiatric nurse practitioners employed in Washington earn a median of $75.05 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).
Psychiatric nurse practitioners in Washington: pay by town and employer
About the job
Job Title: Per Diem Psychiatric Nurse Practitioner
Shift: Variable
Supervised by: Agency Medical Director
Benefits: Employee Assistance Program (EAP), Safe & Sick Time, Retirement Plan, ORCA Card subsidy
Union Representation: This position is a part of a union and is represented by SEIU Healthcare 1199NW.
About DESC
Recognized nationally as an innovator and leader in developing solutions to homelessness, DESC is a social services organization, supportive housing operator, and licensed behavioral health treatment provider focused on meeting the needs of people experiencing long-term homelessness and living with complex behavioral health and other medical conditions. Approximately 3,000 people are actively receiving services from DESC at any given point in time. Our vision is a community where all people are shown compassion, treated with dignity, and everyone has a safe, stable, and affordable place to call home.
DESC operates five shelter/emergency housing programs, 19 permanent supportive housing facilities with over 1,750 units, several hundred additional scattered site apartments, and a range of behavioral health services including outpatient mental health and substance use disorder treatment, residential crisis stabilization, street outreach, mobile crisis response, and treatment for opioid use disorder.
Come join our team!
We are hiring a per diem psychiatric nurse practitioner who is excited about working with dedicated multidisciplinary behavioral health teams, providing care to a vulnerable population, and delivering high-quality mental health and substance use care. The ideal candidate is someone who enjoys working with patients with severe mental illness and often concurrent substance use disorders and strives to provide evidence-based care to improve outcomes and who has flexibility to pick up shifts (often day shift, including weekends) as the need arises.
The need for per diem psychiatric nurse practitioners is most frequent at DESC’s Crisis Solutions Center, which provides short-term behavioral health crisis care and post-crisis support to clients admitted voluntarily to the facility. Still, per diem psychiatric nurse practitioners may have opportunities to pick up shifts agency-wide if needs arise.
This position will work alongside a team of multidisciplinary staff, depending on location, which may include psychiatric nurses, case managers and social workers, substance use disorder professionals, peer specialists, and support staff.
MAJOR DUTIES AND RESPONSIBILITIES
- Coordinate client care within a multidisciplinary behavioral health team
- Perform psychiatric evaluations, establish treatment plans collaboratively with clients, prescribe and monitor medications as indicated; this is inclusive of opioid use disorder treatment; all in context of a multidisciplinary team.
- Evaluate clients in crisis and advise courses of treatment. Recommend plans for ongoing longitudinal care.
- Participate in clinical reviews and case conferences for clients as indicated
- Participate in verbal de-escalation in emergent situations and be able and willing to assist other staff as needed to maintain a safe, secure environment.
- Other duties as assigned.
Requirements
MINIMUM QUALIFICATIONS
- Washington State Department of Health license as a Psychiatric Advanced Registered Nurse Practitioner with prescriptive authority per WAC 246-840-410, in good standing.
- Master's degree in Nursing, Psychiatric.
- Board certification as Psychiatric-Mental Health NP Certification (PMHNP-BC)
- Registration with the Drug Enforcement Agency.
- Advanced knowledge and experience prescribing psychiatric medications
- Be able to pass a Washington State Criminal background check.
- Knowledge of harm reduction principles and strategies.
- Ability and interest in providing case consultations with a multi-disciplinary staff.
- Ability to remain open and receptive to constructive feedback.
- Ability to communicate with and coordinate with staff from diverse backgrounds.
- Ability to work effectively with clients displaying a wide range of psychiatric behaviors.
PREFERRED QUALIFICATIONS
- Experience of at least 1 year working as a psychiatric nurse practitioner or similar role
- Knowledge, skill, and proficiency in working with co-occurring mental health and substance use disorders. Training on buprenorphine is available after hire.
- Experience with buprenorphine prescribing
- Experience working in atypical health care settings (e.g., street outreach, housing, day centers, jails, etc.)
- Doctoral degree
- Bilingual in Spanish/English
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee will be required sit for long periods of time, communicate with other persons by talking and hearing, required to lift and carry items weighing up to 25 pounds and to operate computer hardware systems. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
EQUAL OPPORTUNITY EMPLOYER
DESC is committed to diversity in the workplace and promotes equal employment opportunities for all staff members and applicants. The Agency will not discriminate against any employee or applicant for employment on the basis of race, creed, color, sex, gender, sexual orientation, age, national origin, caste, marital status, or the presence of any sensory, mental or physical disability in any employment practice, unless based on a bona fide occupational qualification. Minorities and veterans are encouraged to apply.
From Downtown Emergency Service Center's job posting, checked 4 Nov 2026. The employer's own page is the final word on requirements and availability.
Selected agencies hiring now
All agencies and apps →
GHR HealthcareHealthcare staffing agency
Places nurses, allied health, advanced practice providers, physicians, revenue cycle and healthcare IT staff through temporary, travel and direct hire roles in all 50 states.
Places: Nurses, NPs & PAs, Doctors, Allied health

AMN Locum TenensLocum tenens agency
AMN Healthcare's locum tenens business (formerly Staff Care), placing physicians and advanced practice providers.
These agencies and apps pay CareJobs.Now a referral fee when someone we introduce is placed or signs up. It costs you nothing and never changes your pay. Hospital and clinic jobs below keep their own order.
Sponsored jobs from job networks, which pay CareJobs.Now when you click one.
Free tools for this application: check your resume against this job, answer the application's questions or see every free tool.
New nurse practitioner and physician assistant jobs in Washington, by email
One email a week with the newest ones, straight from the employers' own careers sites, with the pay each posting states. Free, stop anytime.
About Downtown Emergency Service Center
Downtown Emergency Service Center hires mental health staff, nurses and advanced practice providers in Seattle, Washington.
Hires in WashingtonPay on its listings: 72.7% of its open jobs state an hourly rate
More open jobs at Downtown Emergency Service Center
- Clinical Case Manager - WellConnect$39.08–$43.15/hr
- Peer Specialist - WellConnect$39.08–$43.15/hr
- SUD Counselor - WellConnect$39.08–$43.15/hr
- Mental Health Professional (MHP) - WellConnect$84,337–$93,115/yr
- Residential Counselor - Swing Shift$32.72–$36.12/hr
- Residential Counselor - Day Shift$32.72–$36.12/hr
More nurse practitioner and physician assistant jobs
- Nurse Practitioner/Physician Assistant-CVICU/PCV-FT-3rd Shift
- Nurse Practitioner - Physician Assistant
- Cardiology & Vascular Advanced Practice Provider (NP/PA)
- Hematology/Oncology Advanced Practice Provider
- Nurse Practitioner - Addiction Medicine
- Clinical Manager Nurse Practitioner or Physician Assistant
A licensed NP or PA?
One profile for every employer here. Hospitals, clinics and care companies ask us for people with a specific license, specialty, language or schedule: add yours once, and when a job fits, we introduce you, only with your yes. Free.
Downtown Emergency Service Center openings, sent to you weekly
Each week we send the newest postings from Downtown Emergency Service Center's own careers site, along with similar openings at other hospitals and care employers. It costs nothing and you can stop anytime.