Psychiatric Nurse Practitioner

Position Overview

Paradigm Recovery Center is a startup behavioral health treatment center providing structured, evidence-based treatment for individuals with substance use disorders and co-occurring mental health conditions. The Psychiatric Nurse Practitioner (PMHNP) provides psychiatric evaluation, medication management, and integrated behavioral health care within ASAM 2.5 and 2.1 levels of care.

Key Responsibilities

Psychiatric Evaluation & Medication Management

• Conduct comprehensive psychiatric evaluations and diagnostic assessments
• Prescribe, adjust, and monitor psychiatric medications in accordance with Missouri scope of practice
• Provide medication management for co-occurring substance use and mental health disorders
• Monitor medication effectiveness, side effects, and adherence
• Coordinate care related to MAT or psychotropic medications as clinically indicated

Clinical Collaboration & Treatment Planning

• Collaborate with therapists, case managers, nursing staff, and leadership
• Participate in multidisciplinary treatment team meetings and case reviews
• Provide consultation regarding psychiatric symptoms and medication concerns
• Support referrals and discharge planning

Documentation & Compliance

• Complete timely and accurate documentation in the electronic health record
• Maintain records consistent with Missouri regulations, HIPAA, and payer requirements
• Document assessments, progress notes, medication orders, and follow-ups

Safety & Risk Management

• Assess psychiatric risk factors including suicidality and symptom escalation
• Respond to medication reactions or adverse events
• Communicate urgent clinical concerns promptly

Program Development (Startup Environment)

• Assist with psychiatric workflow and policy development
• Support program build-out and quality improvement initiatives
• Maintain flexibility in a startup environment

Qualifications

Required

• Active, unrestricted Missouri APRN license
• Board certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP)
• Current DEA registration or ability to obtain
• Experience in behavioral health or substance use treatment
• Strong clinical judgment and documentation skills

Preferred

• Experience in ASAM 2.1 and/or 2.5 levels of care
• Experience in PHP or IOP settings
• Familiarity with trauma-informed and recovery-oriented care
• Startup or program development experience

Schedule Expectations

• Daytime and/or evening hours based on program needs
• Flexible scheduling during startup phase

Physical & Professional Requirements

• Ability to conduct psychiatric evaluations for extended periods
• Ability to work in a fast-paced clinical environment
• Reliable attendance and professionalism