Consultation-Liaison Psychiatric Nurse Practitioner

As a Consultation-Liaison Psychiatric Nurse Practitioner, you will:

• Conduct same day psychiatric consultations for patients based on requests from emergency, medical, and surgical teams;
• Collaborate closely with hospital teams including attending physicians, nursing staff, and case managers, to develop and implement treatment plans.
• Perform rapid assessment, crisis intervention, and stabilization for patients presenting in psychiatric crisis including suicide and violence risk assessments
• Escalate to the collaborating psychiatrist for complex management, and practice within your training and experience with a referral plan for complex cases and emergencies
• Provide outpatient services for stabilization, medication management and supportive psychotherapy
• Establish and maintain working relationships with hospital departments and community partners, and contribute to consult workflow and care pathway development in collaboration with the consulting psychiatrist

You will be a good fit if you have:

• A belief in the impact of early psychiatric involvement on the overall care plan for medically complex patients and a conviction that the patients who are hardest to place deserve the same urgency as anyone else in the hospital
• High emotional intelligence and genuine affability: the ability to walk into a hospital, and win over the charge nurse, the attending, and the patient in the same hour. Warm, unflappable, easy to work with, hard to rattle
• A sound, evidence-based clinical assessment framework: a clear, defensible approach to deciding when a patient in the emergency department needs further observation, inpatient admission, or safe discharge to the community, with respect to suicide risk, ability to care for self, and risk of danger to others
• Credibility with emergency physicians, hospitalists, and surgeons, and the communication skills to influence a team that is not your own
• An owner's mindset and a tenacious, independent work ethic: you will build the workflows, the relationships, and the reputation of this service from zero. You will hear “that's not how we do it here” regularly, and you will treat it as information rather than an insult

Licensure and credentialing:

• Certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)
• Active Virginia APRN license. Autonomous practice designation specific to psychiatric practice preferred
• National psychiatric APRN certification (ANCC or equivalent)
• DEA registration, including the ability to prescribe Schedule II–VI medications and buprenorphine
• Active Medicare enrollment via PECOS as an individual provider, and active Virginia Medicaid (DMAS) enrollment, strongly preferred
• Current, attested CAQH ProView profile
• No history of Medicare or Medicaid sanctions or exclusions, and no unresolved licensure disciplinary actions
• Active, unrestricted malpractice and professional liability coverage, or the ability to furnish a certificate of insurance upon offer

Schedule and on-call: 5, 8 hour shifts hours M-F, occasional weekend on-call

Base salary range:

$130,000—$150,000 USD

We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you.

Benefits

Our full-time compensation package includes a base salary, equity, and performance bonus potential, supported by comprehensive health, dental, vision, and mental wellness coverage. We offer a 401(k) with company match and 16 weeks of paid parental leave for both parents. In your first year, you will accrue 120 hours of vacation annually (4.62 hours per pay period), which steps up to 160 hours annually (6.15 hours per pay period) after one year—all within a welcoming, inclusive culture.

Vaccination Policy

Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law.

New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed.

Unfortunately, we are not able to offer sponsorship at this time.

firsthand Health will only contact candidates from email addresses ending in @firsthandcares.com. Any communication from another domain claiming to represent firsthand is fraudulent. We will never ask for payment or sensitive financial information during the hiring process. If you receive suspicious outreach, please do not respond.