PMHNP

Job Title: Psychiatric Mental Health Nurse Practitioner (PMHNP) Hybrid

Employer: Joy Spring Mental Health

Location: West Jefferson, North Carolina

Work Setting: Hybrid, with at least one in-person day per week

Job Type: Full-time or part-time; W-2 hourly employee

Base Pay: $68.00 per hour; qualifying rate differentials may be available

Practice psychiatry with time for the person, not just the prescription.

You worked hard to become a Psychiatric Mental Health Nurse Practitioner. You deserve a role where you can use both your prescribing knowledge and your therapy skills, with time to build meaningful relationships with your patients.

Joy Spring Mental Health is a small, independent practice providing outpatient psychiatric care to adults in North Carolina. We are seeking a PMHNP who values thoughtful medication management, practical psychotherapy, and whole-person care.

Our approach brings medication management and therapy together rather than treating them as separate services. Through the Joy Spring Integrated Care ModelTM , we help patients build practical skills alongside individualized psychiatric treatment.

What Makes This Role Different

• Longer appointments: One-hour intakes and follow-up appointments lasting 30 to 60 minutes, depending on the service and patient needs.
• Integrated clinical work: Provide psychotherapy and medication management to the same patients when clinically appropriate.
• A sustainable full-time option: Our standard full-time track includes 30 clinical hours and two paid administrative hours per week.
• Flexible hybrid scheduling: Combine telehealth with in-person care at one of our North Carolina offices, with at least one in-person day per week.
• Practical support: Charm EHR, AI-assisted documentation tools, and administrative assistance with tasks such as prior authorizations and referrals.
• Clinical growth: Clinical consultation, therapy skill development, and opportunities to strengthen your approach to whole-person psychiatric care.

What You Will Do

• Conduct comprehensive psychiatric evaluations and ongoing assessments for adult outpatients.
• Develop individualized treatment plans that integrate medication management, psychotherapy, psychoeducation, and attention to relevant lifestyle factors.
• Prescribe and monitor psychiatric medications using evidence-based clinical judgment and shared decision-making.
• Deliver psychotherapy within your training, competence, and scope of practice. Training in the Joy Spring Integrated Care ModelTM provided.
• Assess safety concerns and coordinate appropriate follow-up, consultation, or referral.
• Maintain timely, accurate clinical documentation in Charm EHR.
• Collaborate with the practice owner, administrative team, and other treating professionals as appropriate.
• Participate in clinical consultation and ongoing professional development.

Qualifications

Required

• Current PMHNP board certification.
• Active North Carolina RN licensure and the authorization required to practice as a nurse practitioner in North Carolina.
• Active DEA registration appropriate to the role.
• Ability to provide both telehealth and in-person care at one of our practice locations.
• Commitment to evidence-based, trauma-informed, whole-person care.
• Strong communication, clinical judgment, documentation, and collaboration skills.
• Willingness to develop and use psychotherapy skills alongside medication management.

Preferred

• Experience providing outpatient psychiatric care and psychotherapy.
• Training in approaches such as ACT, IFS, DBT, CBT, DNMS, or Brainspotting.
• Interest in integrative mental healthcare and practical patient education.
• Familiarity with Charm EHR or similar systems and comfort using technology thoughtfully in clinical practice.

Compensation and Schedule

• Standard base rate: $68.00 per hour for paid clinical and administrative hours.
• Employment tracks: 20, 30, or 40 clinical hours per week when fully ramped, plus two paid administrative hours per week.
• Rate differentials: Qualifying clinicians may receive a higher hourly rate for maintaining their own approved collaborating physician agreement. Eligible full-time clinicians who waive practice medical coverage may also qualify for a differential. Written terms and eligibility apply.
• Hourly employment: This is not a guaranteed annual salary. Earnings depend on paid hours as your caseload develops.

A Transparent Look at the Ramp-Up Period

Insurance credentialing and building a patient panel take time. The practice currently anticipates approximately three to six months for credentialing, although it can take longer. Clinical hours and earnings will be lower while your caseload develops.

During this period, we provide credentialing support, referral development, clinical support, and a minimum guarantee of 10 paid hours per week with training in the Joy Spring Integrated Care ModelTM . We want you to understand this transition before accepting a position, not discover it after you start.

Benefits

For eligible full-time clinicians on the 30- or 40-clinical-hour track:

• Practice contribution toward medical insurance of $500 per month.
• Technology allowance of $150 per month.
• Professional development funding of $1,000 annually after completing 12 months of employment. Required practice-provided therapy training may use these funds when applicable.
• Paid time off, with accrual based on your employment track.
• Six paid holidays per year, with holiday hours based on your track.
• Paid bereavement leave and parental leave provisions under practice policy.

Across employment tracks:

• Malpractice insurance under the practice group plan, including tail coverage.
• Practice-provided collaborating physician coverage, unless an approved alternative arrangement applies.
• Paid administrative time, clinical support, and flexible scheduling.

At Joy Spring Mental Health, you'll be part of a practice that genuinely values excellent clinical care over productivity metrics. We're building something different here - a place where clinicians can practice with integrity, patients receive the time and attention they deserve, and mental healthcare feels accessible and human.

If you're tired of rushed appointments and assembly-line psychiatry, if you want to use your full skill set, and if you're excited about being part of a mission-driven practice, we'd love to hear from you.