Psychiatric Mental Health Nurse Practitioner (PMHNP)

Job Title: Psychiatric Mental Health Nurse Practitioner (PMHNP)

Status: Part-Time or Full-Time

Reports To: Founding Psychiatrist
 
About Here Now Health:
 
Here Now Health is the first virtual healthcare company specifically built for children and families impacted by the child welfare system. We deliver child welfare–informed, high-touch care to Medicaid-covered youth navigating foster care, adoption, kinship placements, and juvenile justice. Our model prioritizes consistency, trust, and accessibility in systems where they are too often missing.
 
Role Summary

You will be one of the first prescribers in a new psychiatry service designed specifically for youth in and around foster care. You will have direct collaboration with a child and adolescent psychiatrist, a therapy team trained in evidence based psychotherapy , and real influence over how the service works. Psychiatry launches in Virginia in early 2027 and will expand to other HNH states.

Key Responsibilities

Clinical care

- Conduct 60-minute initial psychiatric evaluations and 30-minute medication management follow-ups by video.
- Build treatment plans that pair medication with the evidence-based therapy each patient receives from their HNH therapist.
- Prescribe and monitor psychotropic medications under HNH protocols, including baseline and follow-up labs, metabolic monitoring, and AIMS for antipsychotics.
- Review and simplify complex medication regimens, which many of our patients arrive with after multiple placements and prescribers.
- Prescribe electronically, including controlled substances through EPCS where permitted, and check state PDMPs as required.
- Practice measurement-based care using serial screening instruments, and adjust treatment based on the data.
- Assess risk at every visit and follow HNH safety protocols, escalating to the Lead Psychiatrist or emergency services when a patient needs a higher level of care.

Working within the child welfare system

- Obtain informed consent for psychotropic medication from whoever holds legal authority (agency, court, or parent, depending on state and custody status) and obtain the youth’s assent.
- Work within each state’s psychotropic medication oversight requirements for youth in foster care, including documentation and review processes.
- Communicate with foster, kinship, and adoptive caregivers, caseworkers, and other members of the child’s team, within the limits of consent and privacy law.
- Give caregivers clear, practical guidance on diagnoses, medications, side effects, and warning signs.
- Protect continuity of care through placement changes, including medication reconciliation and timely records transfer.

Team and program building

- Coordinate closely with each patient’s therapist and attend weekly interdisciplinary team meetings.
- Complete documentation within 24 hours, with accurate coding.
- Help build a new service by giving feedback on workflows, templates, and protocols, and taking part in quality improvement and peer review.

Who You’ll Care For

Children ages 6 and older, adolescents, and young adults through age 26 who have been in foster care. Most have histories of complex trauma and multiple placements.Patients who need a higher level of care are referred out and may return after stabilization.

How we work

- Supervision. You report to the Founding Lead Psychiatrist, a board-certified child, adolescent, and adult psychiatrist, who provides (weekly case review and on-call consultation) and collaborative practice oversight where state law requires it.
- Team. Psychiatry works alongside HNH therapists and Care Advocates. The full clinical team meets weekly; the medical team meets monthly.
- Visit cadence. Psychiatry follow-up frequency is set by clinical need and can differ from therapy cadence.
- Training. All HNH clinicians are trained in engaging youth with complex trauma histories and in our measurement-based care framework.
- Setup. Fully virtual. HNH provides the EHR, e-prescribing, and telehealth platform.

Qualifications
 
Required

- PMHNP-BC 
- Active RN license valid in Virginia (multistate compact license accepted) and active Virginia APRN license, or the ability to obtain both before start
- Active DEA registration, or eligibility in each state of practice, plus any required state controlled substance registrations
- 3 or more years of post-certification experience in psychiatric evaluation and medication management of children and adolescents
- Experience treating youth with trauma histories and complex, multi-medication presentations
- Telehealth experience or clear comfort with it
- Eligibility for Medicaid and commercial payer credentialing
- Ability to pass background checks, including child abuse and neglect registry checks

Preferred

- APRN licenses in other states, NM, MO, NC. 
- Experience with foster care, kinship care, adoption, or child welfare agencies, including psychotropic consent and oversight processes
- Experience with young adults transitioning out of care
- Experience with measurement-based care
- Experience building a new clinical program or working at an early-stage company
- Fluency in Spanish or another language spoken by HNH families
- Lived experience within the child welfare system is highly valued and welcomed in lieu of, or alongside, formal experience within child welfare

Work Environment & Hours

- 100% remote
- Must have access to a private, quiet workspace with reliable high speed internet.
 
Compensation and Benefits
 
Compensation

- Base Salary: Up to $130,000 - $140,000 annually for Full-Time
 
Benefits

- Medical, dental, and vision insurance with 100% employer-paid employee-only premiums and significant contributions toward family coverage.
- Company-sponsored 401(k) retirement plan.
- Paid time off (PTO), paid sick leave, company holidays, and floating holidays.
- Health Savings Account (HSA) for eligible high-deductible health plans.
- Company-provided laptops and equipment, as applicable.
- Reimbursement for approved business-related travel expenses.
- Flexible and remote work arrangements
 
Benefits eligibility may vary based on employment classification, scheduled hours, plan requirements, and applicable company policies.

This position is not eligible for employment visa sponsorship. Candidates must have current and ongoing authorization to work in the United States without employer sponsorship.