APP -PMHNP- Mental Health- ED

Voices for Voices

Roanoke (VA)

On-site

USD 108,000 - 173,000

Full time

14 days+

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Benefits offered by this job

Pension plan

Medical benefits

Paid time off

Well-being resources

Continued education

Job summary

Carilion Clinic in Roanoke, VA is seeking a Psychiatric Mental Health Nurse Practitioner to join the Emergency Psychiatry team. You will provide psychiatric evaluation, treatment, and consultations for ED patients across the Carilion system.

This role blends direct patient care with crisis intervention, staff education, and quality improvement to improve behavioral health care in emergency settings.

Qualifications

Graduate of an accredited School of Nursing and Nurse Practitioner program or an accredited Physician Assistant program.
Minimum of 3 years of clinical experience preferred.
Life Support: BLS required. ACLS/PALS/NRP as appropriate.
Licensed or eligible for Advanced Practice Provider (Nurse Practitioner or PA) in Virginia; NPs require VA RN license; prescriptive authority as allowed.

Responsibilities

Perform psychiatric evaluations and develop treatment recommendations.
Provide psychiatric medication management when appropriate.
Respond to behavioral health emergencies and assist with crisis stabilization.
Support efforts to reduce restraint use through early intervention and de-escalation.
Evaluate and support patients screening positive for behavioral health concerns (e.g., SI, trauma symptoms).
Develop and implement individualized behavioral plans.

Skills

PMHNP

Psychiatric evaluation

Crisis intervention

Education

Nurse practitioner program

Physician assistant program

Job description

Job Title: APP -PMHNP- Mental Health- ED

Description

Employment Status:

Full time

Shift:

Day/Evening (United States of America)

Facility:

1906 Belleview Ave SE - Roanoke CP01 Carilion Medical Center.

Requisition Number:

R162213 APP -PMHNP- Mental Health- ED (Open)

How You'll Help Transform Healthcare:

Psychiatric Mental Health Nurse Practitioner (PMHNP) Emergency Psychiatry

Make an Impact When Patients Need It Most

Carilion Clinic is seeking a Psychiatric Mental Health Nurse Practitioner (PMHNP) to join our Emergency Psychiatry team, providing psychiatric evaluation, treatment, and consultation for patients presenting to emergency departments across the Carilion system.

This is a unique opportunity for a PMHNP who thrives in a fast-paced, collaborative environment and wants to make a meaningful impact on both patient care and the way behavioral health services are delivered in the emergency setting.

About the Role

The Emergency Psychiatry APP provides psychiatric evaluation and management for patients with a wide range of behavioral health and medical needs. Patient populations may include individuals experiencing:

Suicidal ideation or self-harming behaviors
Mood and psychotic disorders
Intoxication and substance withdrawal
Delirium and dementia
Difficulty coping with acute or chronic illness
Behavioral crises and other complex psychiatric presentations

You will provide care within our Level I Trauma Center Emergency Department as well as support emergency departments throughout the Carilion system.

More Than a Traditional Clinical Role

This position combines direct patient care, psychiatric consultation, staff education, crisis intervention, and quality improvement.

The PMHNP will take a proactive and engaged approach to improving the care and safety of behavioral health patients in the emergency setting. Responsibilities include:

Conducting psychiatric evaluations and developing treatment recommendations.
Providing psychiatric medication management when appropriate.
Responding to behavioral health emergencies and assisting with crisis stabilization.
Supporting efforts to reduce the use of restraints through early intervention and de-escalation strategies.
Evaluating and supporting patients who screen positive for specific behavioral health concerns, including suicidal ideation and trauma-related symptoms.
Developing and implementing individualized behavioral plans.
Providing real-time, "just-in-time" education and training for emergency department staff.
Serving as a clinical resource for de-escalation, crisis mitigation, and early identification of behavioral health needs.
Participating in initiatives designed to improve quality, safety, and the patient experience.

A Highly Collaborative Environment

You won't do this work alone. You'll be part of a multidisciplinary team that includes psychiatrists, physicians, social workers, therapists, peer recovery specialists, nurses, and other healthcare professionals.

The position also works closely with Carilion's dedicated Emergency Psychiatry Program and Addiction Medicine team, providing an integrated approach for patients with complex psychiatric, medical, and substance-use needs.

Schedule

Primarily daytime hours
Weekends as needed
Holidays rotated equitably among team members

What We're Looking For

The ideal candidate is a Psychiatric Mental Health Nurse Practitioner who is comfortable working with complex patients and enjoys collaborating with both behavioral health and emergency medicine teams.

Candidates should demonstrate strong clinical judgment, excellent communication skills, flexibility, and an interest in education and improving systems of care.

Why Carilion Clinic?

Carilion Clinic is a physician-led, not-for-profit healthcare organization serving communities throughout Virginia. Our integrated system brings together clinical care, education, and research and provides APPs with the resources and collaboration of a comprehensive healthcare system.

Carilion offers a competitive compensation and benefits package, including:

Employer-funded pension plan
Comprehensive medical, dental, and vision benefits
Paid time off
CME and professional development support
Retirement savings opportunities

Live and Work in Virginia's Blue Ridge

Based in Roanoke, Virginia, you'll enjoy the professional opportunities of a major healthcare system with the quality of life of Virginia's Blue Ridge. The region offers an affordable cost of living, excellent schools, vibrant communities, and exceptional access to hiking, biking, kayaking, and the Blue Ridge Parkway.

Bring your expertise to a team transforming behavioral health care in the emergency setting. Join Carilion Clinic as an Emergency Psychiatry PMHNP.

Carilion Clinic is an Equal Opportunity Employer.

What We Require:

Education: Graduate of an accredited School of Nursing and Nurse Practitioner program or an accredited Physician Assistant program required.

Experience: Minimum of 3 years of clinical experience preferred. Additional experience may be required based on specialty.

Licensure, Certification, and/or Registration: Licensed or eligible for licensure as an Advanced Practice Provider (Nurse Practitioner or Physician Assistant) in the Commonwealth of Virginia. Nurse Practitioners must also hold a current Registered Nurse (RN) license in Virginia. Must be eligible for prescriptive authority in accordance with state regulations and as authorized by the Virginia Boards of Nursing and Medicine.

Life Support: Current Basic Life Support (BLS) required. Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), or Neonatal Resuscitation Program (NRP) certifications required as appropriate to the position.

Other Minimum Qualifications: Must demonstrate and maintain all credentialing and licensing requirements of Carilion Clinic, the Virginia Board of Medicine or Nursing, and applicable certifying bodies. Must meet practice and managed care credentialing requirements and qualify for malpractice insurance coverage. Ability to work collaboratively with physicians and other healthcare providers. Strong written and verbal communication skills required. Proficiency with electronic medical records and standard computer systems required.

This job description is intended to be a representative summary of the major responsibilities and accountabilities performed by incumbents in this role. Incumbents may be required to perform job-related tasks other than those specifically presented in this description.

Compensation Range:

$107,993.60 - $172,785.60

Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.

Benefits, Pay and Well-beingat Carilion Clinic

Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That's why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life at work and when you're away.

When you make your tomorrow with us, we'll enhance your potential to realize the best in yourself.Below are benefits available to you when you join Carilion: