Combined ADHD Senior Assessor & Prescriber for Children

Paloma Health; United States; Remote; USD 87,000 - 90,000; Full time

Job summary

Paloma Health is hiring a clinician for ADHD assessments and prescribing, working remotely to deliver integrated care for children. The role blends neurodevelopmental assessment with prescribing responsibilities to support families from referral through treatment.

You will join a mission-driven NHS-aligned team, collaborate with clinicians, and contribute to building digital tools and pathways that improve access and outcomes in neurodevelopmental care.

Qualifications

• NMC-registered nurse with current license.
• Minimum 4 years delivering Children’s ADHD assessments.
• Minimum 4 years delivering Children’s ADHD prescribing services.
• Excellent communication and caseload management.
• Ability to pass an enhanced DBS check.

Responsibilities

• Deliver high-quality Children’s ADHD neurodevelopmental assessments.
• Deliver ADHD prescribing care, including initiation, titration, and review appointments.
• Present assessment findings in a strengths-based, client-centred manner.
• Conduct safeguarding and risk assessments when required.
• Support GPs with shared care queries when appropriate.
• Maintain professional registration, mandatory training, and CPD.
• Share ideas to improve Paloma’s software tools and clinical pathways.
• Contribute positively to a collaborative and innovative clinical culture.

Skills

NMC-registered Nurse

ADHD assessments experience

ADHD prescribing experience

Communication skills

Education

NMC registration/licensure

Job description

Time commitment: Between 4-5 days per week (0.8-1 FTE)

Location: Remote

Reporting to: Neurodevelopmental Team Manager

About Paloma

In 2024, our founders, Mark and Darshak, were shocked to find that children needing an NHS autism or ADHD assessment were waiting 4-10 years for these assessments. Delayed assessments result in children being more likely to develop mental health conditions and fall behind in education. Furthermore, the much-needed pre/post-assessment support (outside of ADHD medications) is typically not funded by the NHS.

These long waits have built up due to increased recognition and understanding of neurodevelopmental conditions and a lack of investment and innovation within the NHS to meet the growing demand.

Mark and Darshak, with their 25 years of combined NHS experience, including building services that have treated over 1,000,000 patients in obesity & ophthalmology, founded Paloma to change this. Our mission is to make NHS autism and ADHD assessments and care accessible within 4 weeks of a GP referral, and, in turn, help every child achieve their potential.

As of May 2026, we have successfully reduced waits to 3 months by;

• Taking a product-first approach to redesign the care pathway to give families a more consumer-like experience of care
• Our in-house product, engineering and AI team building our own autism and ADHD specific electronic patient record and AI documentation tool to free clinicians from their significant documentation burden to re‑focus on supporting families
• Investing in expanding the clinician workforce and upskilling them in new ways of working.

We are proud that Paloma is:

• Loved by families, with 4.9 out of 5 Trustpilot and Google ratings
• Care Quality Commission (CQC) registered and quality‑focused
• Clinically‑led, with a team of 130 people, including over 80 clinicians supporting families through their assessment journey. We are hiring 100+ more roles over the next 12 months.
• A community of passionate, mission‑driven and innovative team members who challenge the status quo and test and learn from new ideas and approaches.
• Backed by leading healthcare investors Triple Point and Heal Capital

What’s next?

• Whilst we have reduced wait times, it is estimated that up to 500,000 children are still waiting for an NHS autism or ADHD assessment. We won’t rest until this comes down.
• We want to build new services to support families and children diagnosed with autism or ADHD who feel lost after their assessments when the NHS is no longer there for them.

The Opportunity

Are you an innovative clinician with expertise in both Children’s ADHD assessments and ADHD prescribing, excited to use technology and AI tools to improve care for families?

This role combines ADHD neurodevelopmental assessment and prescribing responsibilities into a single integrated clinician role, enabling continuity of care for families from assessment through treatment.

We are not a standard ADHD service. We:

• Have built our own technology and AI tools to gather clinical information and support documentation, allowing clinicians to focus on families and children
• Provide multidisciplinary ADHD assessments aligned with NICE guidance
• Have an integrated electronic prescribing system within our electronic patient record
• Use NHS Electronic Prescribing Service access, enabling prescriptions to be sent directly to pharmacies
• Prioritise clinician development, innovation, and collaborative working

If you have the appropriate experience, there may also be opportunities to work across Children’s Autism, Dual Autism & ADHD pathways, and Adult ADHD prescribing pathways.

About You

You are a clinician with experience in both Children’s ADHD assessments and ADHD prescribing.

You are passionate about delivering high‑quality, family‑centred care and excited to work in an innovative environment that embraces software and AI tools to improve the clinician and patient experience.

You are collaborative, proactive, and motivated to help shape the future of neurodevelopmental care.

Responsibilities

• Deliver high-quality Children’s ADHD neurodevelopmental assessments
• Deliver ADHD prescribing care, including: Medication initiation, titration, and review appointments
• Present assessment findings in a strengths‑based, client‑centred manner
• Conduct safeguarding and risk assessments where required
• Support GPs with shared care queries when appropriate
• Maintain professional registration, mandatory training, and Continuing Professional Development (CPD)
• Share ideas to improve Paloma’s software tools and clinical pathways
• Contribute positively to a collaborative and innovative clinical culture

Qualifications & Experience

Required

• An NMC-registered Nurse

And you have:

• At least 4 year of experience delivering Children’s ADHD assessments
• At least 4 year of experience within Children’s ADHD prescribing services

Strong understanding of:

• Typical child development across life stages
• ADHD presentations and differential diagnoses
• Co‑occurring conditions
• Cultural considerations in neurodevelopmental assessments
• Excellent communication and caseload management skills
• Experience delivering client‑centred feedback and recommendations
• Ability to pass an enhanced DBS with barred list check

Desirable

• Experience in Adult ADHD prescribing services
• Experience in Children’s Autism Assessments or Dual Assessments
• Experience conducting risk assessments in neurodevelopmental services
• Safeguarding training Level 3 or above

Why join Paloma?

You will be part of a mission‑driven organisation that’s transforming access to autism and ADHD care in England. For all employees, we offer:

• A strong and positive culture that prioritises team building, transparency, and career development. This includes protected time and budget for team connection and learning.

• Comprehensive compensation, including:

  • Total compensation of £65,000 per year, rising to £67,000 for more experienced clinicians

  • Annual salary reviews, ensuring they are competitive

  • 5% employer pension contribution

  • For employees working at least 0.8 FTE:

    • Equity compensation through Share Options in Paloma Health
    • Optional Private Medical Insurance and Employee Assistance Programme

  • Home Office Equipment Allowance

  • Professional Registration Fees Allowance for clinicians

• A unique annual leave benefits package which includes:

  • 37 days of annual leave. This is 28 standard days, plus eight bank holidays, plus your birthday off.
  • Option to buy an additional 5 days per year (giving a maximum of 42 days)
  • Where required, 2 days per year of special leave, for events that can happen in life, whether personal or family-related

• Additional benefits include:

  • A premium performance company laptop
  • NHS discounts, including the Blue Light Card (as we are an NHS provider).

Equality & Diversity

Paloma Health is an equal opportunity employer committed to diversity and inclusion in the workplace and throughout the application process. We do not discriminate based on any protected characteristic.

Accommodations

We’re glad to accommodate candidates who need adjustments throughout the hiring process. We encourage you to be open about the adjustments you need, so we can adapt our interview process accordingly.

Safer Recruitment & Pre-Employment Checks

Paloma Health ensures that supporting people to be safe is at the heart of our work and a key priority across all areas of the organisation. As part of our pre‑employment checks, you will be asked to complete a Disclosure and Barring Service (DBS) check. Depending on your role within the business, this will be at either an Enhanced, Standard, or Basic level. We are committed to safer recruitment practices and expect all applicants to share our dedication to safeguarding. Our recruitment processes are designed to ensure we appoint individuals who align with our values and will help maintain a safe and supportive environment for everyone we work with.