Psychiatric Nurse Practitioner (PMHNP-BC) – Interventional Psychiatry

Preston Hollow Psychiatry Group; Dallas (TX); On-site; USD 130,000 - 170,000; Full time

Job summary

Preston Hollow Psychiatry Group seeks a PMHNP to provide outpatient psychiatric care for new and established patients, including evaluations and ongoing medication management.

The role includes Spravato consults, treatment initiation within protocol, and monitoring with discharge planning where appropriate, while maintaining high-quality patient experience.

Qualifications

• Master's degree in Nursing from an accredited program.
• Certified Nurse Practitioner (PMHNP) in Psychiatry.
• Active Texas APRN license and prescriptive authority.
• Ability to practice independently in outpatient psychiatry.

Responsibilities

• Provide outpatient psychiatric care for new and established patients.
• Perform comprehensive evaluations and ongoing medication management.
• Conduct Spravato consults and initiate treatment per protocol.
• Document treatment plans and safety checks in the EMR.
• Coordinate with front office and care team to ensure smooth patient flow.

Skills

Psychiatric assessment

Treatment planning

Medication management

Patient education

Clinical communication

Protocol adherence

Education

PMHNP certification

Master of Nursing (MSN/MS)

Tools

EMR / Scheduling system

Pharmacy platforms (e-prescribing)

Spravato tracking tools

Clinical protocols & patient comms systems

Job description

Responsible for independently providing outpatient psychiatric care for new and established patients, including comprehensive evaluations, follow-up visits, and ongoing medication management. This role also supports our Spravato (esketamine) program by completing consults, initiating treatment, monitoring patients during visits, and clearing patients for discharge based on protocol. This position is critical to ensuring safe, consistent, high-quality psychiatric treatment and a strong patient experience.

Daily Responsibilities (SOP):

1. Psychiatric Patient Visits (Core Responsibility)

• See new, established, and follow-up psychiatry patients independently (typical visits 30-60 minutes).
• Perform psychiatric evaluations, clinical assessments, and treatment planning.
• Document diagnoses, clinical decision-making, and plan of care clearly in the EMR.
• Provide patient education on diagnoses, medications, side effects, safety, and expectations.
• Ensure appropriate follow-up intervals and continuity of care.

2. Medication Management (Top Priority)

• Manage psychiatric medications for assigned patient panel.
• Start, adjust, taper, or discontinue medications as clinically appropriate.
• Monitor medication effectiveness, side effects, adherence, and safety concerns.
• Address medication-related questions and provide clear guidance to patients.
• Coordinate refills and ensure prescriptions are accurate and timely.
• Conduct Spravato consults to evaluate appropriateness for treatment.
• Start patients under Spravato and confirm readiness for treatment initiation.
• Monitor patients during Spravato sessions as needed per protocol.
• Clear patients to leave after observation window when clinically appropriate.
• Document treatment response, safety checks, and discharge clearance.

4. Clinical Communication & Collaboration

• Coordinate with front office, clinical support team, and providers to ensure smooth patient flow.
• Communicate clearly on any patient safety concerns, escalation needs, or clinical updates.
• Support consistent workflows and help reinforce clinical standards for patient care.

5. Documentation & Compliance

• Complete charting in the EMR accurately and within required timelines.
• Maintain compliance with clinic policies, state and federal guidelines, and professional standards of care.
• Protect patient confidentiality and follow all HIPAA requirements.

Qualifications Required:

• Master's degree (or higher) in Nursing from an accredited program.
• Certified Nurse Practitioner (NP-C) in Psychiatry/Mental Health (PMHNP).
• Active Texas APRN license and state certification/recognition in good standing.
• Ability to practice independently within scope and provide outpatient psychiatric care.
• DEA license (or ability to obtain) and prescriptive authority in Texas.
• Strong clinical judgment, professionalism, and patient-centered communication.

Preferred Qualifications:

• Prior outpatient psychiatry experience.
• Experience with Spravato workflows (or willingness to learn quickly).
• Comfort managing complex medication regimens and follow-up planning.
• Strong EMR documentation habits and time management.

Tools & Systems Used:

• EMR / Scheduling system
• Pharmacy platforms (e-prescribing)
• Spravato tracking / visit documentation tools (as applicable)
• Internal clinical protocols and patient communication systems

Skills Required:

• Strong psychiatric assessment and treatment planning skills
• Excellent medication management and patient education
• Professional and calm communication (patients + staff)
• Strong documentation and attention to detail
• Ability to work efficiently with 30-60 minute appointment blocks
• Ability to maintain consistent standards and follow protocol-based care