Psychiatric Nurse Practitioner (PMHNP) – Telehealth

NPHire; United States; Remote; USD 60,000 - 100,000; Part time

Job summary

An innovative firm is seeking a compassionate clinical provider to join their mission of transforming mental health care. You will play a crucial role in guiding patients through the process of tapering off antidepressants, providing support and care that is both empathetic and evidence-based. This position offers the unique opportunity to work in a collaborative environment, where your insights and creativity will help shape new clinical guidelines in mental health. If you are passionate about patient autonomy and integrative care, this role is perfect for you.

Qualifications

• Experience in patient-centered clinical practice with a focus on mental health.
• Strong understanding of telehealth and HIPAA-compliant documentation.

Responsibilities

• Conduct patient intake and assessments via telehealth, ensuring HIPAA compliance.
• Collaborate with teams to personalize tapering treatment plans.

Skills

Patient-centered care

Clinical expertise

Telehealth tools

HIPAA compliance

Active listening

Empathy

Communication skills

Alternative interventions

Education

Active clinical license with prescriptive authority

Job description

At Outro, we’re building what the mental health system forgot: a roadmap off antidepressants. Millions are prescribed medication with no guidance on how to stop — we're changing that, with science, care, and compassion. We are expanding, and this is our Call-to-Action:

You’re a patient-centered clinical provider with deep clinical expertise and a heart for change. You believe mental health care should be collaborative, holistic, and human-centered. You’re energized by working in a startup-adjacent environment, where your creativity, curiosity, and flexibility are just as important as your credentials.

Core Strengths:

Tech-comfortable: confident using EHRs, telehealth tools, and open to learning new systems that support efficient care.

Experienced with HIPAA-compliant documentation and can adapt easily to new telehealth technologies.

Sound clinical judgment and experience with complex patient needs.

Deep empathy, active listening approach, and a non-pathologizing approach to care.

Interest in antidepressant deprescribing, slow tapering, and long-term patient empowerment.

Willing to challenge the status quo.

Willingness to learn, iterate, and grow as a part of a small, collaborative team building the future of deprescribing support.

Able to provide thoughtful, trauma-informed support during periods of emotional intensity or elevated withdrawal symptoms.

Strong communicator, both verbally and in writing.

Compassionate, curious, and aligned with Outro’s mission of health autonomy.

Passionate about integrative, functional, or holistic care models.

Reliable access to stable internet and a computer with a video-camera and microphone capabilities.

Must have an active clinical license with prescriptive authority in NY or CA; additional state licenses are a plus.

Interest in part-time, flexible telehealth work.

Previous experience with alternative interventions (movement, art, nutrition, sleep hygiene, peer support, etc.).

Previous experience with drug tapering support.

Familiar with the hyperbolic tapering approach.

Experience writing prescriptions to compounding pharmacies.

Responsibilities:

Conduct patient intake & reoccurring assessments and provide behavioral therapy through our telehealth platform, ensuring compliance with HIPAA regulations.

Communicate asynchronously with patients between visits as appropriate.

Maintain accurate medical documentation and records, utilizing medical terminology effectively.

Maintain a clear line of communication as needed with the internal and clinical team.

Collaborate with multidisciplinary teams to develop, refine, and personalize each patient's tapering treatment plan.

Engage in ongoing communication with patients to monitor progress and adjust care plans accordingly.

Why work at Outro?

Do Work That Matters: At Outro, you will support people through a major life change — moving from medication dependency to personal autonomy. The work is intimate, urgent, and deeply human.

Be Trained in a New Clinical Frontier: Get the rare opportunity to receive direct training in a brand-new set of clinical guidelines for antidepressant deprescribing—developed in collaboration with global tapering expert Dr. Mark Horowitz. You’ll help turn cutting-edge research into real-world care.

Build the Missing Infrastructure: As part of our clinical team, you’ll help design and scale the first-of-its-kind US model for safe, slow antidepressant tapering — an area long neglected by traditional healthcare systems.

Culture of Collaboration: We take a collaborative approach, valuing feedback from every direction — whether it comes from patients, teammates, or clinicians. Together, we adapt and evolve to better meet the needs of those we serve.

A Mission-First Team: We're small, purpose-driven, and obsessed with getting this right. If you want to shape the future of mental health with people who care deeply, Outro is your place.

Our interview process is designed to highlight your creativity, clinical judgment, and open-mindedness. You’ll meet our core team—including clinical leadership—explore real-world tapering cases, and help us understand how you think, listen, and lead.