Psychiatric Nurse Practitioner (Texas Licensed)

Peregrine Health; San Antonio (TX); Remote; USD 128,000 - 130,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) with employer match

20 PTO days and 9 paid holidays

Paid parental leave

Mental health stipend

Fertility and family-planning support

CEU reimbursement

Professional liability insurance

Licensing fees covered

Technology stipend

Employee referral bonus

Job summary

Peregrine Health is seeking a Psychiatric Mental Health Nurse Practitioner for a full-time, 100% remote clinical role designed to provide experienced PMHNPs with flexibility, stability, and meaningful patient care.

The position offers a base salary of $127,500–$130,000 per year plus quarterly incentive compensation, with no nights, weekends, or on-call responsibilities, and a comprehensive benefits package including health insurance, 401(k), PTO, and parental leave.

Qualifications

• Active PMHNP licensed in Texas.
• DEA registration active.
• Minimum 3 years of clinical experience in community behavioral health.
• Experience providing psychiatric medication management.
• Ability to independently manage complex cases with sound clinical judgment.
• Commitment to full-time practice.
• Strong communication and interdisciplinary collaboration skills.
• Comfort using telehealth platforms and digital clinical tools.

Responsibilities

• Provide psychiatric evaluations and ongoing medication management for patients ages 5 and older.
• Develop individualized, evidence-based treatment plans aligned with patient needs and goals.
• Prescribe and manage psychotropic medications, monitoring effectiveness and side effects.
• Diagnose and treat co-occurring behavioral health and substance use conditions.
• Collaborate with primary care, therapists, and multidisciplinary teams for whole-person care.
• Maintain timely documentation in partner-site EHR systems.
• Deliver care via telehealth while building strong relationships with patients and care teams.
• Contribute to behavioral health programs evolving with community needs.

Skills

Active PMHNP license (Texas required)

Active DEA registration

Clinical experience (3+ years)

Psychiatric medication management

Independent case management

Full-time commitment

Strong communication & collaboration

Telehealth & digital tools

Job description

Peregrine Health - Redefining Behavioral Healthcare

Psychiatric Mental Health Nurse Practitioner (PMHNP) This is a full-time, 100% remote clinical role designed to give experienced PMHNPs the support, flexibility, and stability to do their best work.

• $127,500-$130,000 base salary, plus quarterly incentive compensation
• No nights, weekends, or on-call responsibilities
• Medical, dental, and vision insurance
• 401(k) with employer match
• 20 PTO days and 9 paid holidays
• Paid parental leave
• $1,800 annual mental health stipend
• Up to $5,000 in fertility and family-planning support
• 2 paid continuing-education days and up to $500 in annual CEU reimbursement
• Professional liability insurance provided at no cost
• Licensing fees covered for states where you are assigned to practice
• Dedicated licensing, credentialing, operational, and technology support
• $150 annual technology stipend
• $2,500 employee referral bonus

At Peregrine Health, we are building a community of providers dedicated to delivering high-quality, patient-centered behavioral healthcare. We believe that care should be accessible, effective, and deeply integrated into the lives of the people we serve. Our approach prioritizes long-term patient impact, ensuring that behavioral health is a fundamental part of care.

You will practice with meaningful clinical autonomy while working alongside a collaborative network of behavioral health providers, primary care teams, and operational partners. We handle much of the administrative work around licensing, credentialing, technology, and care delivery so you can focus on your patients.

What You'll Do

• Provide psychiatric evaluations and ongoing medication management for patients ages 5 and older.
• Develop individualized, evidence-based treatment plans aligned with patient needs and goals.
• Prescribe and manage psychotropic medications, monitoring for effectiveness and potential side effects.
• Diagnose and treat co-occurring behavioral health and substance use conditions.
• Collaborate with primary care providers, therapists, and multidisciplinary teams to support whole-person care.
• Maintain timely and accurate documentation within partner-site electronic health record systems.
• Deliver care through telehealth while building strong, trusted relationships with patients and care teams.
• Contribute to behavioral health programs that continue to evolve with the needs of the communities we serve.

What We're Looking For

• Active Psychiatric Mental Health Nurse Practitioner license (Texas required)
• Active DEA registration
• At least three years of clinical experience, preferably in community-based behavioral health
• Experience providing psychiatric medication management
• Ability to independently manage complex cases using strong clinical judgment
• Commitment to full-time practice
• Strong communication and interdisciplinary collaboration skills
• Comfort using telehealth platforms and digital clinical tools

What Defines a Peregrine Health PMHNP

You believe behavioral healthcare should be accessible, coordinated, and centered on meaningful patient outcomes.

You make confident, evidence-based clinical decisions while valuing interdisciplinary collaboration. You build trust with patients and care teams, take a proactive approach to barriers in care, and consider both medical and psychosocial factors in treatment planning.

Additional Benefits

Our broader benefits package also includes life insurance, short- and long-term disability coverage, and optional hospital, critical illness, accident, identity theft monitoring, and pet insurance plans. Employees may also receive paid leave for bereavement and jury duty.

Work location: Remote

Pay: $127,500.00 - $130,000.00 per year