Job Description
Position Overview:
Paradigm Recovery Center is a startup behavioral health treatment center providing structured, evidence-based treatment for individuals with substance use disorders and co-occurring mental health conditions. The Psychiatric Nurse Practitioner (PMHNP) provides psychiatric evaluation, medication management, and integrated behavioral health care within ASAM 2.5 and 2.1 levels of care.
Key Responsibilities:
Psychiatric Evaluation & Medication Management:
• Conduct comprehensive psychiatric evaluations and diagnostic assessments
• Prescribe, adjust, and monitor psychiatric medications in accordance with Missouri scope of practice
• Provide medication management for co-occurring substance use and mental health disorders
• Monitor medication effectiveness, side effects, and adherence
• Coordinate care related to MAT or psychotropic medications as clinically indicated
Clinical Collaboration & Treatment Planning:
• Collaborate with therapists, case managers, nursing staff, and leadership
• Participate in multidisciplinary treatment team meetings and case reviews
• Provide consultation regarding psychiatric symptoms and medication concerns
• Support referrals and discharge planning
Documentation & Compliance:
• Complete timely and accurate documentation in the electronic health record
• Maintain records consistent with Missouri regulations, HIPAA, and payer requirements
• Document assessments, progress notes, medication orders, and follow-ups
Safety & Risk Management:
• Assess psychiatric risk factors including suicidality and symptom escalation
• Respond to medication reactions or adverse events
• Communicate urgent clinical concerns promptly
Program Development (Startup Environment):
• Assist with psychiatric workflow and policy development
• Support program build-out and quality improvement initiatives
• Maintain flexibility in a startup environment
Qualifications:
Required:
• Active, unrestricted Missouri APRN license
• Board certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP)
• Current DEA registration or ability to obtain
• Experience in behavioral health or substance use treatment
• Strong clinical judgment and documentation skills
Preferred:
• Experience in ASAM 2.1 and/or 2.5 levels of care
• Experience in PHP or IOP settings
• Familiarity with trauma-informed and recovery-oriented care
• Startup or program development experience
Schedule Expectations:
• Daytime and/or evening hours based on program needs
• Flexible scheduling during startup phase
Physical & Professional Requirements:
• Ability to conduct psychiatric evaluations for extended periods
• Ability to work in a fast-paced clinical environment
• Reliable attendance and professionalism
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