Psychiatric Mental Health Nurse Practitioner (PMHNP)
Listed compensation
$100k-$140k
The week · per this posting · weekdays assumed
Ask the employer about the work setting, weekend coverage, nights and shift pattern and time off.
Job Description
Lives Change Here! We are GROWING…Columbia River Mental Health Services provides comprehensive behavioral health and recovery services that transform the lives of children, adults and families in the communities of SW Washington. We are the largest and oldest not-for-profit provider of mental/chemical dependency treatment in southwest Washington with 200 employees and a history dating back to 1942.
Our Mission
Providing behavioral health and recovery services that transform the lives of children, adults, and families in the communities of SW Washington.
Starting Pay Range –
$100,000-$145,000 annually depending on experience.
Summary
The responsibilities include initial and updated psychiatric evaluations, routine follow-up care and medication management. Ensure timely and quality delivery of medical reviews, and support staff clinically and administratively.
Essential Job Responsibilities
- Works in an independent and interdependent relationship with members of the medical staff and other providers that allows for consultation, collaboration, or referral.
- Prescribes medications, individualized treatments, and ongoing medication management.
- Orders lab and diagnostic tests when appropriate and interprets test results.
- Maintains legible, accurate, and confidential medical records.
- Completes documentation within 24 hours of patient encounter.
- Coordination of care with other providers, counselors and community care providers.
- Coordinator of mental health care needs with their medical/physical care as needed.
Non-essential Job Functions
- Maintain communication and cooperative working relationship both within the agency and community at large.
- Projects a positive and professional image at all times.
- Other duties as assigned by supervisor.
Education, Licensing and Experience
- An active, unrestricted Advance Registered Nurse Practitioner or Physician Assistant License
- CPR certified
- One year or more experience in behavioral health prescribing preferred
- Experience working with the aged, the uninsured, the underinsured, individuals with severe mental health disorders, and / or substance use disorders preferred.
- Ability to acquire and maintain DEA Controlled Substance Prescribing Registration prior to date of hire
- Ability to credential with Medicare, Medicaid and commercial insurers
Competencies, Knowledge, Skills and Abilities
- Must have a wide knowledge base required roles of various personnel and programs in the agency and community.
- Interpersonal, decision making, judgment, and communication skills plus medication management, psychotherapy, and collegial relations with teams.
Why Work Here?
CRMHS offers AMAZING benefits aside from health and wellness (medical/dental/vision etc.) Work life balance benefits: 11 total paid holidays per year, including 3 paid floating holidays available upon hire, 24 days of PTO days in the first year and only increases from there! Career development: $325 annual allowance for career development and education with an additional 40 hours of paid time off for career development/education! And so many More!
Equal Opportunity Employer
CRMHS is committed to building an equitable and inclusive workplace where people from all backgrounds belong and thrive, and a culture that encourages, supports, celebrates and centers the diverse voices of our employees & clients. We believe that diversity is multivariate and includes race, ethnicity, gender & gender identity, sexual orientation, age, veteran status, disability, citizenship, national origin, familial status, genetics, religious beliefs, socioeconomic class, physical status, neurodiversity and parental status.
Key Responsibilities
The PMHNP will conduct psychiatric evaluations, provide routine follow-up care, and manage medications for patients. They will also coordinate care with other providers and maintain accurate, timely medical documentation.
Requirements
Candidates must hold an active, unrestricted Advanced Registered Nurse Practitioner or Physician Assistant license and be CPR certified. At least one year of experience in behavioral health prescribing is preferred, along with the ability to obtain DEA registration.
Qualifications
- Experience
- 2+ years of experience
Certifications
Key Skills
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Psychiatric Mental Health Nurse Practitioner (PMHNP) at Columbia River Mental Health Services a 9.2 out of 10 for work-life balance — classified as exceptional. This places the position in the top 5% in Psychiatry (NP) — ranked against 2,182 active Psychiatry (NP) listings on WeekdayDoc. Contributing factors include no on-call duties.
Psychiatry — Nurse Practitioner Career Context
Of the 50 active Psychiatry listings this role was benchmarked against, 22% are remote, 50% have no call, 60% require no weekends.
Psychiatry pay on WeekdayDoc is up 1.8% vs. the prior quarter (through Sep 2026).
The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$120k midpoint carries the purchasing power of roughly $112k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Location & Logistics
Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$120k midpoint, that is roughly $5k–$8k a year versus a typical 4–7% state rate.
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