Psychiatric Mental Health Nurse Practitioner (PMHNP)

Nurse Practitioner 9.2 Work-LifeNo callFull-Time Full Practice Authority

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.

Posted 1mo ago · Verified live

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

DEA License

Key Skills

Psychiatric evaluationDiagnostic testingMedical record maintenanceCare coordinationClinical documentationInterpersonal skillsSubstance use disorder treatment

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.

Top Nurse Practitioner Jobs

36 matches · ranked by pay

Salary Distribution36 jobs · 32 employers

14
<$155k
11
$155k-185k
6
$185k-215k
3
$215k-245k
2
$245k+

Annual compensation range

Benefits & Perks30 jobs

401k / retirement match
90%
CME allowance
47%
Sign-on bonus
43%
Relocation assistance
17%
Loan repayment
13%

Share of similar jobs offering each benefit

#1

Psychiatric Mental Health Nurse Practitioner (PMHNP)

LifeStance Health · Fairfax, Virginia

$216k-$252k
#2

Clinic Director - Physician Assistant (PA-C) or Nurse Practitioner (NP)

Ageless Mens Health · Reno, Nevada

$250k
#3

Nurse Practitioner

$164k-$237k
#4

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$85k-$235k
+ 34 more · ranked by pay

Work-life snapshot

median 6.4this job 9.2
Among the best 10% of Psychiatry (NP) listings for work-life

Listing-based score, 0–10, across 2,182 comparable listings. Shaded area = the share scoring below this one.

  • No call

Living in Vancouver

Typical 3-bedroom home value
$476k≈ 4.8× annual pay
Typical market rent
$1,828/mo≈ 22% of gross pay
Residents’ average commute
23 min
Metro price indexU.S. average = 100
105.4
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Portland-Vancouver-Hillsboro, OR-WA metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.

Columbia River Mental Health Services logo

About Columbia River Mental Health Services

Mental Health Care
Vancouver, Washington
51-200 employees

Benefits & Perks

11 paid holidays
3 floating holidays
24 days PTO
$325 annual career development allowance
40 hours paid time off for career development
Medical/Dental/Vision
Health and wellness benefits