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Monarch
Cary, North Carolina

PMHNP or Psychiatric Physician Assistant - Outpatient

Nurse PractitionerNo weekendsFull-Time Physician-Supervised State

Compensation

Pay not listed

The week · per this posting · Monday – Friday

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 58m ago · Verified live

Job Description

Scheduled Weekly Hours

40

Schedule: Education We're Looking for:

Masters of Science: Nursing, Nurse Practitioner (NP) or Psychiatric Mental Health Nurse Practitioner (PMHNP) (Required)

Certifications We're Looking For

Board Certified Nurse Practitioner (NP) or Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP) - American Nurses Credentialing Center (ANCC), State License - Nurse Practitioner (NP) - State Board of Nursing

Experience We're Looking For

Additional Details:

Job Description Summary

Monarch is searching for a PMHNP or Psychiatric Physician Assistant for our outpatient clinic located in Cary, NC. Must be willing to work onsite a minimum of 2 days per week. Work Schedule: Mon-Fri 8am-5pm.

The primary responsibilities of the Nurse Practitioner are to evaluate, diagnose, and prescribe medications for people we support, which may include, children, adolescents, adults and geriatrics diagnosed with mental disorders under direction of a qualified health care provider to enhance the quality of life through services that enable them to achieve their personal dreams and goals.

What You'll Do

  • Prescribe medications and treatments under the supervision of a physician or according to established policies and protocols.
  • Report information about an individual's medical condition to supervising physicians to assist with the established diagnosis and appropriate course of treatment.
  • Assess individuals for mental health disorders and make an appropriate DSM diagnosis (es). Ensure that services are delivered in a medically appropriate manner and care provided is in compliance with NC Medical Board guidelines.
  • Review past treatments, evaluations, and other relevant information in order to develop an appropriate diagnosis and treatment plan.
  • Request diagnostic lab work when appropriate.
  • Maintain all documentation and records which are necessary in the daily work of psychiatry in a timely manner. This may include the use of Electronic Health Records system (EHR).
  • Provide education to individuals to aid in understanding their diagnoses and recommend appropriate treatment. Involve/educate family members and other supports in treatment when appropriate. Encourage individuals to participate in mental health therapy when appropriate.
  • Collaborate, coordinate and consult with other providers such as counselors, psychologists, social workers and medical staff of other local providers, including but not limited to state hospitals, local hospitals, other community agencies, primary healthcare providers, CCNC, public Health Departments, Federally Qualified Health Clinics in order to discuss treatment plans, progress in services and where appropriate, the medical aspects of the person being supported and the implications for their physical healthcare needs.
  • Participate in staffing of complex or high-risk individuals with other program staff.
  • Attend and actively participate in meetings and training as required. Maintain certification in all agency, state and federal training requirements.
  • Demonstrate knowledge of and comply with all agency policies and procedures, as well as state and federal statutes and regulations related to specific program areas.
  • Follow service definition guidelines for services being provided.
  • Complete all other relevant responsibilities as assigned by the supervisor.
  • Driving and travel may be required.

#M0NC

Benefits

We offer a competitive and flexible total rewards package designed to support the diverse needs of our team members.

In addition to base compensation, eligible employees have access to a range of customizable benefits and perks, which may include comprehensive health coverage, retirement plans, professional development support, and more. Specific offerings are tailored to the role, employment type, and location.

We look forward to discussing the details of your personalized compensation and benefits package—and what matters most to you—during the interview process.

Make a Difference in Someone’s Life!

At Monarch Healthcare, we work together to provide life-changing care in communities across North Carolina and Rhode Island. As a team, we provide hope, promote wellness, and empower individuals and families impacted by mental illness, substance use disorders, intellectual and developmental disabilities, and traumatic brain injury.

You Belong at Monarch Healthcare

You deserve a positive and encouraging work environment - a place where you can do your best work and grow as a professional. That is just what you’ll find at Monarch Healthcare. Here, we care for people, including our team members.

We offer a comprehensive, competitive benefits package that supports full-time and part-time team members and their families. More than just a job, this opportunity with Monarch Healthcare will give you room to spread your wings and grow because we believe in promoting from within and developing future leaders.

Monarch Healthcare Is an Equal Opportunity Employer

Monarch Healthcare offers opportunities as diverse as the people we support and the communities we serve. Monarch Healthcare is an equal opportunity employer and we are firmly committed to supporting and celebrating all forms of diversity.

Monarch Healthcare does not accept paper applications. Any person with a disability who needs any reasonable accommodation under the Americans with Disabilities Act to apply for a position or otherwise to participate in Monarch Healthcare job search or selection process, should contact HR@MonarchNC.org or call (704) 986-1550.

This job description in no way implies that these are the only duties and responsibilities to be performed. You will be required to follow any other instructions and to perform any other duties and responsibilities upon the request of a supervisor. This job description is subject to revision at the discretion of Monarch Healthcare.

Department: BH - Provider

Key Responsibilities

The nurse practitioner will evaluate, diagnose, and prescribe medications for patients with mental disorders across various age groups. They are responsible for developing treatment plans, maintaining clinical documentation, and collaborating with other healthcare providers to ensure quality care.

Requirements

Candidates must hold a Master of Science in Nursing or be a Psychiatric Mental Health Nurse Practitioner (PMHNP). A valid state license and board certification from the American Nurses Credentialing Center (ANCC) are required.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Psychiatric evaluationMedication managementTreatment planningPatient educationCollaborationMental health assessmentCrisis intervention

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates PMHNP or Psychiatric Physician Assistant - Outpatient at Monarch a 6.4 out of 10 for work-life balance — classified as good. This places the position in the Above average in Nurse Practitioner roles — ranked against 13,840 active Nurse Practitioner roles listings on WeekdayDoc. Contributing factors include no weekend requirements.

Psychiatry — Nurse Practitioner Career Context

Of the 50 active Psychiatry listings this role was benchmarked against, 38% are remote, 74% have no call, 80% require no weekends.

Psychiatry pay on WeekdayDoc is up 2.3% vs. the prior quarter (through Sep 2026).

Psychiatry by the numbers
MeasureThis jobMarket
Work-life score6.4 / 10 · above average in nurse practitioner rolesranked against 13,840 Nurse Practitioner roles listingslisting-based score, 0–10
Cost of livingNorth Carolina index 94.3US average = 100BEA Regional Price Parities (2024)
Psychiatry listings in North Carolina83 active2,220 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 38% remote · 74% no call · 80% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedNorth Carolina Nurse Practitioner listings: 17% state a sign-on bonus (median $20k) · 12% offer loan repayment422 active listings, Oct 2026
Psychiatry pay trend+2.3% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index (13,840 Nurse Practitioner roles listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Nurse Practitioner Jobs

45 matches · ranked by pay

Salary Distribution

45 jobs · 35 employers
7
<$135k
16
$135k-155k
15
$155k-175k
4
$175k-195k
3
$195k+

Annual compensation range

Benefits & Perks

37 jobs · 35 employers
401k / retirement match
89% this job
CME allowance
59%
Sign-on bonus
51%
Loan repayment
11%
Relocation assistance
8%

Share of similar jobs offering each benefit

#1

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

Ageless Mens Health · Memphis, Tennessee

$210k
#2

Psychiatric Mental Health Nurse Practitioner (PMHNP) - 2+ Experience Required

Mindpath Health · Sunnyvale, California

From $202k
#3

Psychiatric Mental Health Nurse Practitioner (PMHNP)

$130k-$200k
#4

Psychiatric Nurse Practitioner (PMHNP-BC)

$40-$90/hr
+ 43 more · ranked by pay

Work-life snapshot

median 6.4this job 6.4
Better work-life than 50% of Psychiatry (NP) listings

Listing-based score, 0–10, across 2,190 comparable listings. Shaded area = the share scoring below this one.

  • No weekends

Living in Cary

Typical 3-bedroom home value
$484k
Typical market rent
$1,768/mo
Residents’ average commute
23 min
Metro price indexU.S. average = 100
98.2
State income tax
Up to 4.8%
Sources & methodology

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

BEA 2024 · Raleigh-Cary, NC metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.