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Frontera Healthcare
Fredericksburg, Texas

Psychiatric Nurse Practitioner

Nurse PractitionerFull-Time Physician-Supervised State

Compensation

Pay not listed

The week · per this posting · weekdays assumed

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

Posted 4mo ago · Verified live

Job Description

We are seeking a compassionate, clinically skilled Psychiatric Nurse Practitioner to provide comprehensive mental health care for patients across the lifespan. The ideal candidate will assess, diagnose, and treat psychiatric and substance use disorders; prescribe and manage medications; provide psychotherapy and patient education; and collaborate with interdisciplinary teams to deliver safe, evidence-based, patient-centered care.

Key Responsibilities

  • Conduct comprehensive psychiatric evaluations, mental status examinations, and risk assessments.
  • Diagnose mental health and substance use disorders and develop individualized treatment plans.

Prescribe, monitor, and adjust psychiatric medications in accordance with state law and clinical best practices.

Provide psychotherapy, counseling, crisis intervention, and brief behavioral health interventions as appropriate.

Order and interpret relevant laboratory tests and coordinate referrals for additional medical or behavioral health services.

Educate patients and families on diagnoses, treatment options, medications, coping strategies, and relapse prevention.

Collaborate with psychiatrists, primary care providers, therapists, social workers, and other care team members.

Maintain timely, accurate documentation in the electronic health record and support regulatory, quality, and safety standards.

Requirements

Qualifications

Master’s or Doctor of Nursing Practice degree from an accredited nurse practitioner program with a psychiatric-mental health focus.

Current, unrestricted Registered Nurse and Advanced Practice Registered Nurse licensure as required by the state of practice.

Board certification as a Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) or eligibility to obtain certification.

  • DEA registration and prescriptive authority, if required for the role.
  • Experience in psychiatric, behavioral health, addiction medicine, community mental health, or related clinical settings preferred.
  • Strong clinical judgment, communication skills, therapeutic rapport, and cultural competence.

Preferred Skills

  • Knowledge of DSM-5-TR diagnostic criteria and evidence-based psychiatric treatment approaches.
  • Experience with medication management, psychotherapy modalities, and crisis stabilization.
  • Proficiency with electronic health records and telehealth platforms.
  • Ability to work effectively with diverse populations and interdisciplinary teams.
  • Commitment to ethical practice, confidentiality, and continuous professional development.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Certifications

DEA License

Key Skills

Psychiatric EvaluationRisk AssessmentSubstance Use Treatment

Psychiatry — Nurse Practitioner Career Context

Of the 50 active Psychiatry listings this role was benchmarked against, 34% are remote, 56% have no call, 64% require no weekends.

Psychiatry pay on WeekdayDoc is up 2.2% vs. the prior quarter (through Sep 2026).

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top Nurse Practitioner Jobs

46 matches · ranked by pay

Salary Distribution45 jobs · 39 employers

7
<$130k
14
$130k-155k
14
$155k-180k
7
$180k-205k
3
$205k+

Annual compensation range

Benefits & Perks40 jobs · 39 employers

401k / retirement match
88%
CME allowance
57%
Sign-on bonus
53%
Loan repayment
5%
Relocation assistance
5%

Share of similar jobs offering each benefit

#1

Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)

Impireum · Katy, Texas

$106k-$216k
#2

PRN Nurse PractitionerPer Diem

Center Well · Fort Worth, Texas

$150k-$206k
#3

VSP Nurse Practitioner

$150k-$206k
#4

Nurse Practitioner

$180k-$200k
+ 44 more · ranked by pay

Work-life snapshot

median 6.4this job 3.0
Better work-life than 20% of Psychiatry (NP) listings

Listing-based score, 0–10, across 2,209 comparable listings. Shaded area = the share scoring below this one.

Living in Fredericksburg

Typical 3-bedroom home value
$509k
Typical market rent
$2,118/mo
Residents’ average commute
14 min
State income tax
None
Sources & methodology

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

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

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About Frontera Healthcare

Medical Practices
Menard, Texas
51-200 employees