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North Country Healthcare
Littleton, New Hampshire

Psychiatric Mental Health Nurse Practitioner (PMHNP)

Nurse PractitionerNo weekendsFull-Time Full Practice Authority

Compensation

Pay not listed

The week · per this posting · Monday – Friday

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

Posted 5m ago · Verified live

Job Description

PMHNP – Behavioral Health

Job Type: Full-Time

Schedule: Monday-Friday (8 AM - 5 PM)

Location: Littleton Recovery, Lancaster, and Whitefield Clinics

Role: Nurse Practitioner – Psychiatric Mental Health

Salary: Competitive base salary PLUS wRVU productivity eligible

Job Description

North Country Healthcare (NCH) is seeking an experienced Psychiatric Mental Health Nurse Practitioner (PMHNP) to join our outpatient behavioral health team in northern New Hampshire.

The PMHNP will evaluate, diagnose, and treat a broad range of psychiatric conditions, including depression, anxiety, bipolar disorder, ADHD, PTSD, and co-occurring disorders. Responsibilities include psychiatric evaluations, medication management, and ongoing patient care.

Experience treating substance use disorders (SUD) and providing medication-assisted treatment (MAT) is required, as addiction treatment is a significant component of this position.

The ideal candidate is comfortable managing diverse psychiatric needs, values collaborative care, and embraces evidence-based, trauma-informed, and harm-reduction approaches.

Essential Duties and Responsibilities

  • Psychiatric Care: Conduct comprehensive psychiatric evaluations, diagnose and treat common mental health conditions, and develop individualized treatment plans.
  • Medication Management: Prescribe, monitor, and adjust psychiatric medications, evaluate treatment effectiveness, and provide ongoing follow-up care.
  • SUD and MAT Treatment: Assess and treat substance use disorders, provide medication-assisted treatment (MAT), and manage co-occurring psychiatric conditions.
  • Patient Education: Provide education on mental health, medications, recovery strategies, overdose prevention, and harm reduction.
  • Care Coordination: Collaborate with primary care providers, behavioral health clinicians, recovery coaches, and community resources to support comprehensive patient care.
  • Clinical Documentation and Safety: Maintain accurate documentation, follow regulatory and prescribing standards, and participate in quality-improvement initiatives.

Required Qualifications and Experience

  • Graduate of an accredited PMHNP program with national certification.
  • Current or eligible for New Hampshire APRN licensure.
  • Experience independently managing a broad range of psychiatric diagnoses.
  • Prior SUD treatment and MAT experience required.
  • Strong clinical judgment, communication, and collaborative care skills.
  • Commitment to patient-centered, trauma-informed, and harm-reduction practices.

Benefits

  • Competitive base compensation; wRVU productivity eligible
  • Commencement Bonus
  • Student Loan Support
  • Relocation Assistance
  • No weekend or Holiday shifts
  • 5 weeks of vacation, 5 days sick time
  • 1 week CME time and $4,500 CME funds
  • Attractive benefit package
  • Retirement plans
  • Malpractice insurance with tail

Why Rural New Hampshire?

  • Breathtaking Scenery: Enjoy stunning landscapes and outdoor activities year-round.
  • Community Connection: Become a valued member of a supportive, small-town community.
  • Balanced Lifestyle: Experience a relaxed pace of life with fewer hassles.
  • No sales or state income tax!

What We Offer

  • Collaborative Environment: Work with a dedicated medical team.
  • Modern Facilities: Access to advanced medical technology.
  • Attractive Compensation: Competitive salary and benefits.
  • Career Growth: Opportunities for professional development.

About Us

North Country Healthcare is a leading comprehensive healthcare network which employs hundreds of highly-trained individuals and delivers integrated patient care through three community critical access hospitals, several rural health clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities we serve.

Member organizations include Androscoggin Valley Hospital in Berlin, Upper Connecticut Valley Hospital in Colebrook, Weeks Medical Center in Lancaster, and North Country Home Health and Hospice Agency in Littleton. NCH is proud to be the largest employer in the North Country.

We offer services in allergy/ENT, addiction & recovery, audiology, cardiac, dermatology, diabetes care/education, emergency medicine, GI, general surgery, hospice & palliative care, imaging, infusion, laboratory & pathology, neurology, OBGYN, orthopaedics, pain management, podiatry, primary care, pulmonary, respiratory, sleep medicine, speech, physical, & occupational therapy, wound care, and MORE!

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

Key Responsibilities

The PMHNP will conduct comprehensive psychiatric evaluations, diagnose mental health conditions, and develop individualized treatment plans. They are also responsible for medication management and providing medication-assisted treatment for substance use disorders.

Requirements

Candidates must be graduates of an accredited PMHNP program with national certification and hold or be eligible for New Hampshire APRN licensure. Prior experience in substance use disorder treatment and medication-assisted treatment is required.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Psychiatric evaluationTrauma-informed carePsychiatric diagnosisTreatment planning

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Psychiatric Mental Health Nurse Practitioner (PMHNP) at North Country Healthcare 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 13,526 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, 54% are remote, 56% have no call, 66% require no weekends.

Psychiatry pay on WeekdayDoc is up 1.7% vs. the prior quarter (through Oct 2026).

Psychiatry by the numbers
MeasureThis jobMarket
Work-life score6.4 / 10 · above average in nurse practitioner rolesranked against 13,526 Nurse Practitioner roles listingslisting-based score, 0–10
Listed paynot listedPsychiatry median $133k (middle half $125k–$192k)15 comparable listings, Nov 2026
Cost of livingNew Hampshire index 104.2US average = 100BEA Regional Price Parities (2024)
Psychiatry listings in New Hampshire18 active2,207 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 54% remote · 56% no call · 66% no weekends50 benchmarked listings
Sign-on & loan repaymentsign-on bonus · loan repaymentNew Hampshire Nurse Practitioner listings: 19% state a sign-on bonus · 7% offer loan repayment107 active listings, Nov 2026
Psychiatry hiring demand#14 of 19 specialtiespostings stay open a median 34 days · 18% state a sign-on bonusWeekdayDoc Hiring Index, October 2026 · 884 postings, 1,094 closed
New Psychiatry listings1,359 in the last 30 days1,061 the 30 days before (+28%)U.S., first seen on WeekdayDoc, Nov 2026
Psychiatry pay trend+1.7% vs prior quarter—through Oct 2026
Implied production pay~$250k$50/wRVU × 5,000 wRVUsCMS CPT frequencies; WeekdayDoc listing median $/wRVU
Sources: WeekdayDoc live listing index (13,526 Nurse Practitioner roles listings), BEA Regional Price Parities (2024), CMS Physician Fee Schedule, WeekdayDoc Hiring Index; as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

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

Top Nurse Practitioner Jobs

41 matches · ranked by pay

Salary Distribution

33 jobs · 32 employers
17
<$160k
6
$160k-190k
4
$190k-220k
3
$220k-250k
3
$250k+

Annual compensation range

Benefits & Perks

26 jobs
401k / retirement match
92% this job
Sign-on bonus
58% this job
CME allowance
42% this job
Loan repayment
15% this job
Relocation assistance
8% this job

Share of similar jobs offering each benefit

#1

Nurse Practitioner, Psych PMHNP - San Mateo Transitions

Telecare · San Carlos, California

$107-$131/hr
#2

PMHNP Nurse Practitioner @ Philadelphia / Rittenhouse Square, PA

LifeStance Health · Philadelphia, Pennsylvania

$230k-$260k
#3

PMHNP Nurse Practitioner @ Philadelphia / Penn, PA

$230k-$260k
#4

Nurse Practitioner - ADHD Diagnosis and Treatment (Wisconsin)

$120/hr
+ 39 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 2,187 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
North Country Healthcare logo

About North Country Healthcare

Hospitals and Health Care
Whitefield , New Hampshire
51-200 employees

Benefits & Perks

Commencement Bonus
Student Loan Support
Relocation Assistance
5 weeks vacation
5 days sick time
1 week CME time
$4,500 CME funds
Retirement plans

Living in Littleton

Typical 3-bedroom home value
$368k
Median resident rent
$932/mo
Residents’ average commute
12 min
State income tax
None
Sources & methodology

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

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