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DESC
Seattle, Washington

Psychiatric Nurse Practitioner - WellConnect / SAGE

Nurse PractitionerIncludes weekendsPart-Time Full Practice Authority

Listed compensation

$161k-$178k

The week · per this posting

Ask the employer about the work setting, call expectations and nights and shift pattern.

Posted 24m ago · Verified live

Job Description

  • Job Title: Psychiatric Nurse Practitioner – WellConnect [0.4 FTE] and SAGE team [0.6 FTE]
  • Job Type: Full-Time
  • Days Off: Saturday & Sunday
  • Shift: Office Day
  • Supervised by: Outpatient Psychiatric Provider Supervisor
  • Insurance Benefits: Medical, Dental, Life, Long-term Disability
  • Other Benefits: Employee Assistance Program (EAP), Flexible Spending Account (FSA), ORCA card subsidy, Paid Time Off (34 days per year), Retirement Plan
  • Union Representation: This position is a part of a union and is represented by SEIU Healthcare 1199NW.

About DESC

Recognized nationally as an innovator and leader in developing solutions to homelessness, DESC is a social services organization, supportive housing operator, and licensed behavioral health treatment provider focused on meeting the needs of people experiencing long-term homelessness and living with complex behavioral health and other medical conditions.

Approximately 3,000 people are actively receiving services from DESC at any given point in time. Our vision is a community where all people are shown compassion, treated with dignity, and everyone has a safe, stable, and affordable place to call home.

DESC operates five shelter/emergency housing programs,19 permanent supportive housing facilities with over 1,750 units, several hundred additional scattered site apartments, and a range of behavioral health services including outpatient mental health and substance use disorder treatment, residential crisis stabilization, street outreach, mobile crisis response, and treatment for opioid use disorder.

Come join our team!

We are hiring a psychiatric nurse practitioner who is excited about working with dedicated multidisciplinary behavioral health teams, providing care to a vulnerable population, and delivering high-quality mental health and substance use care.

The ideal candidate is someone who enjoys working with patients with severe mental illness and often concurrent substance use disorders and strives to provide evidence-based care to improve outcomes. This role will be housing outreach-based, working with clients within DESC’s supportive housing programs.

Nurse practitioners who enjoy outreach and have experience with outreach-based care are most likely to thrive in this role.

This position will work 2 days per week (Tuesday & Wednesday highly preferred) with a new intensive behavioral-health-within-housing team, a new start-up program modelled on assertive community treatment programs and exclusively focused on clients with high behavioral health needs within DESC’s supportive housing programs.

This new start-up is securely funded for 14 months, with anticipation of long-term sustainability after this pilot period. For the other 3 days per week, this position with work with DESC’s SAGE (Support, Advocacy, Growth & Employment) team, which is DESC’s largest outpatient longitudinal behavioral health program.

While SAGE is both clinic- and housing-based, this position will predominantly work with multidisciplinary teams to engage and see clients within DESC’s supportive housing program.

This position will work alongside psychiatric nurses, case managers and social workers, substance use disorder professionals, peer specialists, support staff and collaborate with other psychiatric and medical providers.

Major Duties and Responsibilities

Coordinate client care within multidisciplinary behavioral health teams

Perform psychiatric evaluations, establish treatment plans collaboratively with clients, prescribe and monitor medications as indicated; document care in accordance with agency standards; this is inclusive of opioid use disorder medication (buprenorphine predominantly) treatment; all in context of a multidisciplinary team.

Evaluate clients in crisis and advise courses of treatment. Recommend plans for ongoing longitudinal care.

Participate in program meetings and in-service trainings; participate in clinical reviews and case conferences for clients as indicated

  • Take initiative to meet the changing needs of community behavioral health treatment.
  • Participate in verbal de-escalation in emergent situations and be able and willing to assist other staff as needed to maintain a safe, secure environment.
  • Other duties as assigned.

Minimum Qualifications

Washington State Department of Health license as a Psychiatric Advanced Registered Nurse Practitioner with prescriptive authority per WAC 246-840-410, in good standing.

  • Master's degree in Nursing, Psychiatric.
  • Board certification as Psychiatric-Mental Health NP Certification (PMHNP-BC)
  • Registration with the Drug Enforcement Agency.
  • Advanced knowledge and experience prescribing psychiatric medications
  • Be able to pass a Washington State Criminal background check.
  • Knowledge of harm reduction principles and strategies.
  • Ability and interest in providing case consultations with a multi-disciplinary staff.
  • Ability to remain open and receptive to constructive feedback.
  • Ability to communicate with and coordinate with staff from diverse backgrounds.
  • Ability to work effectively with clients displaying a wide range of psychiatric behaviors.

Preferred Qualifications

Knowledge, skill, and proficiency in working with co-occurring mental health and substance use disorders. Training on buprenorphine is available after hire.

Experience with Buprenorphine Prescribing

  • Experience working in atypical health care settings (e. g., street outreach, housing, day centers, jails, etc.)
  • Doctoral degree
  • Bilingual in Spanish/English

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee will be required sit for long periods of time, communicate with other persons by talking and hearing, required to lift and carry items weighing up to 25 pounds and to operate computer hardware systems. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Equal Opportunity Employer

DESC is committed to diversity in the workplace and promotes equal employment opportunities for all staff members and applicants.

The Agency will not discriminate against any employee or applicant for employment on the basis of race, creed, color, sex, gender, sexual orientation, age, national origin, caste, marital status, or the presence of any sensory, mental or physical disability in any employment practice, unless based on a bona fide occupational qualification. Minorities and veterans are encouraged to apply.

Key Responsibilities

Coordinate client care within multidisciplinary teams by performing psychiatric evaluations and establishing treatment plans. Provide medication management, including opioid use disorder treatment, and evaluate clients in crisis to recommend longitudinal care.

Qualifications

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

Key Skills

Psychiatric evaluationCrisis interventionMultidisciplinary collaborationCase managementClinical documentationPatient advocacy

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Psychiatric Nurse Practitioner - WellConnect / SAGE at DESC a 6.0 out of 10 for work-life balance — classified as good. This places the position in the top 35% of all Psychiatry nurse practitioner listings evaluated on our platform.

Psychiatry — Nurse Practitioner Career Context

Of the 50 active Psychiatry listings this role was benchmarked against, 28% are remote, 54% have no call, 76% require no weekends.

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

Psychiatry by the numbers
MeasureThis jobMarket
Cost-of-living adjusted pay~$158k in purchasing powerWashington index 107.0 (US = 100)BEA Regional Price Parities (2024)
Psychiatry listings in Washington60 active2,195 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 28% remote · 54% no call · 76% no weekends50 benchmarked listings
Psychiatry pay trend+2.2% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$169k midpoint, that is roughly $7k–$12k a year versus a typical 4–7% state rate.

Top Nurse Practitioner Jobs

38 matches · ranked by pay

Salary Distribution

38 jobs · 26 employers
10
<$155k
15
$155k-190k
3
$190k-225k
4
$225k-260k
6
$260k

Annual compensation range

Benefits & Perks

36 jobs · 26 employers
401k / retirement match
94% this job
Sign-on bonus
56%
CME allowance
44%
Loan repayment
11%
Relocation assistance
11%

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$230k-$260k
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$230k-$260k
#3

Child & Adolescent PMHNP @ Haverford, PA

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+ 36 more · ranked by pay

Work-life snapshot

median 6.4this job 6.0
Better work-life than 50% of Psychiatry (NP) listings

Listing-based score, 0–10, across 2,170 comparable listings. Shaded area = the share scoring below this one.

  • Includes weekends
DESC logo

About DESC

Mental Health Care
Seattle, WA
501-1,000 employees

Benefits & Perks

Medical Insurance
Dental Insurance
Life Insurance
Long-term Disability
Employee Assistance Program (EAP)
Flexible Spending Account (FSA)
ORCA card subsidy
Paid Time Off (34 days per year)

Living in Seattle

Typical 3-bedroom home value
$869k≈ 5.4× annual pay
Typical market rent
$2,227/mo≈ 17% of gross pay
Residents’ average commute
26 min
Metro price indexU.S. average = 100
111.1
State income tax
None
Sources & methodology

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

BEA 2024 · Seattle-Tacoma-Bellevue, WA metro prices. Housing figures are city-level.

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