Mediko logo
Mediko
Roanoke, Virginia

Psychiatric Nurse Practitioner PRN

Nurse PractitionerIncludes callPer Diem Physician-Supervised State

Compensation

Pay not disclosed

Listing transparency2 of 6 stated

Ask the employer about the pay range, the work setting and weekend coverage.

Employment & setting
Per Diem
Call expectations
Includes call
Weekends
Not specified
Posted 18m ago · Verified live

Job Description

  • ptoms, including suicidal ideation or self-injurious behaviors. Collaborate closely with behavioral health staff, medical providers, and custody to support integrated care and ensure safety, continuity, and quality of services. Participate in mental health multidisciplinary team meetings, treatment planning conferences, and case reviews. Document all patient encounters, assessments, treatments, and progress notes accurately and timely in the Electronic Medical Record (EMR) per regulatory and facility standards. Maintain strict adherence to confidentiality requirements, HIPAA regulations, and ethical principles in psychiatric care. Educate patients on their mental health diagnoses, treatment options, and medication adherence; promote patient engagement in their own care. Support professional development of nursing and mental health staff by providing consultation, mentorship, and clinical guidance on psychiatric conditions and care approaches. Provide on-call psychiatric coverage as assigned to meet facility and patient care needs, including after-hours support when necessary. Promote a trauma-informed, recovery-oriented, and culturally competent approach to mental health care. Participate in quality improvement initiatives related to psychiatric care, mental health documentation, and outcomes monitoring. Maintain professional licensure and certifications and participate in continuing education to remain current in psychiatric and correctional healthcare practices. Follow all facility policies regarding safety, infection control, security, and emergency response. Perform other related duties as assigned. What we Ask of YOU: A current, valid, and unrestricted state license, certification, and/or credential authorizing practice in the applicable clinical role (e. g., MD, DO, DDS, DMD, NP, PA, RN, LPN, LMHP, etc.) is required. A High School diploma or GED is required. Completion of an accredited Nurse Practitioner program with a concentration or certification in Psychiatric-Mental Health (PMHNP) is required. A current, valid DEA registration with authority to prescribe controlled substances, including psychotropic medications, is required. Board certification as a Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) by a nationally recognized certifying body (e. g., ANCC) is strongly preferred. Minimum of 3–5 years of clinical experience as an NP, with at least 2 years focused on psychiatric or behavioral health care; correctional healthcare or work with underserved populations is highly preferred. Experience in psychiatric assessments, medication management, crisis intervention, and interdisciplinary collaboration is essential. Active CPR/BLS certification required (American Heart Association or American Red Cross guidelines). Working knowledge of HIPAA, mental health standards of care, and applicable federal and state behavioral health regulations. Experience using Electronic Medical Records (EMRs) and ability to document efficiently and accurately in a fast-paced environment. Joining MEDIKO comes with perks to support you in your personal and professional journey: Competitive Pay and MVP Bonus Program Benefits package including Medical, Dental, and Vision insurance for you and your family Preferred Pharmacy Network options MDLIVE virtual Provider telehealth options Wellness program Health Savings Accounts and Health Reimbursement Account options with company match Employer-paid Life Insurance Policy/AD&D, Long-Term Dis
  • ability and Short-Term Dis
  • ability coverage Optional Voluntary coverage for Life Insurance, Accident, Critical Illness, and Hospital Indemnity plans Paid portion of Maternity Leaves Employee Assistance Program Generous Paid Time Off (PTO) including 10 Holidays and flexible Floating Holidays Participation in the MEDIKO 401(k) Retirement Plan with company match Employee Referral Bonuses Tuition Reimbursement Assistance Plan Free Continuing Education Access to Perks and Discounts at nationally recognized chains, service providers and retailers EOE STATEMENT: We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, dis
  • ability status, protected veteran status or any other characteristic protected by law.

Qualifications

Key Responsibilities

The Psychiatric Nurse Practitioner provides evidence-based psychiatric care, including assessments, diagnosis, and medication management for incarcerated individuals. They collaborate with an interdisciplinary team to develop treatment plans and ensure continuity of care within the correctional facility.

Requirements

Candidates must hold a current, unrestricted state license and have completed an accredited Psychiatric-Mental Health Nurse Practitioner program. A minimum of 3-5 years of clinical experience, including at least 2 years in psychiatric or behavioral health, is required along with active DEA registration.

Qualifications

Experience
2+ years of experience

Certifications

DEA LicenseBoard Certification (preferred)

Key Skills

Psychiatric assessmentPsychotropic medicationMental health diagnosisRisk screeningTrauma-informed careClinical documentationPatient educationHIPAA compliance

Psychiatry — Nurse Practitioner Career Context

Of the 50 active Psychiatry listings this role was benchmarked against, 42% are remote, 56% have no call, 70% require no weekends.

Psychiatry pay on WeekdayDoc is up 8.4% vs. the prior quarter (through Aug 2026).

The cost-of-living index for Virginia is 101.1 (US average = 100; BEA Regional Price Parities (2024)). 61.1% of Virginia clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Nurse Practitioner Jobs

45 matches · ranked by pay

Salary Distribution38 jobs · 33 employers

8
<$130k
11
$130k-160k
12
$160k-190k
3
$190k-220k
4
$220k+

Annual compensation range

Benefits & Perks35 jobs · 33 employers

401k / retirement match
89% this job
CME allowance
34% this job
Sign-on bonus
31% this job
Loan repayment
11%
Relocation assistance
3%

Share of similar jobs offering each benefit

#1

Psychiatric Mental Health Nurse Practitioner (PMHNP) (Remote)

Mood Health · Salinas, California

$100-$110/hr
#2

Psychiatric Mental Health Nurse Practitioner (PMHNP)

Mood Health · Salinas, California

$100-$110/hr
#3

Nurse Practitioner

$50.22-$108.15/hr
#4

Psychiatric Mental Health Nurse Practitioner (PMHNP)

$200k-$220k
+ 43 more · ranked by pay

Work-life snapshot

3.0/ 10
Listing-based score
  • Includes call

Living in Roanoke

Typical 3-bedroom home value
$265k
Typical market rent
$1,413/mo
Residents’ average commute
19 min
Metro price indexU.S. average = 100
93.6
State income tax
Up to 5.8%
Sources & methodology

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

BEA 2024 · Roanoke, VA metro prices. Housing figures are city-level.

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

Mediko logo

About Mediko

Hospitals and Health Care
Richmond, Virginia
201-500 employees

Benefits & Perks

Medical, Dental, and Vision insurance
MVP Bonus Program
Preferred Pharmacy Network options
MDLIVE virtual Provider telehealth options
Wellness program
Health Savings Accounts and Health Reimbursement Account options with company match
Employer-paid Life Insurance Policy/AD&D
Long-Term Disability and Short-Term Disability coverage