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Pyramid Healthcare
Winston-Salem, North Carolina

Psychiatric Nurse Practitioner (PMHNP) – ACT Team (PRN)

Nurse PractitionerIncludes callPer Diem Physician-Supervised State

Listed compensation

$80–$85 /hr

The week · per this posting

Ask the employer about the work setting, weekend coverage, nights and shift pattern and time off.

Posted 6mo ago · Verified live

Job Description

Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, mental health recovery and eating disorder treatment modalities.

Pyramid Healthcare offers comprehensive behavioral healthcare defined by supportive environments that offer patients the strength they need to overcome life’s challenges.

We offer behavioral healthcare services – psychiatry, addiction recovery, mental disorder treatment, etc. – that allow clients at all stages of recovery or rehabilitation to reclaim health and well-being.

Psychiatric Nurse Practitioner (PMHNP) – ACT Team (PRN) Winston-Salem, NC (Forsyth County Coverage) $80 – $85 per hour PRN | 4–8 Hours per Week | Flexible

Schedule

Flexible PRN Role with High Community Impact Pyramid Healthcare is seeking a Psychiatric Nurse Practitioner (PMHNP) to support our Assertive Community Treatment Team (ACTT) in Winston-Salem and Forsyth County. This is a low-hour, flexible PRN opportunity (4–8 hours/week) ideal for a provider looking to supplement their schedule while making a meaningful impact in community-based mental health care.

About the ACT Team Our ACTT program operates as a “hospital without walls,” delivering high-intensity behavioral health services directly in the community. We serve individuals with severe and persistent mental illness who are at high risk for psychiatric crisis and often face barriers to traditional care.

You’ll work alongside a multidisciplinary team providing comprehensive, recovery-focused services that address mental health, substance use, housing, and overall stability.

What You’ll Do Provide psychiatric evaluation, medication management, and ongoing care for ACTT clients Collaborate with a multidisciplinary team to support individualized treatment planning Participate in ACTT team meetings and provide clinical input as needed Oversee safe and effective prescribing practices Serve as a medical resource for the ACTT team and leadership Maintain accurate and timely documentation in the EMR Support continuity of care and crisis response as needed Perform additional duties to support program success What We’re Looking For Licensed Psychiatric Nurse Practitioner (PMHNP) – North Carolina (Required) 1–2 years of post-graduate experience, preferably in community psychiatry or behavioral health Comfortable working in a community-based setting Strong collaboration and communication skills Ability to work independently in a flexible, PRN capacity Why Join Pyramid Healthcare?

Flexible PRN schedule (4–8 hours per week) Meaningful, community-based work with a high-need population Collaborative ACTT model with strong team support Opportunity to supplement income with consistent PRN hours Competitive hourly rate Pyramid CORE Values: We are committed and proud to live our CORE values and use them to inspire those around us.

Our employees are expected to align with these values, behaviors, and standards. We are held accountable for upholding these CORE Values: INTEGRITY is striving to be honest, transparent, and ethical when dealing with clients, staff, and the community.

DEDICATION is demonstrating an unwavering commitment to always provide exceptional care and support to those we serve is needed daily. COLLABORATION is a steadfast, team-focused approach; working together to achieve excellence.

PASSION is genuine, compelling, and relentless desire to improve lives and support Pyramid Healthcare’s mission.

Total Rewards for Full-Time Positions: Medical, Dental, and Vision Insurance Flexible Spending Accounts Life Insurance Paid Time Off 401(k) with Company Match Tuition Reimbursement Employee Recognition Programs Referral Bonus opportunities And More! Want to know more?

To learn more about Pyramid Healthcare, and how you can achieve personal and professional growth, visit us at: bit. ly. Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.

Key Responsibilities

Provide psychiatric evaluations, medication management, and ongoing care for clients within the Assertive Community Treatment Team. Collaborate with a multidisciplinary team to develop individualized treatment plans and ensure continuity of care.

Requirements

Must be a licensed Psychiatric Nurse Practitioner (PMHNP) in North Carolina. Requires 1-2 years of post-graduate experience, preferably in community psychiatry or behavioral health settings.

Qualifications

Education
Professional certificate or licensure

Key Skills

Clinical DocumentationMultidisciplinary CollaborationPatient Assessment

Psychiatry — Nurse Practitioner Career Context

Of the 41 active Psychiatry listings this role was benchmarked against, 46% are remote, 39% have no call, 63% require no weekends.

Psychiatry pay on WeekdayDoc is up 1.8% vs. the prior quarter (through Sep 2026).

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)). 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top contract/1099 Nurse Practitioner Jobs

40 matches · ranked by pay

Salary Distribution12 jobs

4
<$165k
3
$165k-185k
3
$185k-205k
0
$205k-225k
2
$225k+

Annual compensation range

Benefits & Perks15 jobs

401k / retirement match
93% this job
CME allowance
20%
Sign-on bonus
13%

Share of similar jobs offering each benefit

#1

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$140 per hour
#2

Psychiatric Nurse Practitioner (Young Adult ACT)

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$115-$135/hr
#3

Psychiatric Mental Health Nurse Practitioner/Outpatient Clinic/Independent Contractor/Port St Lucie

$130 per hour
#4

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+ 38 more · ranked by pay

Work-life snapshot

median 6.4this job 4.8
Better work-life than 30% of Psychiatry (NP) listings

Listing-based score, 0–10, across 2,182 comparable listings. Shaded area = the share scoring below this one.

  • Includes call

Living in Winston-Salem

Typical 3-bedroom home value
$263k
Typical market rent
$1,507/mo
Residents’ average commute
22 min
Metro price indexU.S. average = 100
92.0
State income tax
Up to 4.8%
Sources & methodology

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

BEA 2024 · Winston-Salem, NC metro prices. Housing figures are city-level.

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

Pyramid Healthcare logo

About Pyramid Healthcare

Hospitals and Health Care
Duncansville, Pennsylvania
1,001-5,000 employees

Benefits & Perks

Flexible Schedule
Competitive Hourly Rate
401k with Company Match
Tuition Reimbursement
Employee Recognition Programs
Referral Bonus