Sierra Health and Wellness logo
Sierra Health and Wellness
Sacramento, California

Psychiatric Nurse Practitioner

Nurse PractitionerIncludes callFull-Time Physician-Supervised State

Listed compensation

$80-$90/hr

The week · per this posting · weekdays assumed

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

Posted 27m ago · Verified live

Job Description

  • Job Location: Corporate - SACRAMENTO, CA
  • Position Type: Full Time
  • Salary Range: $80.00 - $90.00Hourly, Job Description: The Psychiatric Nurse Practitioner will function within any program operated by Sierra Health & Wellness (SHW) in accordance with State licensure. Programs operated by SHW include residential substance use treatment facilities, day treatment programs, and intensive outpatient programs. The Psychiatric Nurse Practitioner will be primarily responsible for overseeing the medical management of clients with substance use disorder, mental health conditions, and chronic medical conditions in accordance with standardized procedures and that of the supervising physician staff. The Psychiatric Nurse Practitioner will assess clients, initiate, or modify treatment within his/her scope of practice and seek consultation with supervising physician staff when clinically indicated. The Nurse Practitioner will participate in treatment team meetings with multidisciplinary staff members and participate in treatment planning for assigned clients. Services provided by the Psychiatric Nurse Practitioner will primarily be provided in person but may be delivered virtually when necessary. The Psychiatric Nurse Practitioner will participate in rotating weekly on-call services. On-call services will cover a staff on-site who are within nursing professionals' scope of practice to ensure appropriate care is delivered in a timely manner. Duties and Responsibilities: Assume principal responsibility for the medical, psychiatric, and addiction care needs of clients under the direction of the supervising physician. Perform History & Physicals and/or review and update outside provider H&Ps for new admissions to residential treatment centers. Perform admission assessments and contribute to the development of client-specific treatment plans. Assess clients and order medications as necessary to treat identified medical, psychiatric, and/or substance use disorders. Order and interpret specific laboratory studies when clinically indicated. Coordinate with multidisciplinary treatment team members at SHW. Coordinate with clients outside providers, when clinically indicated. Counsel and educate clients on medical, psychiatric, and substance use conditions. Provide health education to staff (formally and informally) and clients related to medications, psychiatric conditions, substance use disorders, and medical conditions. Document in medical records in sufficient detail to Identify goals, interventions, outcomes and effectiveness of treatment. Consult with the supervising physician for conditions outside of the nurse practitioner scope and/or refer to specialized health resources for treatment. Utilize screening tools to monitor the effectiveness of care provided. Adhere to infection control measures and maintains a safe environment of care for patients and staff. Signs, date and perform all charting, record keeping, and care plans in accordance with established policies and procedures. Provides high-quality client-centered care. Validates medication orders are transmitted to pharmacies electronically, or via fax/phone when electronic health record downtimes occur. Ensures compliance with all medical/nursing and regulations for DHCS and Joint Commission and reordered from vendors as needed. Work Environment: Office and healthcare setting with clients and other employees present. Working indoors primarily and outdoors occasionally. Working in close proximity to others. May walk on slippery and uneven walking surfaces. Excessive continuous noise at times. Typical office and computer lab environment. Mostly indoor office environment with windows and lights. Offices with equipment noise. Offices with frequent interruptions. Physical Demands: Prolonged periods sitting at a desk and working on a computer. Must be able to lift up to 15 pounds at times. Attending conferences or training sessions
  • Travel Required: Ability to travel to various offices or facility locations

Affirmative Action/EEOC Statement: Sierra Health & Wellness is an Equal Opportunity Employer. Other Duties: Please note this job description may not cover or contain a comprehensive list of activities, duties or responsibilities that are required of the employee for this job.

Duties, responsibilities, and activities may change at any time with or without notice.

Education & Qualification Requirements: Current Registered Nursing (RN) License required Bachelor's Degree from an accredited University required Master's Degree from an accredited nurse practitioner program Active registration as a Nurse Practitioner by the California Board of Registered Nursing Certification from a national accrediting body, such as the American Nurses Credentialing Center (ANCC) (e. g.

Family Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner, etc.) Alternatively, eligibility within 90-days of hire Active Nurse Practitioner Furnishing license Alternatively, eligibility within 90-days of hire Active DEA number and "X" Waiver to prescribe buprenorphine products Alternatively, eligibility within 90-days of hire Active Basic Life Support (BLS) certification Demonstrated experience and education in providing care for clients with mental health and substance use disorders.

Other duties as assigned.

Job Requirements: Excellent communication skills Basic computer skills Must have valid Driver's License Adept counseling abilities Ability to coordinate with professionals from diverse backgrounds Commitment to the philosophy of recovery and continuity of the program Customer service oriented, professional attitude Current TB Test, CPR/First Aid Work authorization/security clearance requirements: Valid Driver’s License PM21 #IDSHW26 Qualifications:

Key Responsibilities

The Psychiatric Nurse Practitioner will oversee the medical and psychiatric care of clients within substance use and mental health programs. Responsibilities include performing assessments, developing treatment plans, managing medications, and collaborating with a multidisciplinary team.

Requirements

Candidates must hold a Master's degree from an accredited nurse practitioner program and possess an active California Nurse Practitioner license. Additional requirements include an active DEA number, 'X' waiver for buprenorphine, and BLS certification.

Qualifications

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

Certifications

DEA License

Key Skills

Psychiatric nursingSubstance use disorder treatmentPatient assessmentMedication managementClinical documentationCrisis interventionMultidisciplinary collaborationElectronic health records

Psychiatry — Nurse Practitioner Career Context

Of the 50 active Psychiatry listings this role was benchmarked against, 34% are remote, 60% have no call, 66% require no weekends.

Psychiatry pay on WeekdayDoc is up 3.6% vs. the prior quarter (through Oct 2026).

Psychiatry NP by the numbers
MeasureThis jobMarket
Listed pay$166k–$187kPsychiatry NP median $196k (middle half $158k–$221k)50 comparable listings, Nov 2026
Cost-of-living adjusted pay~$160k in purchasing powerCalifornia index 110.7 (US = 100)BEA Regional Price Parities (2024)
Psychiatry NP listings in California149 active2,050 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 34% remote · 60% no call · 66% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedCalifornia nurse practitioner listings (all specialties): 21% state a sign-on bonus (median $20k) · 12% offer loan repayment1,000 active listings, Nov 2026
Psychiatry NP hiring demand#14 of 19 specialtiespostings stay open a median 34 daysWeekdayDoc Hiring Index, October 2026 · 884 postings, 1,094 closed
New Psychiatry NP listings848 in the last 30 days992 the 30 days before (−15%)U.S., first seen on WeekdayDoc, Nov 2026
Psychiatry NP pay trend+3.6% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024), WeekdayDoc Hiring Index; as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Nurse Practitioner Jobs

39 matches · ranked by pay

Salary Distribution

39 jobs · 32 employers
16
<$165k
12
$165k-195k
7
$195k-225k
1
$246k
3
$255k+

Annual compensation range

Benefits & Perks

30 jobs
401k / retirement match
90%
CME allowance
70%
Sign-on bonus
57%
Loan repayment
13%
Relocation assistance
10%

Share of similar jobs offering each benefit

#1

Psychiatric Mental Health Nurse Practitioner/PMHNP

LifeStance Health · Des Moines, Iowa

$175k-$275k
#2

Family Nurse Practitioner

Tuolumne Me Wuk Indian Health Center · Tuolumne, California

$182k-$274k
#3

Child Psychiatric Nurse Practitioner - Outpatient - Hybrid

$210k-$271k
#4

Remote Psychiatric Nurse Practitioner - Fee For Service

$171k-$246k
+ 37 more · ranked by pay

Work-life snapshot

median 6.4this job 4.2
Better work-life than 30% of Psychiatry (NP) listings

Listing-based score, 0–10, across 2,035 comparable listings. Shaded area = the share scoring below this one.

  • Includes call
Sierra Health and Wellness logo

About Sierra Health and Wellness

Mental Health Care
Sacramento, California
51-200 employees

Benefits & Perks

Collaborative Practice Agreement Required

Living in Sacramento

Typical 3-bedroom home value
$452k
Typical market rent
$2,045/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
106.7
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · Sacramento-Roseville-Folsom, CA metro prices. Housing figures are city-level.

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