Advanced Registered Nurse Practitioner

Nurse PractitionerIncludes callFull-Time Full Practice Authority

Listed compensation

$130K - $150K

The week · per this posting · weekdays assumed

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

Posted 6mo ago · Verified live

Job Description

Job DetailsJob Location: 721 Fawcett Ave - Tacoma, WA 98402Education Level: Graduate DegreeSalary Range: $130,000.00 - $150,000.00 Salary/yearJob Category: Health CareThe Advanced Registered Nurse Practitioner (ARNP) provides advanced nursing care and clinical leadership in a comprehensive behavioral health program, including outpatient behavioral health services, medication-assisted treatment (MAT) for substance use disorders, and inpatient/withdrawal management settings.

The ARNP will practice autonomously within the scope of their license under Washington law, collaborating with interdisciplinary teams to ensure high-quality, evidence-based care in accordance with state certification/license requirements.

The ARNP is responsible for clinical assessments, evaluation and prescribing medications to assist in the recovery journeys of those we serve. Strong candidates will have a background in providing treatment for mental health and substance use disorders.

The work is fitting for strong individuals who thrive and understand care situations often involving challenging and complex needs of others; as such, we seek candidates with a high degree of patience and diplomacy. This position will include interaction with individuals who may have unpredictable behavior.

Performs routine medical examinations, evaluations and assessments under established guidelines. Provides clinical treatment consistent with the provision of basic health care services. Prescribes medications and provides clear instructions to nurses for drug administration.

Regularly reviews cases requiring ongoing medical/pharmaceutical attention. All the documents provided services in the electronic medical record system, ensuring that required documentation is complete according to WAC in a timely manner.

Practice within the scope of ARNP license in Washington with full practice authority. Maintains compliance with company policies and procedures, as well as all applicable RCWs/WACs. Communicate with patients and families regarding treatment and care when necessary.

Provides all required annual documentation to Human Resources and completes all required training in a timely manner. Maintains patient confidentiality at all times. Commitment to culturally competent, trauma-informed care. Other duties as assigned

Qualifications

Master’s degree in Psychiatric Nursing. A minimum of 2 years’ experience treating patients with substance use disorders in an inpatient setting. Active WA ARNP license, with prescriptive authority and without any restrictions. Advanced understanding of medications prescribed in the treatment of substance use disorders.

Two years of direct work as a Psychiatric/Behavioral Nurse Practitioner Active WA DEA license Experience in behavioral health (mental health and/or substance use disorders), including outpatient services and MAT. Experience or willingness to practice in inpatient withdrawal management/detoxification settings preferred.

Demonstrated ability to manage complex clients with co-occurring mental health and substance use Ability to manage complex clients with co-occurring mental health and substance use disorders. Knowledge of symptom management and mental health disorders. Familiarity with electronic medical records systems.

Excellent written and verbal communication skills. Familiarity with Microsoft Office suite. Knowledge of the Pierce County public mental health system and community resources. Must have current TB test or x-ray at time of hire. Must have a current First Aid/CPR card per licensing requirements.

Key Responsibilities

The Advanced Registered Nurse Practitioner provides advanced nursing care and clinical leadership within a comprehensive behavioral health program, including assessments, evaluation, and prescribing medications for recovery journeys. Responsibilities also include performing routine medical examinations, maintaining documentation in the EMR, and ensuring compliance with all state regulations.

Requirements

Candidates must possess a Master’s degree in Psychiatric Nursing and a minimum of two years of experience treating substance use disorders in an inpatient setting. Active, unrestricted Washington ARNP license with prescriptive authority and a current WA DEA license are mandatory requirements.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Mental Health TreatmentSubstance Use Disorder TreatmentAutonomously PracticeCulturally Competent Care

Psychiatry — Nurse Practitioner Career Context

Of the 50 active Psychiatry listings this role was benchmarked against, 22% are remote, 50% have no call, 60% require no weekends.

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

The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$140k midpoint carries the purchasing power of roughly $131k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$140k midpoint, that is roughly $6k–$10k a year versus a typical 4–7% state rate.

Top Nurse Practitioner Jobs

36 matches · ranked by pay

Salary Distribution36 jobs · 32 employers

14
<$155k
11
$155k-185k
6
$185k-215k
3
$215k-245k
2
$245k+

Annual compensation range

Benefits & Perks30 jobs

401k / retirement match
90% this job
CME allowance
47% this job
Sign-on bonus
43%
Relocation assistance
17%
Loan repayment
13%

Share of similar jobs offering each benefit

#1

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$216k-$252k
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#3

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Work-life snapshot

median 6.4this job 3.0
Better work-life than 20% of Psychiatry (NP) listings

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

  • On-site
  • Includes call

Living in Tacoma

Typical 3-bedroom home value
$488k≈ 3.8× annual pay
Typical market rent
$1,740/mo≈ 16% of gross pay
Residents’ average commute
29 min
Metro price indexU.S. average = 100
111.1
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 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.

Metropolitan Development Council logo

About Metropolitan Development Council

Non-profit Organizations
Tacoma, Washington
51-200 employees

Benefits & Perks

Health Insurance
Dental
Vision
Retirement Plan
Paid Time Off
CME Allowance
Independent Practice Authority