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Avighna Holistic Care
Durham, North Carolina · Hybrid

Psychiatric-Mental Health Nurse Practitioner PMHNP

Nurse PractitionerFull-Time Physician-Supervised State

Listed compensation

$70-$85/hr

The week · per this posting · weekdays assumed

Ask the employer about call expectations, weekend coverage, nights and shift pattern and time off.

Posted 1h ago · Verified live

Job Description

About Us

Avighna Holistic Care is seeking a Psychiatric-Mental Health Nurse Practitioner (PMHNP) to join our team and support the continued growth of outpatient psychiatric and medication management services in the Raleigh–Durham area.

Located at 811 Ninth Street, Suite 215, Durham, NC 27705, Avighna Holistic Care provides personalized, multidisciplinary mental health care rooted in compassion, inclusivity, and a whole-person approach. Our mission emphasizes accessible, culturally responsive care that supports the well-being of individuals and communities. avighnahc

We are looking for a provider who shares our commitment to compassionate, collaborative care and is energized by the opportunity to expand access to mental health services.

Position Summary

The Psychiatric-Mental Health Nurse Practitioner will conduct psychiatric evaluations, diagnose behavioral health conditions, prescribe and manage medications, and provide supportive care for outpatient clients. The provider will work closely with therapists, administrative staff, and other care team members to support coordinated, individualized treatment.

This role will help expand Avighna Holistic Care’s medication management services. The population served may include adolescents, adults, and older adults, consistent with the provider’s certification, clinical experience, and credentialing.

Key Responsibilities

  • Conduct comprehensive psychiatric evaluations and ongoing medication management visits for outpatient clients.
  • Diagnose behavioral health conditions and develop individualized, evidence-based treatment plans.

Prescribe, monitor, and adjust psychiatric medications as clinically appropriate and in accordance with applicable scope-of-practice requirements.

Educate clients and, when appropriate, their families about diagnoses, treatment options, medication benefits, potential side effects, and follow-up care.

Collaborate with therapists, administrative staff, referral partners, and other healthcare professionals to support continuity of care.

Complete accurate and timely documentation in the electronic health record and follow established clinical, compliance, and quality standards.

Participate in team meetings, case consultations, and service-development efforts related to psychiatry and medication management.

Provide culturally responsive, person-centered care that respects each client’s background, preferences, and treatment goals.

Required Qualifications

Active, unrestricted North Carolina registered nurse licensure and approval to practice as a Nurse Practitioner, with qualifications appropriate for psychiatric-mental health care.

Current Psychiatric-Mental Health Nurse Practitioner board certification (PMHNP-BC).

DEA registration and prescriptive authority appropriate to the position and consistent with applicable state and federal requirements.

Experience conducting psychiatric assessments and providing medication management in an outpatient mental health setting.

  • Strong clinical judgment, documentation, communication, and interdisciplinary collaboration skills.
  • Ability to serve diverse populations within the provider’s certification, training, and scope of practice.
  • Ability to meet background screening, payer credentialing, and other employment requirements

Preferred Qualifications

  • Two or more years of experience providing psychiatric evaluations and medication management.
  • Experience helping establish or expand an outpatient psychiatry or medication management program.
  • Comfort providing both telehealth and office-based care.
  • Experience coordinating treatment with therapists and other behavioral health professionals.
  • Familiarity with Microsoft 365 and behavioral health electronic health record platforms.

Compensation and Schedule

Compensation will be based on experience, qualifications, employment arrangement, and agreed-upon productivity expectations. Schedule, anticipated caseload, and the balance of office-based and telehealth care will be discussed during the interview process.

Learn More

Visit avighnahc.com to learn more about Avighna Holistic Care, our team, and our approach to mental health care

Flexible work from home options available.

Requirements

Candidates must hold an active, unrestricted North Carolina registered nurse license and board certification as a Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC). Experience in outpatient psychiatric assessment and medication management is required, with a preference for two or more years of clinical experience.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Certifications

DEA License

Key Skills

Psychiatric evaluationBehavioral health diagnosisTreatment planningClinical documentationPatient educationEvidence-based practiceElectronic health recordsCultural responsiveness

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Psychiatric-Mental Health Nurse Practitioner PMHNP at Avighna Holistic Care 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. Contributing factors include remote work flexibility.

Psychiatry — Nurse Practitioner Career Context

Of the 50 active Psychiatry listings this role was benchmarked against, 26% are remote, 68% have no call, 76% require no weekends — this position is remote.

Psychiatry pay on WeekdayDoc is up 1.7% vs. the prior quarter (through Oct 2026).

Psychiatry by the numbers
MeasureThis jobMarket
Cost-of-living adjusted pay~$171k in purchasing powerNorth Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024)
Psychiatry listings in North Carolina84 active2,228 nationallylive on WeekdayDoc, Nov 2026
Work settingremotepeers: 26% remote · 68% no call · 76% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedNorth Carolina Nurse Practitioner listings: 16% state a sign-on bonus (median $20k) · 12% offer loan repayment412 active listings, Nov 2026
Psychiatry hiring demand#14 of 19 specialtiespostings stay open a median 34 days · 18% state a sign-on bonusWeekdayDoc Hiring Index, October 2026 · 884 postings, 1,094 closed
New Psychiatry listings1,335 in the last 30 days1,110 the 30 days before (+20%)U.S., first seen on WeekdayDoc, Nov 2026
Psychiatry pay trend+1.7% 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.

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Salary Distribution

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Annual compensation range

Benefits & Perks

36 jobs · 34 employers
401k / retirement match
92%
CME allowance
50%
Sign-on bonus
47%
Loan repayment
14%
Relocation assistance
11%

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Work-life snapshot

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

Listing-based score, 0–10, across 2,191 comparable listings. Shaded area = the share scoring below this one.

  • Hybrid
  • Remote