Nurse Practitioner

About Exhale Integrative Services

At Exhale Integrative Services, LLC, we provide compassionate, high-quality mental health care through an integrative approach grounded in evidence-based practices. Our CARF-aligned programs serve children, adolescents, adults, couples, and families—both in our clinic and in community settings.

At Exhale Integrative Services, LLC, our mission is to provide compassionate and comprehensive support to children, adolescents, and adults facing life challenges. We believe that everyone deserves access to high-quality mental health services by using INTEGRATED evidence- based practices.

We are committed to helping our families achieve their best possible well being and overall health by EMBRACING and RESTORING their MENTAL HEALTH.

Position Summary

The Nurse Practitioner provides high-quality, evidence-based medical and behavioral health services to individuals receiving care through Exhale Integrative Services LLC, a Critical Access Behavioral Health Agency (CABHA). This position is responsible for conducting clinical assessments, evaluating and managing health conditions, prescribing and monitoring medications within the practitioner’s authorized scope, and collaborating with the interdisciplinary care team to support individualized treatment planning and positive client outcomes.

The Nurse Practitioner will work collaboratively with the Medical Director and other clinical staff to ensure services are medically appropriate, person-centered, and compliant with applicable federal and North Carolina laws, regulations, professional standards, and agency policies.

Key Responsibilities

• 1. Clinical Assessment and Evaluation
• Conduct comprehensive health assessments and evaluations for clients receiving services through the agency.
• Obtain relevant medical, psychiatric, medication, and health histories.

Evaluate clients’ physical and behavioral health needs and identify conditions requiring further assessment, treatment, or referral.

Develop individualized treatment recommendations based on clinical findings, medical necessity, and evidence-based practices.

Document assessments, diagnoses, treatment recommendations, and follow-up plans accurately and within required timeframes.

• 2. Medication Management and Prescribing
• Evaluate clients’ medication needs and manage pharmacological treatment within the Nurse Practitioner’s scope of practice and prescribing authority.
• Prescribe medications, as appropriate, in accordance with applicable laws, regulations, and agency protocols.
• Monitor medication effectiveness, adherence, side effects, adverse reactions, and potential drug interactions.
• Provide education to clients and, when appropriate, their families or caregivers regarding medications, treatment plans, and potential risks.
• Order and review laboratory tests and other diagnostic studies as clinically indicated.
• Coordinate with the Medical Director and other treating providers regarding complex medication regimens, treatment concerns, and changes in clinical status.
• 3. Behavioral Health Services
• Assess and support clients experiencing mental health conditions and, as appropriate to the practitioner’s training and credentials, substance use disorders.
• Participate in the development and review of person-centered treatment plans.
• Identify changes in clients’ physical or behavioral health that may affect treatment progress, safety, or service needs.
• Recognize clinical emergencies and initiate appropriate interventions, referrals, or escalation procedures.
• Collaborate with behavioral health professionals to promote integrated care and continuity of services.
• 4. Clinical Documentation and Medical Necessity
• Complete and maintain accurate, timely, and confidential clinical records.
• Document diagnoses, clinical findings, medication orders, treatment recommendations, and follow-up care.

Review relevant clinical documentation and provide recommendations to support medically necessary, individualized services.

Ensure documentation supports the services provided and complies with applicable payer, regulatory, accreditation, and agency requirements.

• Participate in clinical record reviews and quality improvement activities as requested.
• 5. Care Coordination and Collaboration
• Collaborate with the Medical Director, physicians, other Nurse Practitioners, therapists, care coordinators, and additional members of the interdisciplinary team.
• Communicate relevant clinical findings and treatment recommendations to authorized members of the care team.
• Coordinate referrals to primary care providers, specialists, hospitals, and other community-based providers as needed.
• Participate in case consultations and treatment team meetings involving complex or high-risk clients.
• Support continuity of care during transitions between providers, levels of care, and treatment settings.
• 6. Health, Safety, and Risk Management
• Identify and respond appropriately to medical concerns, medication-related risks, and changes in clients’ conditions.
• Follow agency policies and procedures for incident reporting, emergency response, and clinical escalation.
• Report adverse medication events, safety concerns, and other reportable incidents in accordance with applicable requirements.
• Promote safe medication practices and adherence to established clinical protocols.
• Maintain appropriate professional boundaries and uphold client rights, confidentiality, and informed consent requirements.
• 7. Regulatory Compliance and Quality Improvement
• Comply with applicable North Carolina laws, professional practice requirements, and federal and state regulations governing healthcare and behavioral health services.
• Follow agency policies, procedures, clinical protocols, and applicable accreditation standards.
• Maintain required professional licenses, certifications, and continuing education.

Participate in clinical quality improvement initiatives and implement recommendations relevant to the Nurse Practitioner’s practice.

Support accurate reporting and timely resolution of identified clinical documentation, safety, or compliance concerns.

• 8. Communication and Professional Development
• Maintain effective communication with clients, families or caregivers when appropriate, and members of the healthcare team.
• Provide education regarding health conditions, medications, preventive care, and treatment recommendations.

Participate in staff meetings, case reviews, clinical consultations, and professional development activities as required.

Maintain current knowledge of evidence-based practices and developments relevant to the Nurse Practitioner’s specialty.

Uphold professional ethics, cultural responsiveness, and a commitment to equitable, person-centered care.

Qualifications

• Master’s degree or doctoral degree in Nursing from an accredited nursing program.
• Current, unrestricted North Carolina Registered Nurse (RN) license and Nurse Practitioner authorization to practice, as required by North Carolina law.
• National board certification in the applicable Nurse Practitioner population focus.
• Prescriptive authority and any required prescribing credentials appropriate to the position and scope of practice.
• Experience providing medical or behavioral health services preferred.

Experience with psychiatric assessment, psychotropic medication management, or substance use treatment preferred when relevant to the assigned clinical responsibilities.

Knowledge of clinical documentation, medical necessity, confidentiality requirements, and applicable healthcare regulations.

• Strong clinical judgment, communication, collaboration, and organizational skills.
• Ability to work effectively with clients experiencing complex medical, behavioral health, or psychosocial needs.
• Commitment to ethical practice, patient safety, and evidence-based care.

Equal Opportunity & Legal Notice

Exhale Integrative Services, LLC is an equal employment opportunity employer. We welcome applicants of all backgrounds and do not discriminate on the basis of race, religion, color, national origin, citizenship, sex, sexual orientation, gender identity, age, veteran status, disability, genetic information, or any other protected characteristic. Reasonable accommodations are available under the ADA; please contact intake@exhaleigs.net if you require assistance.

To Apply

Please complete application below and submit your résumé, cover letter, and two professional references.