Psychiatric Nurse Practitioner

Nurse PractitionerIncludes callIncludes weekendsFull-Time Physician-Supervised State

Compensation

Pay not listed

The week · per this posting

Ask the employer about the pay range, nights and shift pattern, benefits and time off.

Posted 45m ago · Verified live

Job Description

Alleghany Highlands Community Services (AHCS) is seeking a Psychiatric Mental Health Nurse Practitioner to provide assessment, treatment, and medication management for individuals receiving short-term care in our Crisis Receiving Center. This role works closely with nursing, crisis staff, and community partners to support stabilization and determine the appropriate next level of care.

What You'll Do

Evaluate individuals with acute mental health or substance use concerns, including suicide and violence risk, withdrawal symptoms, and immediate safety needs.

Diagnose conditions, develop treatment recommendations, and prescribe and monitor medications within your scope of practice and agency protocols.

Reassess individuals during crisis observation and stabilization, responding to changes in their condition.

Provide clinical consultation to CRC staff and coordinate with nursing on treatment, monitoring, and escalation of care.

Educate individuals and, when appropriate, their families or support persons about diagnoses, medications, and treatment recommendations.

Coordinate with hospitals, emergency departments, and community providers on transfers, discharge planning, and continuity of care.

Document care in the electronic health record and contribute to clinical review and CRC medical and medication protocols.

Qualifications

  • Graduate of an accredited nurse practitioner program with a master's or doctoral degree in nursing.
  • Current Virginia RN and APRN licensure.

National Psychiatric Mental Health Nurse Practitioner certification and authorization to prescribe in Virginia.

Required prescribing registrations and credentials, plus a practice agreement or approved autonomous practice designation when applicable.

Ability to maintain required CPR/First Aid and agency-approved crisis prevention and behavioral intervention training.

Experience in behavioral health or psychiatric crisis assessment and treatment is preferred. Experience with co-occurring substance use, emergency or short-stay stabilization, and interdisciplinary care is also preferred.

This is an on-site position in an active crisis care setting. The schedule may include evenings, weekends, or holidays based on program needs, as well as after-hours on-call coverage.

Candidates who are offered a position must undergo a background check, including social services review, and drug screen. Virginia has restrictions on hiring individuals with certain convictions. Here is the list: dbhds.virginia.gov - dbhds.virginia.gov

Key Responsibilities

The Psychiatric Nurse Practitioner will evaluate individuals with acute mental health or substance use concerns and provide ongoing medication management and treatment recommendations. They will also coordinate care with community partners and nursing staff to ensure safe stabilization and effective discharge planning.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Psychiatric assessmentCrisis interventionSubstance use treatmentSuicide risk assessmentViolence risk assessmentClinical documentationTreatment planningPatient educationInterdisciplinary collaborationElectronic health records

Psychiatry — Nurse Practitioner Career Context

Of the 50 active Psychiatry listings this role was benchmarked against, 44% are remote, 48% have no call, 82% require no weekends.

Psychiatry pay on WeekdayDoc is up 18.2% vs. the prior quarter (through Sep 2026).

The cost-of-living index for Virginia is 101.1 (US average = 100; BEA Regional Price Parities (2024)). 61.1% of Virginia clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Nurse Practitioner Jobs

50 matches · ranked by pay

Salary Distribution45 jobs · 39 employers

21
<$150k
11
$150k-180k
8
$180k-210k
5
$210k-240k

Annual compensation range

Benefits & Perks39 jobs

401k / retirement match
97%
CME allowance
49%
Sign-on bonus
38%
Loan repayment
10%
Relocation assistance
5%

Share of similar jobs offering each benefit

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$110-$115/hr
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Psychiatric Mental Health Nurse Practitioner (PMHNP)

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#3

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+ 48 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 2,064 comparable listings. Shaded area = the share scoring below this one.

  • On-site
  • Includes call
  • Includes weekends

Living in Covington

Typical 3-bedroom home value
$186k
Median resident rent
$794/mo
Residents’ average commute
17 min
Metro price indexU.S. average = 100
93.6
State income tax
Up to 5.8%
Sources & methodology

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

BEA 2024 · Roanoke, VA metro prices. Housing figures are city-level.

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

Alleghany Highlands Community Services logo

About Alleghany Highlands Community Services

Mental Health Care
Covington, Virginia
11-50 employees