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Mediko
Longview, Washington

Psychiatric Nurse Practitioner

Nurse PractitionerIncludes callNo nightsContract Full Practice Authority

Listed compensation

Salary Range: $155.00/hr

The week · per this posting · weekdays assumed

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

Posted 4mo ago

Job Description

Job DetailsJob Location: Cowlitz County Correctional Facilities - Longview, WA 98632Position Type: Independent Contractor/1099Salary Range: $155.00 - $155.00 HourlyJob Shift: Day ShiftMEDIKO: Mission driven & committed to delivering high-quality medical care to the communities we serve.

Our dedicated Healthcare Professionals find meaning, support and new opportunities to learn and grow their skills every day. It’s what sets us apart from other healthcare industries and drives our success in the correctional healthcare space.

Whether you are just graduating from nursing school or bringing years of experience to your new position at MEDIKO, you will benefit from our competitive compensation, commitment to safety and exposure to the diverse healthcare needs of the clients we serve.

If you’re ready to take on a role that will enrich your career and make a real impact to your community, we encourage you to APPLY TODAY to get the conversation started!

The Psychiatric Nurse Practitioner (PNP) provides high-quality, evidence-based psychiatric care to incarcerated individuals, including mental health assessments, diagnosis, treatment planning, and psychotropic medication management.

Working within a correctional healthcare setting, the Psychiatric Nurse Practitioner (PNP) collaborates with an interdisciplinary care team to ensure comprehensive mental health treatment and continuity of care.

This role plays a critical part in addressing the unique mental health needs of the incarcerated population while ensuring compliance with facility protocols, legal regulations, and ethical standards.

How YOU can Make an Impact: Conduct comprehensive psychiatric assessments, evaluations, and risk screenings to diagnose mental health conditions and determine appropriate levels of care. Develop, implement, and manage individualized treatment plans for patients with mental health and co-occurring disorders.

Prescribe and manage psychotropic medications in accordance with evidence-based guidelines, clinical protocols, and collaborative care practices. Monitor patient response to psychiatric medications and adjust treatment regimens as clinically indicated.

Provide crisis intervention and support for patients experiencing acute psychiatric symptoms, including suicidal ideation or self-injurious behaviors. Collaborate closely with behavioral health staff, medical providers, and custody to support integrated care and ensure safety, continuity, and quality of services.

Participate in mental health multidisciplinary team meetings, treatment planning conferences, and case reviews. Document all patient encounters, assessments, treatments, and progress notes accurately and timely in the Electronic Medical Record (EMR) per regulatory and facility standards.

Maintain strict adherence to confidentiality requirements, HIPAA regulations, and ethical principles in psychiatric care. Educate patients on their mental health diagnoses, treatment options, and medication adherence; promote patient engagement in their own care.

Support professional development of nursing and mental health staff by providing consultation, mentorship, and clinical guidance on psychiatric conditions and care approaches. Provide on-call psychiatric coverage as assigned to meet facility and patient care needs, including after-hours support when necessary.

Promote a trauma-informed, recovery-oriented, and culturally competent approach to mental health care. Participate in quality improvement initiatives related to psychiatric care, mental health documentation, and outcomes monitoring.

Maintain professional licensure and certifications and participate in continuing education to remain current in psychiatric and correctional healthcare practices. Follow all facility policies regarding safety, infection control, security, and emergency response. Perform other related duties as assigned.

What we Ask of YOU: A current, valid, and unrestricted state license, certification, and/or credential authorizing practice in the applicable clinical role (e. g., MD, DO, DDS, DMD, NP, PA, RN, LPN, LMHP, etc.) is required. A High School diploma or GED is required.

Completion of an accredited Nurse Practitioner program with a concentration or certification in Psychiatric-Mental Health (PMHNP) is required. A current, valid DEA registration with authority to prescribe controlled substances, including psychotropic medications, is required.

Board certification as a Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) by a nationally recognized certifying body (e. g., ANCC) is strongly preferred.

Minimum of 3–5 years of clinical experience as an NP, with at least 2 years focused on psychiatric or behavioral health care; correctional healthcare or work with underserved populations is highly preferred.

Experience in psychiatric assessments, medication management, crisis intervention, and interdisciplinary collaboration is essential. Active CPR/BLS certification required (American Heart Association or American Red Cross guidelines).

Working knowledge of HIPAA, mental health standards of care, and applicable federal and state behavioral health regulations. Experience using Electronic Medical Records (EMRs) and ability to document efficiently and accurately in a fast-paced environment.

Joining MEDIKO comes with perks to support you in your personal and professional journey: Competitive Pay and MVP Bonus Program Benefits package including Medical, Dental, and Vision insurance for you and your family Preferred Pharmacy Network options MDLIVE virtual Provider telehealth options Wellness program Health Savings Accounts and Health Reimbursement Account options with company match Employer-paid Life Insurance Policy/AD&D, Long-Term Disability and Short-Term Disability coverage Optional Voluntary coverage for Life Insurance, Accident, Critical Illness, and Hospital Indemnity plans Paid portion of Maternity Leaves Employee Assistance Program Generous Paid Time Off (PTO) including 10 Holidays and flexible Floating Holidays Participation in the MEDIKO 401(k) Retirement Plan with company match Employee Referral Bonuses Tuition Reimbursement Assistance Plan Free Continuing Education Access to Perks and Discounts at nationally recognized chains, service providers and retailers EOE STATEMENT: We are an equal employment opportunity employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.

Qualifications

Key Responsibilities

Provide evidence-based psychiatric care to incarcerated individuals, including mental health assessments, diagnosis, and medication management. Collaborate with an interdisciplinary team to ensure comprehensive treatment and safety within a correctional healthcare environment.

Requirements

Requires a valid state license, completion of an accredited PMHNP program, and a current DEA registration. Candidates should have 3-5 years of NP experience, with at least 2 years focused on psychiatric or behavioral health care.

Qualifications

Experience
2+ years of experience

Certifications

DEA LicenseBoard Certification (preferred)

Key Skills

Psychiatric AssessmentRisk ScreeningTrauma-Informed CareHIPAA CompliancePatient Education

Psychiatry — Nurse Practitioner Career Context

Of the 50 active Psychiatry listings this role was benchmarked against, 34% are remote, 44% have no call, 58% require no weekends.

Psychiatry pay on WeekdayDoc is up 2.2% 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 ~$322k midpoint carries the purchasing power of roughly $301k 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 ~$322k midpoint, that is roughly $13k–$23k a year versus a typical 4–7% state rate.

Top contract/1099 Nurse Practitioner Jobs

36 matches · ranked by pay

Salary Distribution36 jobs · 25 employers

16
<$175k
10
$175k-210k
1
$235k
5
$245k-280k
4
$280k+

Annual compensation range

Benefits & Perks32 jobs · 25 employers

401k / retirement match
97% this job
Sign-on bonus
59%
CME allowance
47% this job
Relocation assistance
9%
Loan repayment
6%

Share of similar jobs offering each benefit

#1

Psychiatric Mental Health Nurse Practitioner (PMHNP)

LifeStance Health · Portland, Oregon

$298k-$348k
#2

Psychiatric Nurse Practitioner (PMHNP)

LifeStance Health · Salem, New Hampshire

$255k-$295k
#3

Psychiatric Nurse Practitioner (PMHNP) (DNP)

$218k-$280k
#4

Psychiatric Nurse Practitioner - Outpatient - Hybrid

$220k-$280k
+ 34 more · ranked by pay

Work-life snapshot

median 6.4this job 5.1
Better work-life than 40% of Psychiatry (NP) listings

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

  • No nights
  • Includes call

Living in Longview

Typical 3-bedroom home value
$393k
Typical market rent
$1,314/mo
Residents’ average commute
25 min
State income tax
None
Sources & methodology

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

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

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About Mediko

Hospitals and Health Care
Richmond, Virginia
201-500 employees

Benefits & Perks

Medical, Dental, Vision insurance
MVP Bonus Program
MDLIVE virtual provider telehealth options
Wellness program
Health Savings Accounts and Health Reimbursement Account options with company match
Employer-paid Life Insurance/AD&D, Long-Term Disability, Short-Term Disability
Optional Voluntary Life, Accident, Critical Illness, Hospital Indemnity
Paid portion of Maternity Leaves