Psychiatric Nurse Practitioner (PMHNP) Full Time
Listed compensation
$150k–$300k
The week · per this posting
Ask the employer about the work setting, weekend coverage and nights and shift pattern.
Job Description
Psychiatric Nurse Practitioner (PMHNP) | Full Time | San Antonio West
Serenity Healthcare is a physician owned and led group that has expanded to 8 states and 36 locations while maintaining a focus on patient outcomes and provider support. We are looking for innovative providers to join us as we continue to grow in existing and future markets.
- Why PMHNPs Choose Serenity
- $150,000 base salary + incentives
- Realistic total compensation of $300,000+
No call. Ever. Outpatient-only practice
- 8:1 staff-to-physician ratio — exceptional clinical and administrative support
- Flexible schedule (3 13-hour shifts per week)
- Comprehensive benefits: Medical, Dental & Vision (90% coverage for you and your family)
- 22 PTO days + 11 paid holidays
- Continuous training in Brainsway Deep TMS and IV ketamine therapy
- Annual provider retreats to exotic locations like Maui and the Bahamas
Qualifications
- Board Certified or Board Eligible as a PMHNP
- Active state medical license or willingness to obtain
- Unencumbered DEA license
- Clean background
- U.S. Citizen or Green Card holder
About Serenity Healthcare
Serenity Healthcare utilizes TMS and IV ketamine therapy in addition to medication management to achieve amazing response and remission rates with our patients. If you’re interested in helping your patients achieve true healing more rapidly and with less side effects, please contact us for more information.
Key Responsibilities
The Psychiatric Nurse Practitioner will provide medication management and utilize specialized therapies like TMS and IV ketamine to improve patient outcomes. They will work within an outpatient setting, collaborating with a support team to ensure high-quality clinical care.
Qualifications
- Experience
- 2+ years of experience
Certifications
Key Skills
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Psychiatric Nurse Practitioner (PMHNP) Full Time at Serenity Mental Health Centers a 6.9 out of 10 for work-life balance — classified as good. This places the position in the Above average in Psychiatry (NP) — ranked against 2,038 active Psychiatry (NP) listings on WeekdayDoc. Contributing factors include no on-call duties.
Psychiatry — Nurse Practitioner Career Context
Serenity Mental Health Centers holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 83/100, 56 active listings.
Of the 50 active Psychiatry listings this role was benchmarked against, 34% are remote, 52% have no call, 66% require no weekends.
Psychiatry pay on WeekdayDoc is up 6.2% vs. the prior quarter (through Sep 2026).
The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$225k midpoint carries the purchasing power of roughly $232k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Location & Logistics
Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$225k midpoint, that is roughly $9k–$16k a year versus a typical 4–7% state rate.
Top Nurse Practitioner Jobs
33 matches · ranked by paySalary Distribution33 jobs · 25 employers
Annual compensation range
Benefits & Perks30 jobs · 25 employers
Share of similar jobs offering each benefit
Psychiatric Mental Health Nurse Practitioner (PMHNP)
LifeStance Health · Gresham, Oregon
Psychiatric Nurse Practitioner (PMHNP)
LifeStance Health · Scarborough, Maine
Full-Time Telehealth Nurse Practitioner (NP) - Longevity/Peptides
$215k-$275kPsychiatric Mental Health Nurse Practitioner (PMHNP-BC)
$106k-$216kWork-life snapshot
Listing-based score, 0–10, across 2,038 comparable listings. Shaded area = the share scoring below this one.
- No call
Living in San Antonio
- Typical 3-bedroom home value
- $226k≈ 1.5× annual pay
- Typical market rent
- $1,386/mo≈ 11% of gross pay
- Residents’ average commute
- 25 min
- Metro price indexU.S. average = 100
- 94.7
- 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 · San Antonio-New Braunfels, TX metro prices. Housing figures are city-level.
Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.