Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)

The Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) provides comprehensive psychiatric evaluation, diagnosis, and medication management services within an outpatient mental health setting, with a specialized focus on repetitive Transcranial Magnetic Stimulation (rTMS) and interventional psychiatry.

This role operates within a structured, protocol-driven clinical environment and collaborates closely with the Medical Director to ensure high-quality, compliant, and outcome-driven patient care.

~ ESSENTIAL DUTIES & RESPONSIBILITIES

1. Psychiatric Clinical Services

• Conduct comprehensive psychiatric evaluations and establish DSM-5 diagnoses
• Develop and implement individualized treatment plans
• Provide ongoing medication management, including:
• Initiation and titration of psychotropic medications
• Monitoring efficacy, side effects, and adherence
• Use of augmentation strategies for treatment-resistant depression
• Conduct follow-up visits to assess:
• Symptom progression
• Functional improvement
• Treatment response
• Perform and document:
• Suicide risk assessments
• Safety planning when clinically indicated
• Provide brief evidence-based interventions, including:
• Psychoeducation
• Supportive therapy
• Crisis intervention

2. TMS / Interventional Psychiatry Support

• Evaluate patients for rTMS candidacy under supervision of the Medical Director
• Participate in development and execution of TMS treatment plans
• Perform or assist with:
• Motor Threshold (MT) determinations (as trained and permitted)
• Re-determinations as clinically indicated
• Monitor patient response using measurement-based care tools
• Communicate patient progress and concerns to the Medical Director
• Assist in identifying:
• Non-responders
• Partial responders
• Patients requiring protocol adjustments

3. Collaboration & Care Coordination

• Collaborate with:
• Medical Director
• TMS Technicians
• Administrative and clinical support staff
• Coordinate care with external providers when appropriate
• Participate in case reviews and interdisciplinary discussions

4. Documentation & Compliance

• Maintain accurate and timely documentation in the EMR (e.g., SimplePractice or equivalent)

-Ensure all services meet:

• Medical necessity requirements
• Payer guidelines (TRICARE, Medicare, commercial insurers)
• Complete documentation within 24–48 hours of service
• Utilize standardized templates and structured documentation workflows

5. Clinical Quality & Measurement-Based Care

• Routinely utilize validated rating scales, including:
• PHQ-9
• GAD-7
• PCL-5
• Track and document clinical outcomes and treatment response
• Participate in quality assurance and performance improvement initiatives

~ SCOPE OF PRACTICE

The PMHNP:

• Provides psychiatric evaluation and medication management services
• Supports and participates in TMS program execution
• Practices under the clinical oversight of the Medical Director

~ PERFORMANCE EXPECTATIONS

• Timely and accurate completion of documentation (within 24–48 hours)
• Adherence to clinic protocols and standardized workflows
• Effective collaboration with supervising physician and team
• Maintenance of high standards for patient care and satisfaction
• Compliance with all regulatory, payer, and clinical requirements

~ QUALIFICATIONS (Required)

• Board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)
• Active Florida license (or ability to obtain)
• Active DEA registration (or ability to obtain prior to start)
• Minimum 1 year of experience in psychiatry or behavioral health

Preferred

• Experience with TMS, medication management or interventional psychiatry
• Experience with treatment-resistant depression
• Familiarity with military/veteran populations
• Experience using EMR/EHR systems (e.g., SimplePractice, Epic, Athenahealth)
• Exposure to telehealth platforms

~ COMPLIANCE REQUIREMENTS

• Must maintain compliance with all applicable:
• Federal and state regulations
• Clinical and documentation standards
• Payer requirements
• Must demonstrate knowledge of and adherence to:
• HIPAA regulations and patient privacy standards
• Infection control and safety protocols (as applicable to outpatient psychiatric care)
• Must successfully complete:
• Pre-employment background check
• Credentialing and privileging processes
• Ongoing licensure and certification requirements

~ WORK ENVIRONMENT & STRUCTURE

• Outpatient clinical setting
• Structured, protocol-driven workflow
• In-person and potential telehealth services
• No call or inpatient responsibilities

~ PHYSICAL & OPERATIONAL REQUIREMENTS

• Ability to sit, stand, and interact with patients for extended periods
• Ability to use EMR systems and standard office equipment
• Ability to maintain professional interactions in a fast-paced clinical environment

~ POSITION PURPOSE

This role exists to ensure the delivery of high-quality, accessible psychiatric care while supporting the clinic’s mission to expand access to TMS and interventional psychiatry services, particularly for underserved and military-affiliated populations.

Braincare Performance Center is an equal opportunity employer committed to clinical excellence, compliance, and patient-centered care.

Pay: $100,000.00 - $145,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee discount
• Flexible schedule
• Health insurance
• Paid time off
• Vision insurance

Application Question(s):

• Are you able to pass a background check and maintain HIPAA compliance?

Experience:

• in psychiatry or behavioral health: 1 year (Required)

License/Certification:

• PMHNP-BC certification (Required)
• Florida APRN license (or the ability to obtain one) (Required)

Ability to Relocate:

• Pensacola, FL 32514: Relocate before starting work (Required)

Work Location: In person