Open to New Graduates | PMHNP or PA | APP Fellowship | Behavioral Health

Clinical Responsibilities

• Performs comprehensive psychiatric evaluations including mental status examinations, psychosocial assessments, suicide and violence risk assessments, diagnostic interviews, and behavioral health screenings across diverse clinical settings.
• Affirms and manages psychiatric conditions including mood disorders, anxiety disorders, psychotic disorders, trauma-related disorders, substance use disorders, personality disorders, cognitive disorders, and behavioral crises.
• Develops and implements evidence-based biopsychosocial treatment plans in collaboration with supervising psychiatrists and multidisciplinary behavioral health teams.
• Prescribes and manages psychotropic medications while monitoring therapeutic response, side effects, medication adherence, and clinical outcomes.
• Conducts crisis intervention, de-escalation, safety planning, and emergency psychiatric evaluations for patients experiencing acute behavioral health instability.
• Coordinates care with consulting specialists, nursing, pharmacy, psychology, therapy services, social work, case management, peer support services, and community behavioral health resources.
• Provides psychoeducation to patients and families regarding diagnoses, medications, coping strategies, relapse prevention, recovery planning, and community support services.
• Maintains accurate and timely documentation of patient care within the electronic medical record.
• Participates in patient management across inpatient psychiatry units, outpatient behavioral health clinics, emergency psychiatric services, consult-liaison psychiatry, substance use treatment settings, telepsychiatry, and integrated primary care environments.

Fellowship Training Responsibilities

• Participates in structured didactic lectures, psychiatric case conferences, journal clubs, psychotherapy training, simulation exercises, interdisciplinary rounds, and team-based educational activities.
• Develops foundational and advanced knowledge in psychopharmacology, psychiatric diagnosis, psychotherapy principles, trauma-informed care, addiction medicine, behavioral health integration, and crisis stabilization.
• Collaborates with multidisciplinary teams including psychiatrists, psychologists, social workers, nurses, pharmacists, therapists, substance use counselors, peer support specialists, and community health providers.
• Engages in educational, leadership, advocacy, and professional development opportunities within psychiatric and behavioral health practice.
• Develops competency in psychiatric interviewing, diagnostic formulation, medication management, therapeutic communication, behavioral crisis management, and interdisciplinary treatment planning through supervised clinical experiences.
• Participates in one-on-one preceptorships with attending psychiatrists and advanced practice providers trained in behavioral health and psychiatric medicine.

Rotational Experiences

• The APP Fellow participates in a structured 12-month curriculum consisting of 10 months of core behavioral health and interdisciplinary clinical rotations and 2 months of elective clinical experiences designed to support individualized professional development, specialty interests, and advanced clinical competency in psychiatric and behavioral healthcare delivery.
• Core Rotations (10 Months)
• Core rotations provide immersive clinical experiences focused on psychiatric assessment, psychopharmacology, therapeutic communication, interdisciplinary collaboration, crisis intervention, and behavioral healthcare delivery across diverse patient populations and treatment settings.
• Core Behavioral Health Rotations
• Inpatient Psychiatry
• Outpatient Psychiatry
• Emergency Psychiatry
• Consult-Liaison Psychiatry
• Substance Use Disorder Treatment Services
• Crisis Stabilization Services
• Partial Hospitalization Program (PHP) / Intensive Outpatient Program (IOP)
• Integrated Behavioral Health in Primary Care
• Community Behavioral Health
• Telepsychiatry Services
• Elective Rotations (2 Months)
• Elective rotations allow fellows to individualize their educational experience based on career goals, clinical interests, and identified areas for advanced development.
• Elective experiences are selected in collaboration with fellowship leadership and supervising preceptors.
• Potential Elective Experiences May Include:
• Child and Adolescent Psychiatry
• Geriatric Psychiatry
• Addiction Medicine
• Eating Disorders Program
• Behavioral Sleep Medicine
• Women’s Behavioral Health
• Trauma Recovery Programs
• Neuropsychiatry
• Forensic Psychiatry
• Integrative and Lifestyle Psychiatry
• Academic Psychiatry
• Quality Improvement and Patient Safety
• Leadership and Healthcare Administration
• Community Outreach and Population Behavioral Health
• Telepsychiatry and Digital Mental Health

Education Required

• Master’s Degree in Nursing or Physician Assistant Studies from an accredited program.
• Preferred: Recent graduate of an accredited NP or PA program with a strong interest in psychiatry, behavioral health, addiction medicine, integrated care, or community mental health.

Experience Required

• None
• Preferred: Prior behavioral health, psychiatric, substance use disorder, emergency medicine, primary care, inpatient, or crisis intervention experience preferred.
• Previous healthcare experience as an RN, psychiatric technician, behavioral health counselor, EMT, paramedic, social worker, medical assistant, or care coordinator preferred.

Licensure/Certification/Listing

• Required: Valid North Carolina Registered Nurse and Nurse Practitioner license OR North Carolina Physician Assistant license.
• Board Certification within one year of hire: NCCPA for Physician Assistants ANCC or AANP for Nurse Practitioners.
• Current BLS (CPR) certification through the American Heart Association or American Red Cross.
• DEA registration eligible.
• Preferred: Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) certification eligibility or completion pathway where applicable.
• ACLS certification.
• Prior training in motivational interviewing, CBT-informed interventions, trauma-informed care, or crisis intervention preferred.

Quality & Professional Responsibilities

• Identifies opportunities to improve behavioral healthcare delivery, patient safety, access to services, care coordination, and clinical outcomes.
• Participates in interdisciplinary quality improvement and patient safety initiatives.
• Demonstrates professional accountability, ethical practice, and adherence to psychiatric and behavioral health standards and evidence-based clinical guidelines.
• Promotes culturally responsive, trauma-informed, patient-centered care across diverse patient populations and complex psychosocial conditions.
• Participates in initiatives related to behavioral health integration, crisis reduction, suicide prevention, readmission reduction, and continuity-of-care improvement efforts.
• Performs other duties as assigned.