Part Time Consultation-Liaison Psychiatric Nurse Practitioner

About the Role

The Consultation-Liaison Psychiatric Nurse Practitioner is a board-certified Psychiatric Mental Health Nurse Practitioner who serves as the founding clinician of firsthand's hospital psychiatric consult service and as the most visible representative of firsthand inside our partner hospital. This role combines same-day inpatient psychiatric consultations with outpatient bridge services, ensuring continuity of care for patients.

Responsibilities

• Conduct same-day psychiatric consultations for patients based on requests from emergency, medical, and surgical teams.
• Collaborate closely with hospital teams, including attending physicians, nursing staff, and case managers, to develop and implement treatment plans.
• Perform rapid assessment, crisis intervention, and stabilization for patients presenting in psychiatric crisis, including suicide and violence risk assessments.
• Escalate to the collaborating psychiatrist for complex management and practice within your training and experience, with a referral plan for complex cases and emergencies.
• Provide outpatient services for stabilization, medication management, and supportive psychotherapy.
• Establish and maintain working relationships with hospital departments and community partners.
• Contribute to consult workflow and care pathway development in collaboration with the consulting psychiatrist.

Qualifications

• Certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)
• Active Virginia APRN license; autonomous practice designation specific to psychiatric practice preferred
• National psychiatric APRN certification (ANCC or equivalent)
• DEA registration, including the ability to prescribe Schedule II–VI medications and buprenorphine
• Active Medicare enrollment via PECOS as an individual provider and active Virginia Medicaid (DMAS) enrollment, strongly preferred
• Current, attested CAQH ProView profile
• No history of Medicare or Medicaid sanctions or exclusions, and no unresolved licensure disciplinary actions
• Active, unrestricted malpractice and professional liability coverage, or the ability to furnish a certificate of insurance upon offer

Skills

• Belief in the impact of early psychiatric involvement on the overall care plan for medically complex patients.
• High emotional intelligence and genuine affability: ability to build rapport with hospital staff and patients.
• Sound, evidence-based clinical assessment framework for decision-making in emergency settings.
• Credibility with emergency physicians, hospitalists, and surgeons, and strong communication skills to influence external teams.
• Owner's mindset and tenacious, independent work ethic to build workflows, relationships, and reputation from scratch.

Schedule

Part-Time Hours: 4–6 ten-hour shifts/month (2 shifts/month guaranteed). Includes weekend on-call duties and coverage for full-time NP (PTO, leave, etc.).

Pay

Hourly Pay Rate: $70—$75 USD

Benefits

• Comprehensive health, dental, vision, and mental wellness coverage.
• 401(k) with company match.
• 16 weeks of paid parental leave for both parents.
• 120 hours of vacation annually in the first year, increasing to 160 hours after one year.
• Welcoming, inclusive culture with a focus on continuous learning and creativity.

Vaccination Policy

Employment is contingent upon medical clearance, including evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus, and Diphtheria. Exemptions may be considered for valid religious or medical reasons, subject to approval.

Note: We cannot offer sponsorship at this time. firsthand Health will only contact candidates from email addresses ending in @firsthandcares.com. Any communication from another domain is fraudulent.