APP -PMHNP- Mental Health- ED

Carilion Clinic is seeking a Psychiatric Mental Health Nurse Practitioner (PMHNP) to join our Emergency Psychiatry team, providing psychiatric evaluation, treatment, and consultation for patients presenting to emergency departments across the Carilion system.

This is a unique opportunity for a PMHNP who thrives in a fast-paced, collaborative environment and wants to make a meaningful impact on both patient care and the way behavioral health services are delivered in the emergency setting.

The Emergency Psychiatry APP provides psychiatric evaluation and management for patients with a wide range of behavioral health and medical needs. Patient populations may include individuals experiencing:

• Suicidal ideation or self-harming behaviors
• Mood and psychotic disorders
• Intoxication and substance withdrawal
• Delirium and dementia
• Difficulty coping with acute or chronic illness
• Behavioral crises and other complex psychiatric presentations

You will provide care within our Level I Trauma Center Emergency Department as well as support emergency departments throughout the Carilion system.

This position combines direct patient care, psychiatric consultation, staff education, crisis intervention, and quality improvement.

The PMHNP will take a proactive and engaged approach to improving the care and safety of behavioral health patients in the emergency setting. Responsibilities include:

• Conducting psychiatric evaluations and developing treatment recommendations.
• Providing psychiatric medication management when appropriate.
• Responding to behavioral health emergencies and assisting with crisis stabilization.
• Supporting efforts to reduce the use of restraints through early intervention and de-escalation strategies.
• Evaluating and supporting patients who screen positive for specific behavioral health concerns, including suicidal ideation and trauma-related symptoms.
• Developing and implementing individualized behavioral plans.
• Providing real-time, "just-in-time" education and training for emergency department staff.
• Serving as a clinical resource for de-escalation, crisis mitigation, and early identification of behavioral health needs.
• Participating in initiatives designed to improve quality, safety, and the patient experience.

You won't do this work alone. You'll be part of a multidisciplinary team that includes psychiatrists, physicians, social workers, therapists, peer recovery specialists, nurses, and other healthcare professionals.

The position also works closely with Carilion's dedicated Emergency Psychiatry Program and Addiction Medicine team, providing an integrated approach for patients with complex psychiatric, medical, and substance-use needs.

• Primarily daytime hours
• Weekends as needed
• Holidays rotated equitably among team members

The ideal candidate is a Psychiatric Mental Health Nurse Practitioner who is comfortable working with complex patients and enjoys collaborating with both behavioral health and emergency medicine teams.

Candidates should demonstrate strong clinical judgment, excellent communication skills, flexibility, and an interest in education and improving systems of care.

Carilion Clinic is a physician-led, not-for-profit healthcare organization serving communities throughout Virginia. Our integrated system brings together clinical care, education, and research and provides APPs with the resources and collaboration of a comprehensive healthcare system.

Carilion offers a competitive compensation and benefits package, including:

• Employer-funded pension plan
• Comprehensive medical, dental, and vision benefits
• Paid time off
• CME and professional development support
• Retirement savings opportunities

Based in Roanoke, Virginia, you'll enjoy the professional opportunities of a major healthcare system with the quality of life of Virginia's Blue Ridge. The region offers an affordable cost of living, excellent schools, vibrant communities, and exceptional access to hiking, biking, kayaking, and the Blue Ridge Parkway.

Bring your expertise to a team transforming behavioral health care in the emergency setting. Join Carilion Clinic as an Emergency Psychiatry PMHNP.

Apply today at CarilionClinic.org/careers.

Carilion Clinic is an Equal Opportunity Employer.

Education: Graduate of an accredited School of Nursing and Nurse Practitioner program or an accredited Physician Assistant program required.

Experience: Minimum of 3 years of clinical experience preferred. Additional experience may be required based on specialty.

Licensure, Certification, and/or Registration: Licensed or eligible for licensure as an Advanced Practice Provider (Nurse Practitioner or Physician Assistant) in the Commonwealth of Virginia. Nurse Practitioners must also hold a current Registered Nurse (RN) license in Virginia. Must be eligible for prescriptive authority in accordance with state regulations and as authorized by the Virginia Boards of Nursing and Medicine.

Life Support: Current Basic Life Support (BLS) required. Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), or Neonatal Resuscitation Program (NRP) certifications required as appropriate to the position.

Other Minimum Qualifications: Must demonstrate and maintain all credentialing and licensing requirements of Carilion Clinic, the Virginia Board of Medicine or Nursing, and applicable certifying bodies. Must meet practice and managed care credentialing requirements and qualify for malpractice insurance coverage. Ability to work collaboratively with physicians and other healthcare providers. Strong written and verbal communication skills required. Proficiency with electronic medical records and standard computer systems required.

This job description is intended to be a representative summary of the major responsibilities and accountabilities performed by incumbents in this role. Incumbents may be required to perform job-related tasks other than those specifically presented in this description.

Compensation Range:

Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.

Recruiter:

Recruiter Email:

Recruiter Phone Number:

For more information, contact the HR Service Center at 1-800-599-2537.

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.

For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies

Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That's why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life - at work and when you're away.

When you make your tomorrow with us, we'll enhance your potential to realize the best in yourself.Below are benefits available to you when you join Carilion:

• Comprehensive Medical, Dental, & Vision Benefits
• Employer Funded Pension Plan, vested after five years (Voluntary 403B)
• Paid Time Off (accrued from day one)
• Onsite fitness studios and discounts to our Carilion Wellness centers
• Access to our health and wellness app, Personify Health
• Discounts on childcare
• Continued education and training

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