Nurse Practitioner - Dually Licensed (PMHNP and FNP/AGNP)

Nurse Practitioner - Dually Licensed (PMHNP and FNP/AGNP)Mainspring Recovery is seeking a Nurse Practitioner to join our interdisciplinary clinical team supporting individuals in recovery from substance use disorders (SUD) and co-occurring mental health conditions. This position may be filled by a Psychiatric Nurse Practitioner (PMHNP) or a Medical Nurse Practitioner (FNP/AGNP) depending on the candidate's licensure and area of expertise. The NP will provide specialty-focused care — psychiatric or medical — while maintaining a whole-person approach aligned with Mainspring's mission.Key Responsibilities:Upon admission, conduct a comprehensive specialty-specific intake evaluation:For Psychiatric NPs (PMHNP):Complete psychiatric intake evaluation including mental status exam (MSE), trauma history, and psychiatric review of systemsDiagnose and document DSM-5 psychiatric conditions (e.g., mood disorders, anxiety, PTSD, psychosis) co-occurring with SUDAssess suicide/homicide risk and establish a safety planReview current psychotropic medication history and identify medication-assisted treatment (MAT) needEstablish an individualized psychiatric treatment plan with short- and long-term goalsRoutinely approve continuation of medications upon intake until full assessment can be completed.For Medical NPs (FNP/AGNP):Perform a full history and physical examination (H&P) upon admissionIdentify and document acute and chronic medical conditions impacting SUD/MH treatmentComplete a medical review of systems, addressing concerns common in SUD populationsOrder and interpret admission labs, toxicology screens, and diagnostic imaging/tests as indicatedEstablish an individualized medical treatment plan addressing the patient's needs during Mainspring careRoutinely approve continuation of medications upon intake until full assessment can be completedSUD & Mental Health Focus During Mainspring Care:Identify and address SUD-specific clinical needs including withdrawal management, detox monitoring, and MAT initiation or continuation (buprenorphine, naltrexone, etc.)Collaborate with counselors, case managers, and behavioral health staff to ensure psychiatric and medical needs are integrated into the patient's individualized treatment planParticipate in interdisciplinary treatment team meetings and case conferencesProvide clinical consultation to staff regarding the intersection of medical/psychiatric conditions and SUD recoveryScreen for co-occurring disorders and refer internally or externally as appropriateRoutine Follow-Up & Ongoing Care:Conduct scheduled follow-up appointments throughout the patient's stay to monitor treatment response, medication efficacy, and overall health statusReassess and update the care plan based on patient progress, emerging concerns, or changes in clinical statusDocument all clinical encounters, assessments, and care plan updates accurately and in a timely manner in the EHRMonitor vital signs, labs, and diagnostic results; communicate critical values and initiate appropriate follow-upProvide patient education regarding diagnosis, medications, side effects, and self-management strategies relevant to SUD recoveryMedication Ordering & Prescribing:Prescribe and manage medications within scope of practice, including MAT medications, psychiatric medications, and medications for co-occurring medical conditionsConduct medication reconciliation upon admission, during treatment, and at dischargeMonitor for medication interactions, contraindications, and adverse effects with attention to substances common in SUD populationsUtilize the Virginia Prescription Monitoring Program (PMP) as required prior to prescribing controlled substancesCollaborate with the Medical Director on complex or high-risk medication regimensPeer-to-Peer Reviews & Utilization Management:Complete peer-to-peer (P2P) reviews with insurance medical directors as required to advocate for medically necessary levels of care, continued stays, or treatment servicesDocument clinical justification for level-of-care determinations in alignment with ASAM criteriaCommunicate with payers and utilization management teams to support authorization of clinical servicesPartner with the clinical and administrative team to ensure timely completion of P2P requests to avoid disruptions in patient careAdditional Responsibilities:Refer patients to outside healthcare resources and specialists when clinical needs exceed on-site scope of careMaintain up-to-date knowledge of SUD treatment guidelines, MAT protocols, and psychiatric best practicesPerform all other duties as assigned by the Executive Director or Medical DirectorMinimum Qualifications:Education / CredentialsActive Nurse Practitioner licensure in the Commonwealth of Virginia (required)Board certification as a PMHNP-BC, FNP-C/FNP-BC, or AGNP-C/AGPCNP-BCActive DEA registration in Virginia (required)Current BLS/CPR certification (required)ExperienceMinimum of one (1) year of clinical experience in a psychiatric, SUD, behavioral health, or related healthcare setting preferredExperience with medication-assisted treatment (MAT) preferredExperience completing peer-to-peer reviews with insurance companies preferredKnowledge / SkillsStrong clinical assessment skills with ability to identify and manage acute and chronic conditions in SUD/MH populationsFamiliarity with ASAM criteria and levels of care for SUD treatmentProficiency with electronic health records (EHR)Excellent written and verbal communication skillsCommitment to trauma-informed, culturally responsive, and patient-centered careWorking Conditions:Direct Care PositionFull-time, 40 hours per week, Monday-Friday 10:00am-6:30pm, on-callOn-siteWhy This Role Matters:At Mainspring Recovery, we believe that healing from substance use disorder requires addressing the full picture of a person's health — mind and body. Our Nurse Practitioners are essential to that mission. Whether your expertise is psychiatric or medical, your work directly supports patients in one of the most vulnerable and transformative periods of their lives. You will be part of a compassionate, collaborative team dedicated to meeting patients where they are and guiding them toward lasting recovery.Pre-Employment Requirements:Mainspring conducts, as required, job-related background checks, drug testing, TB testing, verification of employment history, and/or reference checks prior to employment.Equal Employment Opportunity Statement:Mainspring is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other protected status in accordance with applicable federal, state, and local laws.EEO is the Law: