ACT Psych APRN

Job Description

Job Description

Psychiatrist / Prescriber – Assertive Community Treatment Team

Salt Lake City, Utah

At First Step House, our mission is simple: We help people build lives of meaning, purpose, and recovery.

We are seeking a compassionate and innovative Psychiatrist/Prescriber to join our Assertive Community Treatment (ACT) Team. This is a unique opportunity to practice psychiatry beyond the traditional clinic setting and work directly with individuals living with serious mental illness in the communities where they live, work, and recover.

If you're passionate about serving underserved populations, believe in recovery-oriented care, and enjoy collaborating with a multidisciplinary team, we'd love to hear from you.

Schedule: Day shift | Full time

Salary: $110k - $118K

• 15 Paid Holidays Annually - Including Your Birthday
• Robust Paid Time Off Program
• 401(k) Employer Match up to 5%
• Annual Merit Increase & Bonus Opportunities
• Medical, Dental, Vision & Life Insurance
• Mission-driven work that changes lives
• Supportive and collaborative team culture

About the ACT Team

The ACT Team provides intensive, community-based mental health treatment to adults living with serious mental illness, including:

• Schizophrenia
• Schizoaffective Disorder
• Bipolar I Disorder
• Major Depression with Psychotic Features
• Co-occurring substance use disorders

Our team brings psychiatric, nursing, therapy, case management, peer support, and substance use treatment services directly to clients in the community, helping them achieve stability, independence, and meaningful recovery.

About the Role

As the ACT Team Psychiatrist/Prescriber, you will serve as the team's primary medical expert, providing psychiatric assessment, medication management, and clinical consultation while working closely with therapists, nurses, case managers, and peer support specialists.

Unlike traditional outpatient psychiatry, this role involves providing services in the field-including client homes, shelters, and community settings-allowing you to see the full picture of each individual's life and recovery journey.

You'll play a critical role in helping individuals who have historically struggled to engage in traditional treatment access the care they need.

What You'll Do

Clinical Services

• Conduct comprehensive psychiatric evaluations and assessments
• Diagnose and treat serious mental illness using evidence-based psychiatric practices
• Develop and manage psychotropic medication regimens
• Monitor treatment effectiveness, side effects, laboratory results, and overall health outcomes
• Collaborate with clients using shared decision-making and person-centered treatment approaches
• Provide psychiatric services in community-based settings
• Participate in daily ACT team meetings and integrated treatment planning
• Consult with nurses, therapists, case managers, and peer support specialists to coordinate care
• Support clients experiencing psychiatric crises and provide emergency psychiatric consultation
• Collaborate with hospitals, emergency departments, and crisis stabilization programs to ensure continuity of care
• Maintain accurate and timely documentation in the Electronic Medical Record

Team Collaboration

• Serve as the team's primary psychiatric consultant and medical authority
• Provide guidance regarding psychiatric symptoms, medication management, and behavioral health interventions
• Participate in quality improvement initiatives and fidelity reviews
• Contribute to a recovery-oriented, trauma-informed culture of care

On-Call Responsibilities

• Participate in after-hours psychiatric consultation and backup on-call coverage
• Support clinical staff during psychiatric emergencies
• Provide guidance regarding emergency medication interventions and crisis response

Why Join First Step House?

• Practice psychiatry in a highly collaborative, interdisciplinary environment
• Work directly with individuals who have the greatest barriers to care
• Experience meaningful client relationships and long-term recovery outcomes
• Help shape innovative community-based psychiatric services
• Make a measurable impact on individuals, families, and the community

Licenses/Certificates/Registrations:

• Full, unrestricted licensure as a Physician (MD or DO) in the State of Utah, or Advanced Practice Registered Nurse (APRN) licensure with prescriptive authority in the State of Utah - required (applicable pathway)
• DEA Controlled Substance Registration - required
• CPR / BLS Certification - required
• Board Certification in Psychiatry (ABPN) - required for MD/DO pathway; PMHNP-BC (ANCC) - required for APRN pathway
• Valid Driver's License and Insurability - required
• DATA 2000 Waiver (X-Waiver) for buprenorphine prescribing - strongly preferred
• Mental Health Officer designation in the State of Utah - preferred

What We're Looking For

The ideal candidate is:

• Recovery-oriented and trauma-informed
• Passionate about serving individuals with serious mental illness
• Collaborative and team-focused
• Flexible and comfortable providing services in community settings
• Skilled at building trust with individuals who may be hesitant or resistant to treatment
• Committed to person-centered, strengths-based care

At First Step House, you'll join a mission-driven organization dedicated to helping individuals build healthier, more meaningful lives. Your expertise can make a lasting difference for some of the most vulnerable members of our community.

To learn more about our organization, visit:

For employee testimonials and additional opportunities: -opportunities/

First Step House is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.