Psychiatric Mental Health Nurse Practitioner

Psychiatric Mental Health Nurse Practitioner

Salt Lake City, Utah | Full-Time | CHARTER

At First Step House, "We help people build lives of meaning, purpose, and recovery."

Everything we do is centered around that mission, and we are looking for people who want their work to have a meaningful impact on the lives of the people we serve.

We are hiring a Psychiatric Mental Health Nurse Practitioner (PMHNP) to join our Medical Clinic team in Salt Lake City!

About the Role

The PMHNP provides concurrent mental health and substance use disorder care to clients of First Step House who are working with a primary treatment team. This position primarily serves individuals receiving treatment for a substance use disorder who also experience co-occurring mental health conditions.

Many of the people we serve come to First Step House from incarceration, homelessness, shelters, or detox programs and may have had little or no consistent access to medical care. The PMHNP also provides psychiatric care to individuals living in First Step House permanent supportive housing who are experiencing serious mental illness.

In this role, you will independently assess, diagnose, prescribe, and monitor psychiatric medications, while collaborating closely with therapists and other members of the treatment team to provide safe, coordinated, and high-quality care.

The PMHNP will also complete training and provide medication-assisted treatment for substance use disorders. Success in this position requires an understanding of the complex needs of individuals experiencing mental health conditions, substance use disorders, homelessness, and other barriers to consistent healthcare.

We're looking for a PMHNP who is clinically confident, organized, collaborative, and able to establish strong professional boundaries while maintaining a compassionate, client-centered approach.

Tired of working 40+ hours a week? Join First Step House and enjoy a standardized 36-hour work week!

Our Full-Time Benefits Include:

• 36-hour work week to support a healthy work-life balance
• Robust paid time off program with enhanced benefits as you grow with us
• 15 paid holidays annually, including your birthday
• 401(k) employer matching
• Medical, dental, vision, and life insurance
• Opportunities for professional development and training
• Meaningful work supporting individuals in recovery and permanent supportive housing

What You'll Do

• Conduct thorough psychiatric evaluations using advanced clinical knowledge and skills to assess mental health status, identify symptoms, and develop differential diagnoses
• Evaluate patients' overall health and well-being while considering physical, psychological, and social factors that contribute to mental health conditions
• Utilize suicide risk screening tools as appropriate
• Diagnose a variety of mental health and substance use disorders using industry-standard diagnostic tools, including the DSM-5-TR
• Prescribe psychiatric medications and monitor and evaluate client responses to treatment
• Order, administer, and analyze necessary diagnostic testing
• Create client care plans and contribute to existing treatment plans
• Collaborate with therapists, treatment teams, and other First Step House departments to coordinate care
• Educate clients on medication management, health prevention, disease processes, and self-care strategies
• Provide clients and their families with comprehensive information about mental health conditions, treatment options, coping strategies, and self-care
• Complete required training and prescribe medication-assisted treatment for substance use disorders
• Maintain accurate and timely documentation in the Electronic Health Record using appropriate clinical language and structure
• Maintain thorough knowledge of program rules, client rights, and relevant legal and ethical requirements
• Maintain current knowledge of pharmacological recommendations relevant to the First Step House population
• Operate medical equipment as needed
• Maintain appropriate licensure, certifications, and credentials required for the position and the State of Utah
• Utilize scheduling tools, electronic health records, research databases, and other technology necessary to work effectively in a medical clinic
• Attend relevant employee training and staff meetings
• Demonstrate an Outward Mindset in all work duties and interactions

What We're Looking For

Education & Licensure

• Graduate of an accredited Psychiatric Mental Health Nurse Practitioner (PMHNP) program
• 3–5 years of experience working as a PMHNP
• Current Utah PMHNP licensure
• Board-certified as a PMHNP
• Valid National Provider Identifier (NPI)
• Current Controlled Substance License
• Current DEA certification with no disciplinary action
• Knowledge of Medicaid billing requirements and procedures

Knowledge, Skills & Abilities

• Excellent interpersonal, listening, verbal, and written communication skills
• Strong clinical problem-solving and decision-making skills
• Strong knowledge of disease processes and pharmacology
• Ability to independently assess and diagnose a variety of mental health and substance use disorders
• Strong understanding of psychiatric medication management
• Ability to handle confidential and legally sensitive situations
• Functional knowledge of privacy laws, including HIPAA and 42 CFR Part 2
• Ability to accurately document client interactions using appropriate clinical terminology and documentation standards
• Understanding of legal and ethical requirements related to scope of practice, licensure, and agency policies
• Strong professional and interpersonal boundaries
• Strong organizational skills and the ability to manage multiple priorities
• Ability to work effectively with electronic health records and scheduling systems
• Proficiency with modern office software, clinical reference tools, research databases, and other technology used in a medical clinic
• Ability to maintain positive, client-centered relationships while working with individuals who may have complex behavioral health and substance use needs

Why First Step House?

At First Step House, you'll do more than manage medications. You'll have the opportunity to provide whole-person psychiatric care to individuals who may have historically faced significant barriers to healthcare.

You'll work alongside therapists, case managers, housing teams, and other professionals to help clients address both their mental health and substance use needs while building stability and long-term recovery.

If you're a compassionate and clinically skilled PMHNP who wants to make a meaningful difference in the lives of people experiencing complex behavioral health needs, we'd love to meet you!

For more information about our non-profit organization, you can visit our website at

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.