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Paradigm Recovery Center is a startup behavioral health treatment center providing structured, evidence-based treatment for individuals with substance use disorders and co-occurring mental health conditions. The Psychiatric Nurse Practitioner (PMHNP) provides psychiatric evaluation, medication management, and integrated behavioral health care within ASAM 2.5 and 2.1 levels of care.

Key Responsibilities:

Psychiatric Evaluation & Medication Management:

• Conduct comprehensive psychiatric evaluations and diagnostic assessments

• Prescribe, adjust, and monitor psychiatric medications in accordance with Missouri scope of practice

• Provide medication management for co-occurring substance use and mental health disorders

• Monitor medication effectiveness, side effects, and adherence

• Coordinate care related to MAT or psychotropic medications as clinically indicated

Clinical Collaboration & Treatment Planning:

• Collaborate with therapists, case managers, nursing staff, and leadership

• Participate in multidisciplinary treatment team meetings and case reviews

• Provide consultation regarding psychiatric symptoms and medication concerns

• Support referrals and discharge planning

Documentation & Compliance:

• Complete timely and accurate documentation in the electronic health record

• Maintain records consistent with Missouri regulations, HIPAA, and payer requirements

• Document assessments, progress notes, medication orders, and follow-ups

Safety & Risk Management:

• Assess psychiatric risk factors including suicidality and symptom escalation

• Respond to medication reactions or adverse events

• Communicate urgent clinical concerns promptly

Program Development (Startup Environment):

• Assist with psychiatric workflow and policy development

• Support program build-out and quality improvement initiatives

• Maintain flexibility in a startup environment

Qualifications:

Required:

• Active, unrestricted Missouri APRN license

• Board certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP)

• Current DEA registration or ability to obtain

• Experience in behavioral health or substance use treatment

• Strong clinical judgment and documentation skills

Preferred:

• Experience in ASAM 2.1 and/or 2.5 levels of care

• Experience in PHP or IOP settings

• Familiarity with trauma-informed and recovery-oriented care

• Startup or program development experience

Schedule Expectations:

• Daytime and/or evening hours based on program needs

• Flexible scheduling during startup phase

Physical & Professional Requirements:

• Ability to conduct psychiatric evaluations for extended periods

• Ability to work in a fast-paced clinical environment

• Reliable attendance and professionalism

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Psychiatric Nurse Practitioner

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