Full Job Description
About the role
Holistic Wellness & Psychiatry is an integrative psychiatry and wellness practice in Cedar Rapids, with a second location in St. Thomas, USVI. Alongside psychiatric care, we provide Spravato (esketamine) and ketamine therapy, and we’re growing a functional medicine and metabolic health program — root-cause evaluations, GLP-1 weight management, hormone and metabolic optimization, and lifestyle medicine.
We’re hiring an in-person Nurse Practitioner (FNP) or Physician Assistant to grow with this program. The role has three parts:
- Functional medicine & GLP-1 care — extended consultations, protocol design, lab interpretation, and ongoing weight-management oversight. Long visits, unhurried medicine.
- Medical visits within your FNP/PA scope for practice patients.
- Treatment-suite coverage — after completing our structured training, serve as the on-site provider during Spravato/ketamine treatment sessions on your office days, working alongside our RN team.
This is not a fully remote role and not a psychiatric prescribing role. It’s in-person, medical, metabolic, and hands-on — ideal for a clinician who wants to practice functional and lifestyle medicine the way it should be practiced, in a role they help shape.
Compensation: productivity-based with ramp support while your panel builds — estimated $90K–$140K annually at a mature caseload; part-time pro-rates. We’ll walk you through the actual numbers at interview. Malpractice covered; credentialing handled by our team.
What we need from you
- Active Iowa FNP (APRN) or PA license, or application submitted; personal DEA (or Iowa-transferable). PA applicants: physician collaboration provided by our Medical Director.
- 3+ years post-certification NP or PA practice
- Genuine interest in functional medicine, metabolic health, GLP-1/weight management, hormones, or lifestyle medicine — experience welcome, strong interest trainable
- Consistent in-person presence in Cedar Rapids, 2–3 days/week, year-round
- Current BLS/ACLS or willing to recertify (we pay)
Pay: $90,000.00 – $140,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Flexible schedule
- Health insurance
- Paid time off
- Professional development assistance
- Vision insurance
Application Question(s):
- Do you hold an active Iowa FNP (APRN) or Iowa PA license, or have you submitted an Iowa application?
- Do you have at least 3 years of post-certification practice as a nurse practitioner or physician assistant (independent patient management — RN experience, student hours, and clinical rotations do not count)?
- Do you hold a personal DEA registration (or one transferable to an Iowa address)?
- Compensation is productivity-based (percentage of collections plus coverage day-rates), with a ramp floor for your first 60–90 days — not a guaranteed long-term salary. Are you seeking a minimum 12-month commitment under that structure?
- This hybrid role requires consistent weekly in-person days at our Cedar Rapids office, year-round including winter — it is not fully remote. Can you reliably commit to that?
- In 2–3 sentences: what draws you to functional/integrative medicine specifically — and what would you most want to build in a role like this?
Work Location: Hybrid remote in Cedar Rapids, IA 52404
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