Psychiatric Nurse Practitioner (PMHNP) or Physician Assistant (PA-C)

Full Job Description

Psychiatric Nurse Practitioner (PMHNP) or Physician Assistant (PA-C)Part-Time to Full-Time | Temp-to-Perm | Hybrid

Casey Mental Health Collaborative is seeking a Psychiatric Nurse Practitioner (PMHNP) or Physician Assistant (PA-C) to join our growing outpatient psychiatry practice. This is a part-time to full-time, temporary-to-permanent position with opportunity for long-term employment based on mutual agreement and performance.

We strongly prefer candidates with experience and training in child and adolescent psychiatry, in addition to adult care.

Schedule & Work Model

• Afternoon and early evening hours while building caseload
• Opportunity to expand hours up to full-time
• Hybrid position: Minimum 2 days per week in-office
• Telehealth permitted on pre-arranged designated days
• No inpatient, on-call, or overnight responsibilities

Clinical Responsibilities

• Provide outpatient psychiatric evaluations, diagnoses, and medication management
• Treat children, adolescents, and adults
• Conduct 60-minute intakes and 30-minute follow-ups
• Collaborate closely with therapists and medical providers
• Participate in weekly 1:1 supervision and collaborative care meetings
• Maintain timely, accurate documentation in Valant (EHR)
• Prescribe medications, including controlled substances, within established outpatient psychiatric standards, policies, and monitoring expectations
• Opportunity to participate in TMS and Ketamine depression treatments
• Occasional injectable medication administration

Productivity Expectations

• Follow-ups: Typically 2 patients per hour (30-minute visits)
• Optional increase to 3–4 patients per hour, based on comfort, demand, and workflow
• Intakes: 60 minutes per patient
• New intakes capped at 3 max per day during case-load establishment

Supervision & Support

• Supervision provided on-site and remotely by Dr. Robin Casey, MD
• Weekly individual supervision meetings
• Regular interdisciplinary collaboration with medical providers and therapists
• Strong administrative and clinical infrastructure

Qualifications

• Licensed PMHNP or PA-C in North Carolina
• Active DEA license (or ability to obtain)
• Outpatient psychiatry experience required
• Child and adolescent psychiatry experience strongly preferred
• Strong clinical judgment and communication skills
• Commitment to ethical, patient-centered, evidence-based care

Compensation & Employment Structure

This position is structured to support gradual case-load development with a clear pathway to full-time employment.

• Initial phase (part-time, caseload-building):
• Compensation based on 50% of collected visit revenue
• Salaried phase (once transitioned to full-time):
• 20 hours/week (0.5 FTE): $50,000 – $80,000 annually
• 40 hours/week (1.0 FTE): $115,000 – $120,000 annually

Final compensation will reflect experience, patient population, productivity, and role evolution.

Important Role Expectations

This position is intended for clinicians seeking a primary, long-term role, with the goal of transitioning to full-time employment within the practice. It is not designed as a side gig or secondary position.

Patients are established through Casey Mental Health Collaborative and, as such, patient panels remain with the practice if a provider does not transition to full-time status or if employment ends.

Benefits (Permanent Employees)Available once permanent and full-time:

• Health, dental, vision, and supplemental life insurance
• Malpractice coverage
• CME funds and paid CME time
• PTO: 2 weeks annually, included with salaried pay
• 401(k) retirement plan with generous employer match
• Defined Benefit Pension Plan
• $25,000 employer-paid life insurance policy
• Supportive, mission-driven workplace culture

About Casey Mental Health Collaborative

We are a collaborative outpatient mental health practice dedicated to high-quality psychiatric care across the lifespan. Our model emphasizes thoughtful prescribing, team-based care, and long-term therapeutic relationships.

Job Types: Full-time, Part-time, Temp-to-hire, Permanent

Pay: $60,000.00 – $160,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Professional development assistance
• Retirement plan
• Vision insurance

Work Location: Hybrid remote in Raleigh, NC 27615