Psychiatric Mental Health Nurse Practitioner (Private Practice)

About the job

NP-Owned Practice · W-2 · No Evenings · No Call · Competitive Commission

Why Balance Mental Health

Balance Mental Health is a psychiatric nurse practitioner-owned group practice in Concord, New Hampshire. We specialize in general adult outpatient psychiatry with a strong focus on ADHD and neurodivergence, trauma-informed care, and LGBTQIA+ affirming treatment.

We built this practice around one premise: clinicians do their best work when they have autonomy, support, and a caseload that actually fits their values. We don’t have corporate overhead, productivity quotas disconnected from reality, or the chaos of inpatient and emergency settings. What we do have is a warm, collaborative team, and a patient population that is engaged in their care.

What Makes This Role Different

• NP-owned and operated — clinical decisions stay with clinicians
• No after-hours, no on-call — ever
• You set your own schedule within a hybrid framework (2–4 days in-office, Concord, NH)
• Virtual receptionist handles scheduling, screening, and patient intake logistics
• Comprehensive billing support — you focus on patients, not claims
• Marketing and advertising investment to build your caseload efficiently
• Bright, well-equipped office space with collaborative colleagues

The Role

You will carry an independent general adult outpatient psychiatry caseload, conducting psychiatric evaluations and medication management via in-person and telehealth appointments. You’ll work collaboratively with our therapy staff and maintain timely, thorough documentation.

This is not a supervised or transitional role. We are looking for a clinician who is ready to practice with full autonomy and wants to build a stable, values-aligned panel.

Core responsibilities:

• Conduct psychiatric evaluations and ongoing medication management for adult patients
• Provide hybrid care — in-person in Concord, NH, and telehealth
• Order and interpret relevant laboratory and diagnostic studies
• Collaborate with in-house therapists and make referrals as clinically appropriate
• Complete documentation within 24 hours of each encounter

Who We’re Looking For

• Licensed PMHNP with active NH licensure (or ability to obtain)
• DEA registration, current or eligible
• Comfortable working with adults across a range of presentations — mood, anxiety, ADHD, trauma
• Culturally humble and affirming with LGBTQIA+ and neurodivergent patients
• Self-directed, organized, and committed to documentation timeliness
• 2+ years of PMHNP clinical experience preferred; new grads with strong clinical training considered

Compensation & Benefits

Compensation is W-2 and commission-based. Compensation is highly competitive for qualified candidates and reflects the earning potential of an efficient outpatient psychiatric panel.

Benefits include:

• Health and dental insurance
• Paid federal holidays
• 401(k) with employer match
• Paid malpractice/liability insurance
• Paid on-site gym access, 24 hours a day

Location & Schedule

2 Delta Drive, Suite 303, Concord, NH 03301. Hybrid schedule with 2–4 days per week in-office. Telehealth days flexible. No weekend or evening requirements.

To Apply

If this sounds like the kind of practice environment you’ve been looking for, we’d like to talk. Along with applying, please send a brief note about your clinical background and what matters most to you in a practice setting.

Balance Mental Health is an equal opportunity employer. We are deeply committed to building a team that reflects the communities we serve.

Job Types: Full-time, Permanent

Pay: $150,000.00 - $250,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off

Education:

• Master's (Required)

License/Certification:

• PMHNP (Required)

Ability to Commute:

• Concord, NH 03301 (Required)

Work Location: Hybrid remote in Concord, NH 03301