Psychiatric Nurse Practitioner PMHNP

About the Role

Legara, Inc. is seeking a California-licensed Psychiatric Nurse Practitioner (PMHNP) to provide outpatient psychiatric care for an underserved FQHC patient panel. This role offers flexible scheduling, robust administrative support, and the opportunity to make a meaningful impact on patients who face significant barriers to mental health care.

You’ll see a diverse population of predominantly low-income, Spanish-speaking adults, children, and teenagers with moderate to severe mental health needs, including substance use disorders and mood disorders.

Key Details

• Schedule: Weekdays; variable with multiple week notice, mutually agreed upon, 0-3 days per week
• Hours: No nights, weekends, or after-hours inbox work
• Setting: Fully remote (must be located in California)
• Engagement Length: Open-ended; flexible to scale up or down
• Credentialing: 4 - 8 weeks before training begins
• Compensation: Encounter-based pay averaging $130 - $195 per clinical hour, $117 per non-clinical hour spent completing trainings, weekly payments, Form 1099-K issued annually
• Support: Administrative and scheduling team manages patient bookings, templates, reminders, and paperwork

What You’ll Do

• Provide Courtesy Medication-Management Follow-Ups: 15–30 minutes each, approx. 13 per clinic day
• Chart directly in the health center’s EMR (NextGen)
• Join brief care-team huddles and collaborate with primary care, behavioral health, and case management staff
• Provide culturally responsive care; Spanish fluency is a plus, but not required
• Follow the FQHC’s standard medical staff oversight and QA policies

Must-Have Qualifications

• Current, unrestricted PMHNP license in California
• Active DEA registration
• Strong technological skills and ability to quickly learn complex healthcare software (NextGen experience preferred)
• Comfortable serving Medi-Cal and uninsured patients
• Secure broadband internet, webcam, and a private workspace for telepsychiatry
• Malpractice coverage: $1M/$3M base policy

Preferred Qualifications

• Professional fluency in Spanish (speaking, reading, documentation)
• Previous experience working in safety-net healthcare or with underserved populations

Why Work with Legara

• Patient-first focus: Your income aligns with completed encounters, improving access and reducing wait times
• Professional autonomy: You direct your clinical care without external treatment plan interference
• Seamless operations: We handle credentialing, scheduling, and payment logistics so you can focus on patients
• Full support team: Supervising MD/DO available as a resource; admin and scheduling handled end-to-end

Additional Information

• Pay Range: $130 – $195 per clinical hour, $117 per non-clinical hour spent completing trainings (net pay; varies by encounter type and mix)
• Benefits: Flexible schedule, robust admin support
• Work Location: Remote

Job Type: Part-time

Pay: $130.00 - $195.00 per hour

Benefits:

• Flexible schedule

Application Question(s):

• What draws you to working with a complex and high-needs patient population, particularly individuals facing challenges such as substance use disorders and mood disorders?
• On a scale of 1 to 10, how would you rate your ability to independently grasp and understand complex technology systems, such as electronic health records (EHR) like NextGen, virtual phone management systems, and telehealth platforms?
• How many years of experience do you have using NextGen?
• How many years of psychiatric prescribing experience do you have?
• You will be compensated through a form 1099 and not classified as an employee. Will that work for you?
• Perform an internet speed test from the internet connection where you would hold telehealth visits. What are the download and upload results?
• What would be the ideal schedule for you in terms of specific weekdays, time blocks on those days, and approximate total number of hours each week?
• • We're looking for a PMHNP interested in substituting as needed with multiple week notice for current team members, with an interest in building your own case load and more consistent schedule a month or two down the line, should the health clinic feel like a good fit for you, and vice versa. What interests you about this arrangement?
• As outlined in the job description, you will be compensated solely with a per-encounter rate. We reasonably estimate that once you get going, if you were to work a full day, you would see 17 patient per day. At $65/enc, that would be $1,105 per day. Are you interested in that compensation structure?

Language:

• fluent Spanish (Preferred)

License/Certification:

• PMHNP license in California (Required)

Work Location: Remote