Psychiatric Nurse Practitioner (PMHNP) - Hybrid Outpatient

Part-Time PMHNP – Flexible Schedule, Gradual Caseload Growth, Outpatient Practice

About MWRS

Mental Wellness and Relationship Services (MWRS)

Mental Wellness and Relationship Services (MWRS) is an established, family-run group practice with multiple locations across North Idaho, serving clients throughout Idaho and Washington via telehealth. We provide a structured, flexible environment designed to support sustainable clinical work and long-term professional stability.

MWRS is a multidisciplinary practice including therapists and psychiatric providers, with a focus on outpatient care for individuals, couples, and families. Our model is designed to support clinicians in doing consistent, meaningful work without high productivity pressure or overextended schedules. Administrative support is structured so that non-clinical communication is filtered through the admin team, allowing providers to stay focused on clinical work. Refill management and clinical decision-making remain within the provider role, with administrative support for coordination and communication.

Learn more about us at - www.mwrservices.org

Position Overview

We are seeking a Psychiatric Mental Health Nurse Practitioner (PMHNP) to join our outpatient team.

This position is designed to start part-time, typically 1–2 days per week, with the option to expand based on client demand. Psychiatry caseloads at MWRS build gradually and are supported through internal referrals and community partnerships.

This role focuses on outpatient medication management integrated with brief supportive psychotherapy. Providers collaborate with therapists as needed while maintaining autonomy in their clinical work.

Who This Role Fits Best

This position is a good fit for providers who:

• Prefer a part-time or supplemental role
• Are comfortable building a caseload gradually over several months
• Value a flexible, low-pressure work environment
• Are open to combining medication management with brief therapeutic support

Many of our psychiatric providers maintain additional employment while building their caseload with MWRS.

Responsibilities

• Conduct psychiatric evaluations and medication management appointments
• Incorporate brief supportive psychotherapy during follow-up visits
• Develop and adjust individualized treatment plans
• Document clinical work accurately and within required timelines
• Respond to refill requests and administrative items within assigned time
• Collaborate with therapists and administrative staff as needed
• Utilize EHR, e-prescribing tools, lab coordination, and genetic testing when appropriate
• Maintain compliance with HIPAA and clinical standards

Qualifications

• Active PMHNP license in Idaho (Washington preferred but not required)
• Master’s degree in Nursing from an accredited program
• Experience in psychiatric prescribing preferred but not required
• Comfort with telehealth platforms and hybrid care
• Ability to work independently within a collaborative setting

Compensation

• $125 per billable client hour (includes time for charting and documentation)
• $60 per hour for pre-approved administrative time, including required meetings and limited scheduled time for care coordination and refill management. Part-time providers may be scheduled for up to 1 hour of administrative time per week on non-clinic days, as needed
• $50 per late cancellation or no-show (for cash-pay and private insurance clients when collected)

Compensation is structured to remain competitive with outpatient psychiatric roles while supporting a sustainable, part-time model.

Caseload Expectations

• Position begins part-time (typically 1–2 days per week)
• Caseloads build gradually over 6–12 months depending on availability and referral flow. This is not an immediate full schedule position.
• Schedule expansion is based on client demand and provider availability

No requirement to reach or maintain a full-time caseload

Benefits

Available to all employees:

• Professional liability insurance
• 401(k) with employer match
• Flexible hybrid scheduling
• Access to in-house CEU/CME opportunities and professional development support

For employees scheduling 30+ client hours per week:

• Health, dental, and vision insurance
• Paid time off
• CEU reimbursement

Schedule

• Hybrid (in-person and telehealth)
• Minimum one in-office clinic day per week in Coeur d’Alene required
• Flexible scheduling within weekdays
• Evenings optional

Work Environment

• Providers use shared, scheduled office space in our CDA office for in-person clinic days

Work Location

Hybrid remote in Coeur d’Alene, ID

Interested?

Please submit a resume and a brief cover letter describing your interest in working at MWRS and your preferred schedule.

Pay: $125.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Flexible schedule
• Professional development assistance

Work Location: Hybrid remote in Coeur d'Alene, ID 83814