Collaborative Psychiatric Nurse Practitioner (PMHNP)

InStride Health’s mission is to deliver specialty anxiety and OCD care that works for every kid, teen, young adult, and family who needs it. Through this mission, we are expanding access to insurance-based care, increasing engagement in treatment, and improving treatment outcomes. We are doing this by combining research-backed clinical care and innovative technology to eliminate the major problems with care today: difficulty finding providers, months of waiting to be seen, arduous onboarding processes, and inconsistent use of evidence-based therapies and outcomes tracking. Our vision is to become the nation’s most trusted provider of pediatric anxiety and OCD care.

• Give Heart: We lead with heart, treating patients and their families the way we want our loved ones to be treated. 
• Work Smart: We find smarter ways to solve hard problems and fix the broken mental health system by leveraging technology, diversity of thought, and innovation.
• Have Humility: We leave our egos at the door, empowering our team to collaborate, celebrate diversity, and adopt a growth mindset.
• Embrace Community: We all belong. We are in this together, and we never worry alone. We believe in each other and recognize that every voice matters.

About the Role:

The Psychiatric Nurse Practitioner (PMHNP) at InStride is responsible for providing high-quality psychiatric treatment to our patients, with a specialized focus on children, adolescents, and young adults navigating anxiety and OCD. In this role, the PMHNP focuses on conducting clinical follow-up visits and providing ongoing medication management to support continuous patient progress. Operating within an interdisciplinary, physician-supported care model, the PMHNP works in close partnership with Board-Certified Child and Adolescent Psychiatrists (MD/DO) and a dedicated multidisciplinary team. This role relies on a strong collaborative relationship to optimize clinical workflows, ensuring the PMHNP is backed by dedicated medical oversight while independently executing standardized, evidence-based workflows for routine follow-up care within the collaborative protocol. The PMHNP creates and maintains a professional, friendly atmosphere for patients, families, InStride staff, and referring providers, and demonstrates a commitment to InStride Health’s Mission and Core Values.

• →Direct Clinical Care: In active collaboration with, and under the supervision of, an InStride Child & Adolescent Psychiatrist, and in compliance with InStride policies, procedures, and all applicable regulations, provides direct clinical care in the form of evidence-based psychiatric treatment. This consists of conducting psychiatric follow-up visits and ongoing psychopharmacological management to monitor symptoms and adjust treatment as needed for children, adolescents, and young adults.   At the discretion of the medical director and collaborating psychiatrist, the PMHNP could also complete intake evaluations.  
• →Physician-NP Collaboration: Participates in a formal joint-practice model with a supervising child and adolescent psychiatrist, engaging in routine case consultations, joint care planning for complex presentations, and proactive communication to ensure a seamless continuum of medical oversight. 
• →Medical Monitoring: Reviews and interprets specific medical monitoring through primary care physician offices (e.g., laboratory results, EKGs, vital signs, and other pertinent measures) in conjunction with prescribed medications to ensure ongoing pharmacological safety.
• →Cross-Specialty Collaboration: Effectively and proactively communicates the complex treatment needs of patients across multiple medical and therapeutic specialties. Collaborates closely with primary care physicians/pediatricians, outpatient clinicians, and both internal and external medical teams to ensure highly coordinated patient care.
• →Discharge Planning: Assists in developing thorough, safe, and coordinated post-discharge psychiatric follow-up plans, assuring continuity of care for medication management at the time of discharge.
• →Team Communication & Case Review: Attends and actively participates in weekly treatment team meetings to discuss and review off-track clinical cases. Engages in regular, effective communication with the InStride treatment team (coaches, therapists) through synchronous and asynchronous means, including clinical rounds, App chat, and shared documentation.
• →Case Elevation: Appropriately elevates cases in need of additional supervision to the collaborating child and adolescent psychiatrist.
• →Timely Documentation: Completes all clinical and charting documentation within the EMR in a strict and timely manner, ensuring all follow-up and progress notes are fully completed within 24 hours of the patient encounter.
• →Coverage Coordination: Coordinates clinical coverage for assigned patients (and families) during absences and planned PTO; provides clinical coverage to others on the team as needed (within the confines of current work hours).
• →Value-Driven Practice: Prioritizes the psychiatric needs and interests of patients while being cognizant of cost, quality, and how it impacts the ability to deliver care. Contributes to a collaborative work environment that supports a positive provider experience and demonstrates respect for the unique contributions of each InStride employee.

• Master’s or Doctoral degree from an accredited Nurse Practitioner program, with a specialization as a Psychiatric-Mental Health Nurse Practitioner (PMHNP).

• Valid, unrestricted Nurse Practitioner license and prescriptive authority (DEA) in New Jersey (NJ) or Massachusetts (MA).
• Procurement and maintenance of licensure in additional state(s) upon request by InStride.
• Fulfillment of continuing education obligations commensurate with state law in state(s) of practice.

• Minimum of 2 years of clinical practice, with direct experience treating children, adolescents, and young adults with anxiety and OCD.
• Clinical expertise and experience in psychopharmacology for anxiety, OCD, and related disorders in pediatric and youth populations.
• Experience working seamlessly within a multidisciplinary team structure.
• Excellent communication, interpersonal, organizational, and time management skills.
• Ability to be flexible and work well both independently and as part of a team in a fast-paced, mission-driven environment.
• Comfort with fully virtual care and the use of computer and mobile technology to enhance care delivery, communication, and monitoring.
• Ability to handle sensitive and confidential information in a manner that inspires confidence and trust.

The expected annual salary for this role is between $135,000-$150,000, prorated to $67,500-$75,000 for 0.5 FTE (20 hr/week). Actual starting salary will be determined on an individualized basis and will be based on several factors including but not limited to specific skill set, work experience, licensure, etc. 

This position is a part-time, 0.5 FTE status. To ensure reliable patient access, clinical continuity, and consistent multidisciplinary collaboration, the candidate must distribute their hours across a minimum of 4 days per week.

The PMHNP must be available to provide their clinical services during peak afternoon/evening times (considered to be between the hours of 3:00 p.m. – 7:00 p.m. EST) as determined by clinical and operational demands.

InStride Health is committed to building and maintaining an inclusive, equitable, and ethical environment. The Psychiatric Nurse Practitioner is required to comply with InStride Health’s Code of Conduct and its policies and procedures, and must refrain from participating in any activity that could be construed as fraud or abuse. Additionally, in any instance where there is suspicion or knowledge of fraud, abuse, or a violation of law or policy, the PMHNP is required to report the same to the Chief Compliance Officer. The PMHNP’s compliance with this requirement will be considered in evaluating overall job performance.

We want to make our clinical services available for everyone, no matter where you come from, what you look like, or how you identify. To achieve this, we recognize we must continually make progress in building a more diverse, equitable, and inclusive team. Through these efforts, we support two primary objectives at InStride Health:

1. Providing high quality patient care to families. We are in a privileged position to support families during a vulnerable time in their lives. We approach all families and each other with compassion and are most effective as a diverse team where all individuals feel valued, respected, and accepted.
2. Building a mission-driven business that lasts. Specifically, we believe our commitment to a supportive culture improves innovation, decision-making, and efficiency.

We invite you to share any additional information about yourself or your experiences that may not be reflected in your CV. Inclusion of this information is completely voluntary.