Job Description

Title: Telehealth Provider – Psychiatric Mental Health Nurse Practitioner

Department: Clinical Operations

Reports To: VP, Clinical Operations

FLSA Status: Exempt, Full-Time, Part-Time, PRN

Position Summary

· The Telehealth Psychiatric Mental Health Nurse Practitioner (PMHNP) delivers high-quality, patient-centered virtual mental health care to members across diverse populations. The PMHNP is responsible for diagnosing and managing acute and chronic mental health conditions, prescribing medications, implementing treatment plans, and coordinating care with specialists and community resources. A key component of this role includes ensuring accurate and complete clinical documentation to support risk adjustment coding and HEDIS quality gap closure, advancing both patient outcomes and organizational performance.

Key Responsibilities

Clinical Care & Patient Management:

· Conduct virtual consultations to diagnose and treat episodic and chronic mental health conditions.

· Develop and implement individualized patient-centered care plans.

· Prescribe medications and manage treatment plans within scope of practice.

· Coordinate referrals to specialists, urgent care, complex case management, behavioral health, community resources, or in-person providers.

· Educate patients and families on management of mental health conditions and lifestyle modification.

Collaboration & Care Coordination

· Collaborate with physicians, behavioral health providers, pharmacists, case managers, and other healthcare professionals to ensure continuity of care.

· Participate in interdisciplinary team meetings to review patient cases and align care strategies.

· Support integration of telehealth services into population health and quality improvement programs.

Documentation & Compliance

· Maintain accurate, timely, and complete documentation of all patient encounters in accordance with organizational, NCQA, CMS, and state standards.

· Apply appropriate ICD-10 coding to ensure accurate risk adjustment capture and support revenue integrity.

· Adhere to telehealth best practices, HIPAA privacy/security requirements, and all state/federal regulations.

Qualifications

Required:

· Master’s degree in nursing (MSN) or Doctor of Nursing Practice (DNP).

· Active, unrestricted Nurse Practitioner license in Ohio and Arizona. Additional states may be required depending on business needs.

· National certification as a Psychiatric-Mental Health Nurse Practitioner (PMHNP).

· Minimum 2 years of clinical experience as a PMHNP in primary care, specialized mental health care, or telehealth.

· Demonstrated knowledge of risk adjustment coding (HCC/RAF) and HEDIS measures.

· Proficiency in electronic health records (EHR) and telehealth platforms.

· Reliable internet connection and private workspace.

Preferred:

· Experience in managed care, population health, or integrated delivery systems.

· License to prescribe controlled substances.

· Familiarity with NCQA standards and quality improvement programs.

· Bilingual or multilingual skills.

Ideal Candidate Profile

· The ideal candidate is a clinically experienced PMHNP with a strong foundation in both virtual care delivery and managed care documentation requirements. They are skilled at identifying and coding chronic conditions for risk adjustment, closing HEDIS gaps in care, and engaging patients in preventive health. They demonstrate adaptability, cultural competence, and the ability to collaborate across disciplines to improve member outcomes while supporting organizational quality and financial performance.

What We Offer

· A fully remote position.

· Competitive compensation.

· Malpractice Insurance coverage.

· Access to a dedicated and supportive clinical team.

· Opportunities for growth, continuing education, and professional development.