Consultative Psychiatry APC (PMHNP)

Accompany Health is on a mission to give patients with complex needs the dignified, high-quality care they deserve but rarely receive. A primary, behavioral, and social care provider, Accompany Health walks alongside patients for their entire care journey, offering at-home and virtual care, as well as 24/7 support. Partnering with innovative payors, Accompany Health is powered by remarkable care teams, elegant technology, and a commitment to evidence-based practice. 

We build long-term relationships with our patients so they know, without question, that our team is here for them day or night, year after year. We focus on the health outcomes most important to our patients to make it clear that they lead the way.

To achieve our mission, we collaborate with community-based organizations, local providers, and health plans. Led by our empathetic care teams, guided by proven care models, and powered by our own technology, we deliver a level of service that our communities rightfully deserve but rarely receive. 

While our headquarters is in Bethesda, MD, our teams are distributed across the country.  If you’re eager to make a tangible difference in people’s lives, to help correct long-standing disparities in health care, join us. 

About the role:

As an Accompany Health Advanced Practice Clinician, CoCM/Bridge psychiatry you will serve patients with mild to moderate mental health, SMI and/or substance use needs, grounded in the evidence-based Collaborative Care Model that has also been adapted to meet patients with SMI/SUD (Bridge). 

You will be primarily seeing patients in our Bridge Care program, which will involve direct patient care conducted via video, phone and/or text in order to improve BH condition management, treatment-to-target, and reduction in avoidable inpatient / ED utilization. You will be responsible for accurate and appropriate clinical diagnosis of BH conditions, treatment initiation and titration including medications, and coordination of care for patients with severe mental illness (SMI), including substance use disorders. You will be supported by a supervising med-psychiatric physician as well as behavioral health clinicians (LCSW/LPC).  Within our Collaborative Care Program, you will serve as the primary psychiatric consultant with the support of a supervising med-psychiatric physician in this model, supported by med-psychiatric advanced practice clinicians and behavioral health clinicians. In collaboration with primary care and advanced practice clinicians, you’ll deliver patient-centered, measurement-based, treatment-to-target care. In addition, you will perform e-consults for our primary care teams to provide recommendations for BH diagnostic clarity and medication management. 

This role is ideal for an APC who embraces innovation, values autonomy, and wants to help shape clinical models that merge technology, compassion, and evidence-based practice.

Responsibilities will include: Direct Clinical Care

Conduct virtual comprehensive psychiatric evaluations, including diagnostic assessments, medication management, and treatment planning

Prescribe medications for depression, anxiety, PTSD, bipolar disorder, schizophrenia, substance use disorders, and other DSM5 diagnoses (this includes prescribing controlled substances in accordance with a Collaborative Practice Agreement)

Manage patients with substance use disorders in collaboration with behavioral health clinicians, including initiating or continuing medications for opioid use disorder and alcohol use disorder when appropriate

Utilize measurement-based tools (e.g., PHQ-9, GAD-7, PCL-5) to track patient progress and adjust treatment plans

Order and follow-up appropriate laboratory testing and other monitoring for patients

Provide consultative guidance to primary care and behavioral health team members on psychiatric management within the CoCM model

Manage a defined behavioral health caseload within the Collaborative Care and Bridge programs, ensuring timely follow-up and measurement-based care

Support urgent behavioral health needs by performing timely risk assessments, safety planning, and coordinating crisis intervention when required

Supporting patients in transitions of care from facilities for admissions related to behavioral health diagnoses, including but not limited to: coordinating on discharge plans with inpatient care management, performing assessments to identify risk factors for readmissions, ensuring close follow-up and coordinating services

Transition of patients from our Advanced Behavioral Health Program to CoCM or Bridge

Performs other duties as assigned

Indirect Clinical Care

Participate in weekly Behavioral Health Case Conferences (BHCC) with BHCs, including monitoring new patients, treatment planning for patients who are not improving, diagnosis refinement, management of safety issues, and patients leaving our programs

Communication with APCs on clinical recommendations made in BHCC

Communication with PCPs on clinical recommendations made in BHCC

Recognition of when to escalate supervision of complicated patients to Med-Psychiatry Associate Medical Director

Interdisciplinary Collaboration

Collaborate with Psychiatrists, Behavioral Health Clinicians, Med-Psych APCs, Primary Care APCs and Physicians, Care Team Managers, Community Health Workers, Patient Experience Navigators, and other team members to coordinate patient care

Collaborate with guardians, relatives, and significant others on client’s conditions and treatment when clinically appropriate

Clinical Diagnosis and Documentation, Quality, and Compliance

Ensure accurate and appropriate diagnosis, coding and documentation of chronic conditions with evidence-based treatment plans

Maintain timely, accurate documentation in EMR and custom care platforms and timely response to clinical queries

Provide integrated care for patients with both physical and behavioral health needs, including assisting with appropriate chronic condition diagnosis, preventative gap closure, and connection to primary teams

Technical Fluency and Innovation

Utilize digital tools and telehealth platforms to enhance patient engagement and care delivery

Contribute to the development and refinement of clinical protocols, digital workflows, and care models

Participate in quality improvement initiatives and help design innovative care programs as the organization scales

What makes you a fit for the team: Passionate about patient-centered, holistic healthcare

Thrives in a fast-paced environment and able to adapt and contribute to continuous improvement

Exhibits calm, confident clinical decision-making even in ambiguous or rapidly changing situations

Demonstrates a strong clinical ‘detective’ mindset, investigating across multiple systems to uncover the right diagnosis and supporting evidence, consistently seeking the ‘how’ and ‘why’ while thoroughly documenting patients’ conditions and needs

Comfortably manages high volumes of work, and adapts quickly as priorities shift

Fluent in technology and excited to incorporate new technology and systems into daily practice

Adaptable and flexible, embracing evolving systems and technology-driven workflow enhancements.

Demonstrates strong growth mindset, including the willingness to unlearn prior workflows and embrace new approaches.

Works collaboratively with teammates and actively seeks opportunities to learn, grow, and elevate team performance

Displays trust in the organization’s mission, values, and direction, and contributes positively to a culture of shared purpose

Flexible and adaptive—comfortable working in a fast-paced, evolving startup culture

Excited about leveraging technology to improve outcomes and access

A strong communicator and collaborator who values teamwork and innovation

Desired skills and experience: Required

Active Nurse Practitioner (NP) or Physician Assistant (PA) license in the state of employment and willingness to obtain additional licensure as requested

Certification by the American Nurses Credentialing Center (ANCC) in Psychiatric Mental Health (PMH) as a Psychiatric Mental Health Nurse Practitioner (PMHNP) or Physician Assistant with Psychiatry CAQ

Active DEA registration or eligibility to obtain; X-waiver preferred but not required

Active or eligible state-controlled substance license

Current Basic Life Support (BLS) certification

Demonstrated strong clinical judgment and ability to make independent medical decisions

Proficiency in using electronic medical record (EMR) systems

2+ years of experience in assessing, provisional diagnosis, planning, and managing behavioral patient care as acquired through clinical experience

5+ years of experience working in high risk populations with serious mental illness and substance use disorder

Expertise with DSM5 diagnostic criteria

Highly skilled in trauma-informed care and culturally sensitive care

Experience and comfort working within an interdisciplinary care team, and specifically closely collaborating with community health workers and primary care providers

Preferred

Experience working with patients with substance use disorders including prescribing suboxone, naltrexone, acamprosate, and benzodiazepines for detoxification

Experience working in value-based care setting and/or managed care, including how to appropriately assess STARS/HEDIS measures, accurately and appropriately diagnose and code clinical comorbidities, and identify clinical care gaps

#LI-Remote #LI-JL1

For Patient Facing Roles To keep our patients, communities and each other safe, you'll be required to comply with Accompany Health’s medical clearance requirements, including completing a TB screen and providing proof of immunity or vaccination for certain conditions. This is a condition of employment, and we make exceptions as required by law. Accommodation for religious and medical beliefs will be provided on a case by case basis.

We embrace diversity and believe it creates a healthier atmosphere:  Accompany Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.