Nurse Practitioner, Med-Psych

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:

We’re seeking a Med/Psych Advanced Practice Clinician (APC) who thrives in a dynamic, collaborative environment and is eager to deliver high-quality care across both medical and behavioral health domains. The ideal candidate brings clinical expertise in primary care and psychiatric management—comfortable managing complex, comorbid patients in virtual settings.

As a Med-Psychiatric Advanced Practice Clinician, you will serve patients in our High Risk Advanced Behavioral Health Model in a BH-first model as their longitudinal provider with the primary goal of keeping our patients healthy at home.  Our High Risk Advanced BH patients are those who have Serious Mental Illness (SMI) and/or Substance Use Disorder (SUD) and often also have co-occurring complex chronic medical conditions who have high risk of hospital and ED utilization for either or both medical and psychiatric reasons. You will work as a part of a multidisciplinary team consisting of supervising med-psychiatric physicians, behavioral health clinicians (LCSW/LPC), and health advocates who have BH expertise.  With your team, you’ll provide longitudinal care and build trusted relationships with your patients—delivering care virtually and often facilitated by an in-home BH-trained health advocate. You’ll diagnose and manage chronic psychiatric and medical conditions, ensure evidence-based preventive care, address urgent needs, and identify and help overcome any barriers or obstacles to their health.

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: Patient Care Delivery

Conduct virtual onboarding and follow-up visits, facilitated by a Health Advocate, to complete comprehensive biopsychosocial assessments, diagnose and manage chronic conditions using evidence-based guidelines, perform preventive screenings, and close preventive and quality care gaps

This includes addressing BOTH medical and behavioral health diagnoses and treatment plans including chronic disease management, acute medical issues, depression, anxiety, bipolar disorder, PTSD, schizophrenia, substance use disorders, and other mental health disorders

Guarantees every patient is seen face-to-face annually and proactively completes additional visits when clinical needs or care gaps arise

Order and follow up on labs and imaging to inform diagnosis, prevention, and treatment

Manage patients with chronic conditions (e.g., hypertension, diabetes, COPD, heart disease) in collaboration with external providers by developing individualized, evidence-based care plans to optimize health outcomes

Manage patients with substance use disorders and prescribe medications for opioid use disorders, such as suboxone, and medications for alcohol use disorder, such as naltrexone (IM/PO) or acamprosate (this includes suboxone induction and outpatient alcohol detox for patients who are candidates, in supervision with the our Psychiatrist)

Prescribe long-acting injectable medications for appropriate patients

Provide health coaching, lifestyle counseling, and patient education to promote self-management and improved outcomes

Coordinate necessary referrals or home-based services with specialists and community partners

Participate in a rotating call schedule to address urgent clinical needs and support more healthy days at home

Clinical coverage and training in the Collaborative Care and Bridge Programs, including Behavioral Health Case Conference, for coverage when colleagues are on leave or vacation

Interdisciplinary Collaboration

Work in close collaboration with Health Advocates- providing clinical support and guidance to their activities to help them coach and empower patients on successful self-management of their health, particularly with outpatient SUD treatment, LAI management, and mental health accompaniment

Work in close collaboration with our Behavioral Health Clinicians in supporting clinical goals and co-managing patients

Refer, collaborate and co-manage patients with our nursing and pharmacy teams

Collaborate with external providers and community organizations to ensure care aligns with patient goals as well as social, home health, and DME needs (this particularly includes external psychiatrists and care managers in community mental health)

Participate in the Advanced BH Case Conference where you will refine treatment plans in a multi-disciplinary fashion, addressing clinical documentation, quality gaps, treatment planning, transitions of care, and complex care planning

Clinical Diagnosis and Documentation, Quality, and Compliance

Ensure accurate and appropriate diagnosis, coding and documentation of chronic conditions with evidence-based treatment plans, including BOTH physical and mental health conditions

Maintain timely, accurate documentation in EMR and custom care platforms

Own the quality of preventative care delivered by helping patients close HEDIS quality gaps

Respond to clinical documentation queries in a timely manner

Technical Fluency and Innovation

Quickly learns and adapts to new tools, software, and systems—including AI-driven solutions—that support patient engagement, care coordination, and clinical decision-making

Understands the intersection of healthcare and technology, leveraging data-driven platforms, electronic medical records, and AI-enabled insights to independently problem solve and improve patient outcomes and operational efficiency

Performs other duties as assigned

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

Desire to work primarily with patients with severe mental illness and substance use disorders to improve both their medical and behavioral health care through true integration

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, which includes trusting the clinical skills of team members such as behavioral health clinicians

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

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

5+ years of experience working in high risk populations with serious mental illness and substance use disorder with co-occuring complex medical conditions

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

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:

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

Experience in working in community mental health and/or integrated care settings

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.