Deliver Presence-Based Psychiatric Care Where It’s Needed Most

We are seeking Psychiatric Mental Health Nurse Practitioners (PMHNPs), Family Nurse Practitioners (FNPs) interested in psychiatric care, and Psychiatrists to join our Stronger Residential Services Program throughout Oregon.

This is not a traditional medication-management position.

This is relationship-based psychiatric care delivered directly within residential settings serving individuals with Severe and Persistent Mental Illness (SPMI). Our prescribers become part of the treatment environment itself—working alongside therapists, residential staff, Peer Support Specialists, Skills Trainers, and families to stabilize and support some of Oregon’s highest-acuity populations.

You will provide care across a range of residential placements, including:

• Large residential settings (approximately 52 beds)

• Mid-sized residential settings (approximately 16 beds)

• Small community-based placements (approximately 2 beds)

Each environment requires adaptability, presence, emotional intelligence, and strong interdisciplinary collaboration.

About the Program: ECOS & ECS

Our Stronger Residential Services Program provides services under Enhanced Care Outreach Services (ECOS) and Enhanced Care Services (ECS)—specialized Medicaid-supported programs that operate outside of the traditional CCO outpatient structure.

This allows providers to:

• Deliver psychiatric care directly in residential environments

• Support individuals with complex psychiatric and social needs

• Focus on clinical outcomes—not rushed productivity metrics

• Build meaningful long-term relationships with clients and teams

• Participate in a developing wraparound model of care

Who You’ll Serve

You will work with individuals experiencing:

• Schizophrenia spectrum and psychotic disorders

• Bipolar disorder

• Major depressive disorder

• PTSD and complex trauma

• Severe anxiety disorders

• Co-occurring substance use disorders

• Chronic suicidality and repeated hospitalization histories

Many individuals also present with:

• Medical complexity

• Cognitive impairments

• Developmental or social challenges

• Histories of failed placements or system cycling

• Significant distrust of systems and providers

These are individuals whose housing, food, and safety needs may finally be stabilized—but meaningful psychiatric care has often remained inconsistent, inaccessible, fragmented, or overly medication-focused.

Your role is not simply to prescribe medications.

Your role is to become a stabilizing, trusted clinical presence within the environments where people live.

This Is Not a Quantity-of-People Position

We want to be direct:

This is not “15-minute med checks” all day.

This role prioritizes:

• Quality over volume

• Presence over speed

• Relationships over quotas

• Clinical judgment over productivity pressure

We are intentionally building a model where psychiatric providers have the time and flexibility to:

• Observe environments directly

• Collaborate with residential staff

• Understand behavioral patterns longitudinally

• Participate in team consultation

• Build rapport with highly vulnerable individuals

• Provide thoughtful and measured medication management

The best outcomes in high-acuity behavioral health often come from consistency, trust, and integrated relationships—not simply medication adjustments.

What You’ll Do

Depending on licensure and experience, responsibilities may include:

• Psychiatric evaluations

• Medication management

• Ongoing psychiatric follow-up

• Collaboration with therapists and case teams

• Residential staff consultation

• Participation in interdisciplinary treatment planning

• Family consultation and psychoeducation

• Crisis support and stabilization planning

• Review of behavioral and environmental contributors to psychiatric symptoms

This is deeply integrated psychiatric care—not isolated prescribing.

Training & Support

We recognize that not all providers come from psychiatric-specialty backgrounds.

That is okay.

We are open to:

• PMHNPs

• FNPs transitioning into psychiatric practice

• Psychiatrists interested in community-integrated care

For Family Nurse Practitioners and others transitioning into behavioral health, we provide structured internal and external training pathways.

Training may include:

• Residential behavioral health immersion

• Shadowing across placements

• Psychiatric consultation support

• Ongoing interdisciplinary consultation

• Training in severe mental illness treatment

• Trauma-informed care development

• Oregon Medicaid behavioral health systems training

We are looking for providers who are thoughtful, collaborative, emotionally grounded, and genuinely interested in this population.

Why This Role Matters

This is one of the most meaningful psychiatric positions in behavioral health today.

You will help:

• Prevent psychiatric hospitalization

• Reduce emergency department utilization

• Support individuals in remaining in the least restrictive setting

• Improve medication adherence through relationships—not coercion

• Stabilize placements that might otherwise fail

• Bring psychiatric access to environments historically underserved

This is systems-level impact delivered person-to-person.

Work Structure & Flexibility

• Full-Time = 35 hours/week (benefits eligible)

• Flexible scheduling based on placements

• Hybrid field/community-based structure

• Regionalized placement assignments when possible

• Balanced caseloads reflective of acuity and relationship-based care

Compensation

FTE non exempt: $145,600 to $221,312 (Depends on commissions)

• $80 an hour ($5,600 per pay period before taxes and deductions) with the potential to earn an extra commission ($0-$2,900 per pay period).

  • If 70% of the total earned billable services calculated for a pay period (2 weeks) exceed base pay ($5,600), the excess beyond the base pay amount will be earned as a commission!

Pay-period income estimates for transparency (Take a look at the annual estimations):

• The minimum per pay period (2 weeks) is 70 hours multiplied by $80 hourly wage creating a total of $5,600 before taxes and deductions. Total commissions that surpass this base amount will be added on to your earnings.

  • Example: An OHP insurance reimbursement for

    • Psychiatric diagnostic evaluation with medical services is $254.66 in total

    • 23-37 minutes of “Comprehensive medication services” is $86.22 in total (half for 15min)

    • 23-37 minutes of “Medication Training/Support” is $61.00 in total (half for 15min)

  • Pay period income estimations:

    • $6,926 before deductions. (Assuming 26 earned billable service hours per week)

    • $7,714 before deductions (Assuming 29 earned billable service hours per week)

    • $5,600 before deductions (Assuming 10, or less, earned billable service hours per week)

      • This can sometimes be your first few weeks as your caseload builds.

  • Annual income estimations:

    • $145,600 before deductions (Average of 21 or less earned billable service hours a week).

    • $179,816 before deductions (Average of 26 earned billable service hours a week).

    • $200,564before deductions (Average of 29 earned billable service hours a week).

    • $221,312 before deductions (Average of 32 earned billable service hours a week).

Includes health/dental/vision (no monthly premium), 401k Matching, 80 PTO hours (these tier every year), 40 sick hours (these tier every year), 10 paid holidays.

Benefits & Growth

• Health, Dental, Vision (no monthly premium for full-time)

• 401k Matching

• PTO, Sick Time, Paid Holidays

• Free advanced clinical trainings

• Supervision and consultation included

Preferred Qualifications

• Oregon PMHNP license

• Oregon Psychiatrist licensure

• FNP with strong interest in psychiatric care and willingness to train

• DEA registration (or ability to obtain)

• Strong interdisciplinary communication skills

• Comfort working with high-acuity populations

• Trauma-informed and relationship-centered approach

Ideal Personality Traits

• Calm under pressure

• Flexible and adaptable

• Curious rather than judgmental

• Strong relational presence

• Systems thinker

• Team-oriented

Why Stronger Oregon

At Stronger Oregon, we are building behavioral health systems designed for the future—not simply maintaining the limitations of the past.

We believe psychiatric care works best when providers:

• Are embedded in the environments where people live

• Have time to build trust

• Collaborate closely with interdisciplinary teams

• Focus on long-term stabilization rather than transactional prescribing

We are building a statewide integrated behavioral health model that brings together:

• Therapists

• Prescribers

• Peer Support Specialists

• Skills Trainers

• Residential teams

• Community systems

Closer to the client.
Closer to real life.
Closer to what actually works.

The Bottom Line

If you want to:

• Practice psychiatry in a more human-centered way

• Work with high-acuity populations meaningfully

• Escape rushed volume-based medication management

• Be part of a new integrated care model

• Build deep clinical expertise in real-world behavioral health

Then this role may be exactly what you’ve been looking for.

Join us in building a Stronger Oregon—one relationship, one placement, one breakthrough at a time.