Skilled Nursing Facility (SNF) Psychiatry
Location: Roanoke, Virginia (Facility-Based / On-Site)
Additional coverage opportunities available throughout the Roanoke region.
About Prefer NP
Prefer NP is a rapidly growing network of advanced practice providers dedicated to expanding access to high-quality behavioral healthcare throughout skilled nursing and long-term care facilities. We partner with nursing facilities to provide comprehensive psychiatric evaluations, medication management, and ongoing mental health services for residents who need specialized behavioral healthcare.
Position Overview
We are seeking an experienced Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) to provide in-person psychiatric services across our partner Skilled Nursing Facilities (SNFs) in the Roanoke, VA area.
This is a facility-based role focused on serving geriatric and long-term care residents. Providers will conduct psychiatric evaluations, medication management, follow-up visits, and collaborate closely with interdisciplinary care teams to improve patient outcomes and quality of life.
Responsibilities
- Conduct comprehensive psychiatric evaluations for SNF residents
- Diagnose and treat psychiatric and behavioral health conditions
- Provide psychotropic medication management and routine follow-up care
- Develop individualized treatment plans
- Collaborate with facility physicians, nursing staff, therapists, and social workers
- Ensure compliance with CMS, Medicare, and long-term care regulations
- Document patient encounters accurately within CharmHealth EHR
- Participate in interdisciplinary care planning and quality improvement initiatives
Qualifications Required
- Active PMHNP-BC license in Virginia
- DEA registration (or ability to obtain)
- Current Virginia APRN license
- Ability to travel between partner Skilled Nursing Facilities within the Roanoke area
- Strong clinical assessment and medication management skills
Preferred
- Previous experience in Skilled Nursing Facilities (SNFs), Long-Term Care (LTC), Assisted Living, or Geriatric Psychiatry
- Familiarity with Gradual Dose Reduction (GDR) guidelines and psychotropic medication management in accordance with CMS regulations
- Previous Medicare credentialing/enrollment
- Experience treating geriatric, dementia, and behavioral health populations
- Comfortable practicing independently while collaborating with facility care teams
What We Offer
- Competitive visit-based compensation
- Potential to earn $200,000+ annually (full-time)
- Flexible scheduling
- Full credentialing and billing support
- Established patient referrals through our SNF partnerships
- CharmHealth EHR access and training
- Clinical autonomy with strong operational support
- Opportunity to build a consistent patient panel within established facilities
Ideal Candidate
We're looking for providers who:
- Enjoy working with older adults and medically complex patients
- Have experience in SNF, LTC, rehabilitation, or post-acute care settings
- Understand CMS regulations and best practices for psychotropic medication management
- Are organized, dependable, and collaborative
- Want to make a meaningful impact on underserved long-term care populations
Application Questions
- Have you previously been credentialed or enrolled with Medicare?
- Do you have experience providing psychiatric care in Skilled Nursing Facilities or Long-Term Care settings?
- Are you able to travel between SNFs in the Roanoke, VA area?
- Are you currently licensed to practice as a PMHNP in Virginia?
Join Prefer NP
If you're passionate about improving behavioral healthcare for residents in Skilled Nursing Facilities, we'd love to hear from you. Join a growing team committed to delivering compassionate, high-quality psychiatric care throughout the Roanoke community.
Pay: $100,000.00 - $200,000.00 per year
Benefits:
Work Location: In person