Psychiatric Mental Health Nurse Practitioner (PMHNP)

Ironwood Behavioral Health is expanding our Spokane Valley outpatient clinic and adding a second PMHNP to the team. You'll manage an adult and adolescent medication-management panel alongside two psychiatrists, three therapists, and a dedicated RN care coordinator — with a genuine open-door collaboration culture, not a signature-only arrangement. Intakes are blocked at 60 minutes and follow-ups at 30; we practice measurement-based care with PHQ-9, GAD-7, and AIMS built into every visit workflow.

The case mix is what you'd expect from a community serving eastern Washington and the Idaho panhandle: mood and anxiety disorders, ADHD, PTSD, and a growing MAT program for opioid use disorder (buprenorphine waiver training paid if you don't have it). No inpatient rounding, no ER call — our inpatient team covers the hospital side, and warm handoffs go both directions.

Spokane gets overlooked and shouldn't be: 260 days of sun, five ski mountains within 90 minutes, a walkable downtown on the river, and Washington income tax is zero. This clinic is an NHSC-approved site, so federal loan repayment is on the table too.