Psychiatric Nurse Practitioner(PMHNP) or Physician Assistant(PA)

Join us at Hightop Health, a physician-led practice delivering innovative outpatient mental health care in Texas. 

Hightop Health is seeking a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) or Physician Assistant (PA-C) to join our holistic, collaborative team at our Roots Behavioral Health Clinic in Austin Texas. We believe in treating the whole person while providing care that is thoughtful, integrative, and tailored to each patient. From therapies like Holistic Psychiatry, Ketamine Therapy, Lifestyle and Supplement Support, TMS (in select locations) to comprehensive medication management and psychotherapy, our clinicians have every tool at their fingertips to deliver meaningful, patient-centered care. 

As a physician-led practice, we are proud to be clinician-centric, guided by top-tier physicians, and supported by a collaborative team dedicated to excellence and compassion. Our goal is to provide a professional, cohesive environment where clinicians can focus on what matters most, delivering high-quality care, while administrative systems and support staff help minimize unnecessary burdens. 

Perks:

• Manageable patient volume: 11–12 patients per day, 60-minute initial consultations, 30-minute follow-ups
• Competitive compensation
• No Weekends, No Call
• Comprehensive benefits including PTO, medical, dental, vision, and life insurance, pet insurance, 401k match, CME reimbursement, malpractice insurance with tail
• $1500 yearly CME reimbursement
• State-of-the-art EHR with AI-assisted note writing and integrated psychological assessments

Responsibilities:

• Conduct comprehensive psychiatric evaluations and assessments of patients.
• Diagnose and treat mental illnesses and disorders including major depressive disorder, bipolar illnesses, ADHD, anxiety disorders, and co-morbid substance misuse
• Develop, implement, and monitor personalized treatment plans. regularly assess and document patient progress toward their goals, making necessary adjustments to treatment plans to ensure optimal outcomes and enhanced overall well-being.
• Refer interventional treatments as appropriate including TMS, Esketamine (Spravato), and IV Ketamine. 
• Prescribe medications and monitor effectiveness, side effects, and patients’ preferences to develop an ideal pharmacological regimen
• Provide support and education to patients and their families regarding mental health conditions and treatment options.
• Collaborate with an interdisciplinary team of healthcare professionals—including psychiatrists, psychologists, and therapists—to coordinate comprehensive patient care and optimize treatment effectiveness
• Order medical work-ups including laboratory assessments, diagnostic tests, and specialty consultations to ensure that physical health and mental health are fully integrated
• Review data from clinical outcome measurements and use objective results in addition to subjective reports to modify treatment plans to help maximize effectiveness

Ideal Candidate:

• Board-Certified Psychiatric Mental Health Nurse Practitioner or PA-Certified. New Graduates Welcome
• Must have a Texas state license 
• Experience with mental health assessment, diagnosis, triage, managing common psychiatric medication and treatment plans, and managing crisis situations in an outpatient setting.
• Experience working with Athena (EHR) preferred
• Excellent communication and interpersonal skills to effectively interact with patients, families, and healthcare team members.
• Understanding of utilization management principles to optimize patient care
• In-depth knowledge of psychiatric disorders and treatment modalities
• Excellent diagnostic skills and ability to develop effective treatment plans
• Strong interpersonal skills with a desire to work collaboratively with a multidisciplinary team; willingness to actively accept feedback from collaborating physicians and other teammates and incorporate constructive recommendations into clinical practice
• Attention to detail and ability to maintain accurate, timely record

About Hightop Health

Hightop Health is the premier outpatient mental health group, committed to setting the standard for superior patient care. Our Centers of Excellence combine cutting-edge research, advanced treatment options, and industry-leading expertise to deliver evidence-based, integrative psychiatry that treats the whole person. Care is provided by top-tier clinicians who truly care, and each treatment plan is as unique as the patient receiving it, blending traditional and novel interventions, biological and psychological approaches, and personalized strategies informed by real-world outcomes.

We are a clinician-centric practice, supported by an interdisciplinary team and robust infrastructure, allowing providers to focus on delivering the highest quality care while we manage operational and administrative details.