Description

NP-Owned Practice. W-2. No Call. Competitive Commission.

Why Balance Mental Health:

Balance Mental Health is a psychiatric nurse practitioner-owned group practice in Concord, New Hampshire. We specialize in general adult outpatient psychiatry with a strong focus on ADHD and neurodivergence, trauma-informed care, and LGBTQIA+ affirming treatment.

We built this practice around one premise: clinicians do their best work when they have autonomy, support, and a caseload that actually fits their values. We don’t have corporate overhead, productivity quotas disconnected from reality, or the chaos of inpatient and emergency settings. What we do have is a warm, collaborative team, and a patient population that is engaged in their care.

What Makes This Role Different

      NP-owned and operated — clinical decisions stay with clinicians

      No after-hours, no on-call — ever

      You set your own schedule within a hybrid framework (2–4 days in-office, Concord, NH)

      Virtual receptionist handles scheduling, screening, and patient intake logistics

      Comprehensive billing support — you focus on patients, not claims

      Marketing and advertising investment to build your caseload efficiently

      Bright, well-equipped office space with collaborative colleagues

The Role

You will carry an independent general adult outpatient psychiatry caseload, conducting psychiatric evaluations and medication management via in-person and telehealth appointments. You’ll work collaboratively with our therapy staff and maintain timely, thorough documentation.

This is not a supervised or transitional role. We are looking for a clinician who is ready to practice with full autonomy and wants to build a stable, values-aligned panel.

Compensation & Benefits

Compensation is W-2 and commission-based at 50% of collected receivables. Full-time PMHNPs at Balance Mental Health have earned between $150,000 and $215,000 based on actual 2025-2026 collections data. That range reflects differences in weekly client volume, appointment length, and billing patterns, including whether appointments combine med management with a therapy add-on. We believe in pay transparency and want you to have the real picture before you apply.

Benefits include:

      Health and dental insurance

      Paid federal holidays

      401(k) with employer match

      Paid malpractice/liability insurance

     Paid on-site gym access, 24 hours a day

Location & Schedule

2 Delta Drive, Suite 303, Concord, NH 03301. Hybrid schedule with 2–4 days per week in-office. Telehealth days flexible. No weekend or evening requirements.

To Apply

If this sounds like the kind of practice environment you’ve been looking for, we’d like to talk. Along with applying, please send a brief note about your clinical background and what matters most to you in a practice setting.

Balance Mental Health is an equal opportunity employer. We are deeply committed to building a team that reflects the communities we serve.

Requirements

Core responsibilities:

      Conduct psychiatric evaluations and ongoing medication management for adult patients

      Provide hybrid care — in-person in Concord, NH, and telehealth

      Order and interpret relevant laboratory and diagnostic studies

      Collaborate with in-house therapists and make referrals as clinically appropriate

      Complete documentation within 24 hours of each encounter

Who We’re Looking For

      Licensed PMHNP with active NH licensure (or ability to obtain)

      DEA registration, current or eligible

      Comfortable working with adults across a range of presentations — mood, anxiety, ADHD, trauma

      Culturally humble and affirming with LGBTQIA+ and neurodivergent patients

      Self-directed, organized, and committed to documentation timeliness

      2+ years of PMHNP clinical experience preferred; new grads with strong clinical training considered