Medical Jobs

company About Mainspring Recovery Mainspring Recovery is a mission-driven behavioral health organization built on the belief that healing happens when the right people are in the room. We provide care across multiple levels, including Residential, Partial Hospitalization (PHP), and Intensive Outpatient (IOP), supporting individuals and families throughout the recovery process. Every role at Mainspring, clinical and non-clinical alike, contributes to creating safe, structured, and effective environments where people can rebuild their lives. We invest in strong teams, clear systems, and thoughtful leadership, believing meaningful impact comes from doing the work well, supporting one another, and holding ourselves to high standards across the organization. role Job Title: Nurse Practitioner - Dually Licensed (PMHNP and FNP/AGNP) Reports To: Medical Director / Executive Director Department: Medical Location: On-site, Dumfries, VA Employment Type: Full-time | Salaried | Exempt Compensation : The pay for this position is $170,000-180,000 salary, set in good faith based on the responsibilities of the role, qualifications, and market conditions Job Summary Mainspring Recovery is seeking a Nurse Practitioner to join our interdisciplinary clinical team supporting individuals in recovery from substance use disorders (SUD) and co-occurring mental health conditions. This position may be filled by a Psychiatric Nurse Practitioner (PMHNP) or a Medical Nurse Practitioner (FNP/AGNP) depending on the candidate's licensure and area of expertise. The NP will provide specialty-focused care — psychiatric or medical — while maintaining a whole-person approach aligned with Mainspring's mission. Key Responsibilities Upon admission, conduct a comprehensive specialty-specific intake evaluation: For Psychiatric NPs (PMHNP): Complete psychiatric intake evaluation including mental status exam (MSE), trauma history, and psychiatric review of systems Diagnose and document DSM-5 psychiatric conditions (e.g., mood disorders, anxiety, PTSD, psychosis) co-occurring with SUD Assess suicide/homicide risk and   establish   a safety plan Review current psychotropic medication history and   identify   medication-assisted treatment (MAT) need Establish an individualized psychiatric treatment plan with short- and long-term goals Routinely approve continuation of medications upon intake until full assessment can be completed. For Medical NPs (FNP/AGNP): Perform a full history and physical examination (H&P) upon admission  Identify   and document acute and chronic medical conditions   impacting   SUD/MH treatment  Complete a medical review of systems, addressing concerns common in SUD populations  Order and interpret admission labs, toxicology screens, and diagnostic imaging/tests   as indicated  Establish an individualized medical treatment plan addressing the patient's needs during Mainspring care  Routinely approve continuation of medications upon intake until full assessment can be completed  SUD & Mental Health Focus During Mainspring Care Identify   and address SUD-specific clinical needs including withdrawal management, detox monitoring, and MAT initiation or continuation (buprenorphine, naltrexone, etc.)  Collaborate with counselors, case managers, and behavioral health staff to ensure psychiatric and medical needs are integrated into the patient's individualized treatment plan  Participate in interdisciplinary treatment team meetings and case conferences  Provide clinical consultation to staff   regarding   the intersection of medical/psychiatric conditions and SUD recovery  Screen for co-occurring disorders and refer internally or externally as appropriate  Routine Follow-Up & Ongoing Care Conduct scheduled follow-up appointments throughout the patient's stay to   monitor   treatment response, medication efficacy, and overall health status  Reassess and update the care plan based on patient progress, emerging concerns, or changes in clinical status  Document all clinical encounters, assessments, and care plan updates accurately and   in a timely manner   in the EHR  Monitor vital signs, labs, and diagnostic results; communicate critical values and   initiate   appropriate follow-up  Provide patient education   regarding   diagnosis, medications, side effects, and self-management strategies relevant to SUD recovery  Medication Ordering & Prescribing Prescribe and manage medications within scope of practice, including MAT medications, psychiatric medications, and medications for co-occurring medical conditions  Conduct medication reconciliation upon admission, during treatment, and at discharge  Monitor for medication interactions, contraindications, and adverse effects with attention to substances common in SUD populations  Utilize the Virginia Prescription Monitoring Program (PMP) as   required   prior to prescribing controlled substances  Collaborate with the Medical Director on complex or high-risk medication regimens  Peer-to-Peer Reviews & Utilization Management Complete peer-to-peer (P2P) reviews with insurance medical directors as   required   to advocate for medically necessary levels of care, continued stays, or treatment services  Document clinical justification for level-of-care determinations in alignment with ASAM criteria  Communicate with payers and   utilization   management teams to support authorization of clinical services  Partner with the clinical and administrative team to ensure   timely   completion of P2P requests to avoid disruptions in patient care  Additional Responsibilities Refer patients to outside healthcare resources and specialists when clinical needs exceed on-site scope of care  Maintain up-to-date knowledge of SUD treatment guidelines, MAT protocols, and psychiatric best practices  Perform all other duties as assigned by the Executive Director or Medical Director  Minimum Qualifications Education / Credentials Active Nurse Practitioner licensure in the Commonwealth of Virginia (required)  Board certification as a PMHNP-BC, FNP-C/FNP-BC, or AGNP-C/AGPCNP-BC  Active DEA registration in Virginia (required)  Current BLS/CPR certification (required)  Experience Minimum of one (1) year of clinical experience in a psychiatric, SUD, behavioral health, or related healthcare setting preferred  Experience with medication-assisted treatment (MAT) preferred  Experience completing peer-to-peer reviews with insurance companies preferred  Knowledge / Skills Strong clinical assessment skills with ability to   identify   and manage acute and chronic conditions in SUD/MH populations  Familiarity with ASAM criteria and levels of care for SUD treatment  Proficiency   with electronic health records (EHR)  Excellent written and verbal communication skills  Commitment to trauma-informed, culturally responsive, and patient-centered care  Working Conditions Direct Care Position  Full-time,   40 hours   per week, Monday-Friday 10:00am-6:30pm, on-call  On-site  Why This Role Matters At Mainspring Recovery, we believe that healing from substance use disorder requires addressing the full picture of a person's health — mind and body. Our Nurse Practitioners are essential to that mission. Whether your   expertise   is psychiatric or medical, your work directly supports patients in one of the most vulnerable and transformative periods of their lives. You will be part of a compassionate, collaborative team dedicated to meeting patients where they are and guiding them toward lasting recovery. Pre-Employment Requirements Mainspring conducts, as required, job-related background checks, drug testing, TB testing, verification of employment history, and/or reference checks prior to employment. Equal Employment Opportunity Statement Mainspring is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other protected status in accordance with applicable federal, state, and local laws. EEO is the Law: http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf

Support veterans by keeping healthcare operations running smoothly within a structured clinical environment where your organization, customer service, and attention to detail help support timely access to healthcare services. At International SOS Government Medical Services, you'll support healthcare programs that improve patient care and operational readiness across the U.S. and internationally. Founded in 1984, International SOS operates in more than 90 countries, delivering healthcare, medical assistance, emergency response, and workforce support services worldwide. You'll help veterans access care by coordinating appointments, managing medical records, and supporting front-line administrative operations within a structured, veteran-focused healthcare environment. Working alongside interdisciplinary clinical and administrative teams, you'll serve as an important resource for veterans and clinical staff while helping keep scheduling, documentation, patient communication, and administrative workflows accurate and timely. Employment Type: Full-Time Schedule: Monday-Friday with an assigned eight-hour shift: 7:00 a.m.-3:30 p.m., 7:30 a.m.-4:00 p.m., or 8:00 a.m.-4:30 p.m. The schedule includes a 30-minute lunch period and two 15-minute breaks. No on-call service is required. Key Responsibilities Interpret and verify provider orders and coordinate appointments, consults, recalls, cancellations, rescheduling, no-show documentation, and related scheduling activities. Maintain electronic patient records by entering, updating, retrieving, scanning, and managing healthcare information within required medical-record and scheduling systems; upload outside records when assigned to Health Information Management. Provide front-line assistance to veterans by answering incoming and outgoing calls, greeting patients, responding to administrative questions, and connecting them with the appropriate staff or resources. Support Release of Information, insurance-document capture, encounter documentation, scheduling alerts, and other assigned patient-administration workflows. Assist veterans with My HealtheVet enrollment, authentication, secure messaging, and communication between patients and providers. Protect patient confidentiality and sensitive information in accordance with HIPAA, the Privacy Act, and applicable healthcare information-security requirements. Adapt to assigned administrative functions that may include Community Care, Health Information Management, Eligibility and Enrollment, transportation services, travel reimbursement, call-center support, or other patient-facing operations. If you take pride in being the person patients and clinical teams can depend on, you'll find your place here. Requirements High school diploma or GED required. At least six months of clerical, office, customer service, or administrative experience, or one year of education above high school. Ability to type at least 40 words per minute. Ability to use electronic medical records, patient scheduling systems, databases, office equipment, and required reporting applications; basic knowledge of computerized patient-record functionality. Strong customer service and communication skills, with sound judgment, adaptability, and the ability to manage multiple priorities. U.S. Citizen or Permanent Resident required; ability to obtain and maintain the required VA Public Trust clearance. Privacy Disclaimer: Policy Link By clicking “I’m Interested” and submitting your application, you acknowledge that you have read and understood the applicable Privacy Policy  (available via the link above) and agree that International SOS Government Medical Services, may collect, use, store, transfer, and otherwise process your personal information in accordance with that Privacy Policy for recruitment and hiring purposes. Compensation Disclaimer: Pay range is based on several factors and may vary in addition to a full range of medical, financial, and/or other benefits. Final salary and offer will be determined by the applicant’s background, experience, skills, internal equity, and alignment with geographical market data. Benefits Language (FTE roles): Full-time positions are eligible for our comprehensive and competitive benefits package including medical, dental, vision, and basic life insurance. Additional benefits include a 401k plan, paid time off, and an annual bonus. International SOS Government Medical Services complies with all federal, state, and local minimum wage laws. Equal Opportunity Employer (EEO) Statement: International SOS Government Medical Services is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state, and local laws.

The Nurse Supervisor will manage and coordinate medical and other activities of an assigned shift to provide quality care. Assure compliance with all facility policies and procedures regarding quality assurance, safety, environmental and infection control and all regulatory and accreditation requirements.

Direct and indirect observation, bi-monthly meetings, monitoring shift reports, and medical record documentation.

To oversee and implement nursing care to patients on the medical unit and in the residential treatment programs.