Advance Practice Provider Psychiatry Fellowship

Position Summary

The Advanced Practice Provider Fellow participates in a structured six-month fellowship designed to develop safe, high-quality clinical practice in psychiatry, behavioral health crisis care, and substance use treatment. The fellow may be a newly graduated or early-career Nurse Practitioner or Physician Assistant and will practice only within applicable licensure, credentialing, privileging, and organizational requirements.

The position combines supervised patient care, didactic education, clinical case conference, direct observation, chart review, and progressive responsibility across outpatient, crisis, child/adolescent, adult, and substance use settings. The fellow works under an assigned physician supervisor and senior APP mentor and receives increasing clinical responsibility as competencies are demonstrated.

The position is expected to develop skills in psychiatric evaluation, differential diagnosis, treatment planning, psychotropic medication management, risk assessment, crisis stabilization, and care coordination. The fellow participates in interdisciplinary teams and collaborates with physicians, APPs, therapists, nurses, pharmacists, case managers, and community partners.

The fellow is expected to maintain timely, accurate, and clinically defensible documentation and to learn applicable coding, billing, EMR, and productivity standards. The fellow must demonstrate professional communication, accountability, receptivity to feedback, and appropriate escalation of clinical uncertainty or risk.

Successful completion of the fellowship requires satisfactory competency evaluation and approval for transition to full clinical capacity, subject to applicable credentialing and organizational requirements.

Essential Duties and Responsibilities

• Conduct supervised psychiatric, behavioral health, medical, and substance use evaluations appropriate to the fellow's current level of training and legal scope.
• Develop differential diagnoses and evidence-informed treatment plans under appropriate clinical supervision.
• Provide supervised medication management, including medication selection, initiation, adjustment, monitoring, education, and follow-up within authorized scope.
• Perform suicide, violence, medical, intoxication, and withdrawal risk assessments and escalate care appropriately.
• Participate in behavioral health crisis evaluations, stabilization, safety planning, disposition planning, and higher-level-of-care referrals.
• Participate in substance use disorder treatment and MAT experiences, including assessment, motivational interviewing, relapse prevention, and medication treatment when legally and organizationally authorized.
• Complete timely, accurate, and compliant clinical documentation and develop competence in EMR, coding, billing, and workflow requirements.
• Participate in interdisciplinary treatment teams, case conferences, supervision, and clinical consultation.
• Complete required rotations, didactic assignments, competency assessments, and a quality-improvement project.
• Demonstrate professional judgment, accountability, communication, patient-centered care, and continuous incorporation of supervisory feedback.

Supervisory Responsibilities

This position does not have supervisory responsibilities.

Knowledge, Skills, and Abilities

• Prior clinical experience in behavioral health, psychiatry, emergency medicine, primary care, inpatient medicine, pediatrics, or substance use treatment.
• Experience with psychiatric interviewing, medication management, crisis assessment, or integrated behavioral health.
• Interest or experience in quality improvement, clinical education, or evidence-based practice.
• Strong teamwork and communication skills.
• Comfort working with patients across diverse ages, diagnoses, acuity levels, and care settings.

Minimum Qualifications

Education

• Nurse Practitioners- Master of Science in Nursing, or Doctor of Nursing Practice within six months of program initiation.
• Physician Assistants- Master of Physician Assistant Studies at an NCCPA accredited program

Licenses and Certifications

• Nurse Practitioners- Registered Nurse in Missouri - all requirements met for ARNP or Physician Assistant withing six months of program initiation or
• Physician Assistants- Registered Physician Assistant Licensure through board of Health and Healing Arts

Physical and Work Environment Requirements

• Work is performed in an office, clinical, residential, and/or community-based environment depending on role and assignment.
• The position may involve routine use of office, clinical, or electronic systems and equipment.
• Duties may require prolonged periods of sitting, standing, walking, and working at a computer.
• Work hours may include evenings, weekends, holidays, or extended shifts based on program needs.

This position is classified as sedentary work. Sedentary work involves exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects.

Position Perks & Benefits

Paid time off: full-time employees receive an attractive time off package to balance your work and personal life

Employee benefits package

• full-time employees receive health, dental, vision, retirement, life, & more
• Top-notch training: initial, ongoing, comprehensive, and supportive
• Career mobility: advancement opportunities/promoting from within
• Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness.

Brightli is on a Mission

A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.

As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.

• We are an Equal Employment Opportunity Employer.
• Burrell Behavioral Health is a Smoke and Tobacco Free Workplace.