Psychiatric Nurse Practitioner, OBOT - Job Location: Fredericksburg, VA
Company: Rappahannock Area Community Services Board
Location: Manassas
Posted on: February 18, 2026
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Job Description:
Job Description Job Description SUMMARY Provides medical,
diagnostic and treatment services to individuals with substance use
and mental health disorders in collaboration with agency
psychiatrists. Work is performed under general supervision and is
guided by policies and procedures, quality assurance, public and
private payor guidelines, diagnostic guidelines and professional
practices and including ethical standards related to client
interactions, state and federal licensure and accreditation
regulations and guidelines. Primary role will be serving those with
a primary opioid use disorder in a mobile OBOT/OBAT setting. DUTIES
AND RESPONSIBILITIES Performs mental status and/or other medical
examinations in collaboration with the psychiatrist. Medical
examinations include those for persons admitted to the agency's
crisis stabilization program within one business day of their
admission. Diagnose illnesses and carries out the necessary medical
or psychiatric treatment program for adolescents and adults served
by the agency, including assessment and induction of medication for
opioid use disorders-excluding methadone. Provides technical
supervision of direct treatment services performed by other service
providers. Provides consultation, education and training services
to individuals and agencies. Provides crisis intervention/emergency
services, sharing on-call responsibilities with other prescribers
in order to provide necessary coverage during nights, weekends and
holidays. Conducts psychiatric evaluations as requested by
appropriate individuals/agencies. Performs timely evaluations and
provides treatment and referral to persons discharged from state
and private psychiatric facilities in accordance with continuity of
care agreements. Provides required medical and administrative
documentation. Performs other related duties as assigned.
KNOWLEDGE, SKILLS, AND ABILITIES Thorough knowledge of the
principles, standards, practices and techniques related to
Psychiatry and nursing; thorough knowledge of the characteristics
and precautions to be taken in the administration of psychotropic
medication; thorough knowledge of the principles, practices, and
techniques related to individual therapy, counseling practices and
risk assessment for the mentally ill; thorough knowledge of
individual management guidelines for Virginia; thorough knowledge
of the laws and legal procedures relating to hospital admission;
thorough knowledge of community resources hospitalization options,
treatment providers and other agencies in service to the mentally
ill population; ability to establish and maintain rapport with the
individual population; ability to establish and maintain effective
working relationships with other staff and with private and public
community partners; physicians, subordinates and others contacted
in the course of work; ability to function calmly in stressful, if
not crisis situations; ability to risk assess and prioritize
service demands; ability to prepare and maintain patient medical
records and prepare reports in compliance with licensure
regulations; ability to conduct effective interviews, observe,
assess and record individual behaviors and functioning and develop
treatment and service plans; ability to communicate effectively,
orally and in writing; ability to confidently provide expert
testimony in both oral and written formats; ability to operate a
vehicle. TYPICAL EDUCATION, TRAINING AND WORK EXPERIENCE Master's
degree in nursing and at least three years professional clinical
experience in community mental health, with at least one year
treating those with opioid use disorders. LICENSURE AND
CERTIFICATIONS Certification as a psychiatric nurse practitioner
through the Virginia Board of Nursing. Current DEA registration.
Valid VA driver's license. OTHER Must possess all qualifications
and skills required by federal and state regulations to bill
Medicaid for the services provided. ENVIRONMENTAL AND PHYSICAL
EXPOSURE Work involves some exposure to disagreeable environmental
conditions such including the requirement to intensely interacting
with challenging and potentially violent individuals having
unsanitary behaviors, poor hygiene and/or contagious illness. This
position will primarily be performed in a mobile clinic
environment. RELATIONSHIPS Relationships require advanced
communication, social and interpersonal skills, tact and the use of
specialized techniques to elicit information from and convey
information to clients including hostile and abusive individuals
and client families; represent the program and obtain cooperation
with clinical professionals within and external to the agency.
RACSB maintains a drug-free workplace environment. All candidates
who receive conditional offers of employment must successfully
complete a pre-employment drug screening and background check,
including criminal history, driving record, and verification of
credentials. Additionally, employees are subject to random drug
testing throughout their employment. Our comprehensive screening
program reflects our commitment to maintaining a safe, healthy
workplace and providing high-quality services to our community.
Keywords: Rappahannock Area Community Services Board, Washington DC , Psychiatric Nurse Practitioner, OBOT - Job Location: Fredericksburg, VA, Healthcare , Manassas, DC