H-1B Visa Addiction Psychiatrist Jobs
Addiction Psychiatrist roles qualify as H-1B visa specialty occupations under USCIS guidelines, requiring a medical degree and board certification or eligibility in addiction medicine or psychiatry. Hospitals, academic medical centers, and federally qualified health centers are among the most active H-1B visa sponsors for this role, often filing cap-exempt petitions.
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About this Job
MHSD is seeking a full-time Addiction-Certified Psychiatric-Mental Health Nurse Practitioner (PMHNP) to provide psychiatric evaluation and medication management to persons with co-occurring disorders in the Office Based Opioid Treatment (OBOT) and Addiction Treatment Programs. The primary purpose of this position is to provide psychiatric evaluations including the assessment and diagnosis of substance use disorders, medication management/monitoring, and coordination of care with other mental health, addiction and primary care providers. MHSD is a government-agency that provides care to Medicaid eligible and uninsured persons with behavioral health or addictive disorders or intellectual/development disabilities in Orleans, St Bernard or Plaquemines parishes. Our PMHNPs work collaboratively with supervising physicians and a multidisciplinary treatment team consisting of counselors, nurses, peer support workers, and resource staff. Eligible candidates should have unrestricted Louisiana licensure as a PMHNP. An ideal candidate will be flexible, independent, compassionate, patient-centered, and committed to community mental health care. Addiction-Certified PMNHPs with previous direct experience treating patients with substance use disorders will be given preference in hiring.
Minimum Qualifications
APRNs shall have a valid, current and unrestricted APRN license, as a nurse practitioner (NP) or clinical nurse specialist (CNS), issued by the Louisiana State Board of Nursing. APRNs must be NP specialists in adult psychiatric and mental health, and family psychiatric and mental health, or certified nurse specialists in psychosocial, gerontological psychiatric mental health, adult psychiatric and mental health and child-adolescent mental health and may practice to the extent that services are within the APRN’s scope of practice.
Active DEA and Louisiana prescriptive authority
Job Duties and Other Information
A. Behavioral Health and Addiction Services Roles and Responsibilities.
- Completes comprehensive psychiatric evaluations for new persons-served with addiction and/or psychiatric disorders, providing DSM V diagnoses based on history, diagnostic testing, outside record review, and mental status and physical examination.
- Provides pharmacological and basic psychotherapeutic treatment for psychiatric and addictive disorders, including but not limited to prescribing medications for opioid and alcohol use disorders (MOUD, MAUD), in alignment with evidence-based practice and national guidelines.
- Triages and assesses medical risk for patients presenting with acute intoxication and withdrawal.
- Orders, reviews and interprets both toxicology testing (breathalyzers, rapid and confirmatory drug testing) and annual screening bloodwork.
- Coordinates care with other team members to fulfill treatment needs, such as nurse evaluations, vitals, psychosocial and addiction assessments and referrals for employment counseling and other resources.
- Reviews outside primary care records and coordinates care with primary care physicians and other specialists.
- Develops and recommends practice standards and suggests strategies to improve overall program delivery.
- Screens and treats specific sexually and IV transmitted diseases, including syphilis and Hepatitis C, with support of LDH and community partners.
- Provides consultations to general mental health prescribers and other staff on management of patients with co-occurring disorders.
- Writes and delivers lectures on addiction related topics as needed.
- Provides back-up coverage and clinical support for other professionals on the Mental Health and Addiction Teams. May act as sole provider, if supervising physician physically absent.
- Represents the agency at addiction-related meetings on the local and state levels as needed.
B. Administrative Responsibilities:
- Provides timely entry of all clinical information into the EHR, completing all documentation within agency defined time limits. Late Tickets per quarter not>5% for continuity of billing by the agency.
- Satisfies overall productivity goals per quarter of 60% or greater.
- Obtains 80% or better patient/PS satisfaction of individual performance, reviewed quarterly.
- Attends required regular staffing meetings including monthly prescriber meetings and weekly multidisciplinary meetings.
- Adheres to the terms of the collaborative agreement through consultation with physician collaborator in the clinical management of behavioral and addictive health care to assure alignment with delivery of best practice standards of care, meeting at minimum monthly with consulting psychiatrist to discuss co-occurring cases.
- Maintains advanced training and continuing education in the fields of advanced practice psychiatric nursing.
- Complies with all required trainings, including maintenance of nursing and PMHNP licensing, state required trainings (LEO, Relias), MHSD mandatory staff training and CPR requirements.
C. Other Responsibilities:
- Acts in a professional manner at all times and treats all staff and business associates, within and outside of MHSD, with dignity and respect.
- Meets all relevant deliverables of the MHSD Strategic Plan according to established timelines.
- Reaches decisions based on highest ethical standards; fosters a culture of trust and respect for others by treating others fairly and ethically.
- Adheres to MHSD policies and procedures and performs job duties in accordance with said procedures.
- Maintains appropriate office hours; keeps tardiness and unplanned absences to a minimum.
- Complies with all agency requirements for use of technology and equipment.
- Exhibits willingness to share knowledge, experience, time and talent with others.
- Supports MHSD initiatives aimed at improving the health and wellness of Louisiana citizens.
- Promotes efforts to develop the clinical core of the agency and to expand partnerships with other healthcare agencies.
- Provides exceptional and responsive customer service to internal and external clients.
Position-Specific Details:
Appointment Type: Unclassified
Compensation: The salary offered will be determined based on qualifications and experience.
How To Apply:
No Civil Service test score is required in order to be considered for this vacancy. To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.
Information to support your eligibility for this job title must be included in the application (i.e., relevant, detailed experience/education). Resumes will not be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.
Contact Information:
For further information about this vacancy, contact:
Tanisha Alexander
MHSD Human Resources Business Partner
tanisha.alexander@mhsdla.org
Louisiana is a State As a Model Employer (SAME) that supports the recruitment, hiring, and retention of individuals with disabilities.
See all 53+ H-1B Visa Addiction Psychiatrist Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Addiction Psychiatrist
Verify your ECFMG certification before applying
International medical graduates must hold active ECFMG certification before any H-1B employer can file your petition. Confirm your certification status and check that your medical school credentials are recognized before reaching out to sponsors.
Target cap-exempt employers for faster filing
Universities, teaching hospitals, and nonprofit research institutions are cap-exempt under USCIS rules, meaning they can file your H-1B petition year-round without waiting for the April lottery. Psychiatry departments at academic medical centers fill most addiction medicine openings this way.
Look up prevailing wages by practice setting
Addiction psychiatry wages vary significantly between inpatient hospital units, opioid treatment programs, and outpatient clinics. Use the OFLC Wage Search before negotiating offers so your salary aligns with DOL Level II or III wages for your specific work location and setting.
Search Migrate Mate for verified H-1B sponsors
Filter your job search to employers with documented LCA filing history in behavioral health and addiction medicine. Migrate Mate surfaces this DOL data by employer and occupation, so you avoid outreach to practices that have never sponsored an H-1B.
Confirm your DEA registration transfers with the role
Addiction psychiatry requires a DEA registration to prescribe buprenorphine and methadone. When changing employers, your registration doesn't automatically transfer. Coordinate the timing of your H-1B petition start date with your new DEA registration to avoid a gap in prescribing authority.
Ask whether premium processing is included in your offer
Standard H-1B adjudication can take several months, which creates problems if your residency or fellowship ends before approval. Request that your employer includes USCIS premium processing in the offer letter so your petition is decided within 15 business days.
H-1B Visa Addiction Psychiatrist: Frequently Asked Questions
Does an Addiction Psychiatrist role qualify as an H-1B specialty occupation?
Yes. Addiction Psychiatry requires a medical degree and typically board certification or eligibility in psychiatry or addiction medicine, satisfying USCIS's specialty occupation definition. The O*NET profile for Physicians and Surgeons classifies this as a Job Zone 5 role requiring a doctoral-level credential, which supports the specialty occupation determination in your petition.
Which types of employers sponsor H-1B visas for Addiction Psychiatrists?
Academic medical centers, VA hospitals, federally qualified health centers, and nonprofit health systems are the most consistent H-1B sponsors for addiction psychiatry. Many file cap-exempt petitions, which means no lottery and no April deadline. For-profit private practices and smaller outpatient clinics sponsor less frequently and must compete in the annual cap lottery. You can browse employers with active LCA filing history in behavioral health on Migrate Mate.
How does the H-1B cap lottery affect addiction psychiatry job timing?
If your target employer is cap-subject, USCIS accepts registrations in March for an October 1 start date. That timing gap can conflict with fellowship end dates or existing employment authorization. Cap-exempt employers, including most teaching hospitals and university-affiliated clinics, can file at any time, giving you more flexibility on start dates and reducing lottery risk entirely.
Can I switch from a J-1 waiver position to an H-1B in addiction psychiatry?
Yes, but the transition requires careful timing. If you completed a J-1 visa waiver obligation at a shortage area facility, you need to confirm your two-year home residency requirement is waived before filing an H-1B. Your new employer files the H-1B petition, and USCIS can adjudicate it while you're still completing your waiver service if the timeline is structured correctly with your immigration attorney.
What documentation does my employer need to file my H-1B as an Addiction Psychiatrist?
Your employer needs your medical diploma, ECFMG certificate if you're an international medical graduate, board certification or examination scores, state medical license or license application confirmation, and a completed Labor Condition Application certified by DOL. The LCA must specify the work location and confirm wages meet prevailing wage standards. Your employer's attorney typically gathers these through a document checklist once the offer is accepted.