Senior Level NP Jobs
Senior level np jobs place experienced practitioners at the forefront of clinical decision-making, program ownership, and team leadership across complex patient populations. Openings concentrate in Healthcare & Medical Services, Education, and Government & Public Sector, with 21% remote or hybrid availability, and employers like Marathon Health, NYC Health + Hospitals, and US Military Treatment Facilities under DHA hiring at this level now.
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About NYC Health + Hospitals
Elmhurst Hospital Center (EHC) is the major tertiary care provider in the borough of Queens. The hospital is comprised of 545 beds and is a Level I Trauma Center, an Emergency Heart Care Station and a 911 Receiving Hospital. It is the premiere health care organization for key areas such as Surgery, Cardiology, Women's Health, Pediatrics, Rehabilitation Medicine, Renal and Mental Health Services.
At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.
Work Shifts
8:00 A.M – 4:30 P.M, with rotating weekends and holidays (37.5 hours)
Duties & Responsibilities
Purpose of Position:
Under general supervision, serves as a licensed, independent practitioner responsible for planning, coordinating, delivering and managing comprehensive psychiatric and mental health care services in a health care setting. Ensures patient and family-centered quality care to improve outcomes and patient experience, in accordance with applicable NYC Health + Hospitals policies and procedures, state and federal rules and regulations and nursing standards of care.
Essential Duties and Responsibilities:
1. Provides continuous comprehensive psychiatric and mental health nursing care, including preventive and supportive health care services to psychiatric patients and their families.
2. Manages acute and chronic mental health problems and coordinates health care for psychiatric patient population. Identifies and diagnoses illnesses and physical conditions, and implements therapeutic and corrective measures.
3. Consistent with the established nursing practice, differentiates between normal and abnormal findings in the screening process to detect changes in health status that require physician’s intervention.
4. Develops and maintains partnerships with community-based organizations and makes referrals to consulting physicians and/or other health care professionals and community agencies, as necessary.
5. Evaluates and interprets patient data, in order to plan and implement appropriate nursing interventions.
6. Consults with physicians and other health care practitioners in the evaluation of health screening findings to make prospective decisions about treatment that will best support improved outcomes and patient satisfaction.
7. Formulates differential diagnosis and the plan of care based on medical history, physical exams, nursing assessment and other pertinent information. Identifies health and medical risks and needs.
8. Develops, implements, and evaluates patient plan of care. Determines effectiveness and modifies as per clinical standards and practice protocols, where needed, to achieve medical and health goals.
9. Orders, conducts, and interprets diagnostic and laboratory tests. Identifies and may prescribe appropriate pharmacological and non-pharmacological interventions and therapies.
10. Manages a patient session schedule allowing for both scheduled and non-emergent unscheduled visits; maintains a work schedule that ensures availability and continuity of care; ensures optimal availability and utilization of appropriate resources.
11. Provides education, guidance, and direction to psychiatric nursing staff and other appropriate members of the health care team to ensure quality and safe medical and nursing care is provided.
12. Provides education and counseling to psychiatric patients and their families regarding health status, treatment and progress, medication management, disease prevention and health promotion, records and maintains a system of relevant documentation.
13. Performs other related duties, as directed.
Minimum Qualifications
1. A valid New York State license and current registration to practice as a Registered Professional Nurse issued by the New York State Department of Education (NYSED); and
2. Current certification to practice as a Psychiatric Nurse Practitioner issued by the NYSED; and
3. Holds, or obtains through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA).
Department Preferences
Additional Salary Compensation
In addition to base compensation, you may also receive the following based on the Collectively-Bargained Agreement:
An annual education differential if you currently possess an appropriate degree in nursing or an allied health discipline from an accredited college or university, as listed below:
Bachelors of Science in Nursing (BSN) or Bachelors in allied health discipline = $900
Masters of Science in Nursing (MSN) or Masters in allied health discipline = $1,200
Doctorate in Education, Nursing Practice or PhD in Nursing (DNP) = $2,500
An annual certification differential of $1,878 if you currently hold an appropriate certification that is nationally recognized in the discipline or area of specialization for which you are employed.
An annual nursing experience differential ranging from $1,097 up to $9,100 for up to 10 years of experience if you have outside nursing experience as a Nurse Practitioner.
An annual assignment differential ranging from $10,000 up to $25,000 if assigned to a Behavioral Health department AND regularly working evenings/nights
Benefits
NYC Health and Hospitals offers a competitive benefits package that includes:
- Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
- Retirement Savings and Pension Plans
- Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
- Loan Forgiveness Programs for eligible employees
- College tuition discounts and professional development opportunities
- College Savings Program
- Union Benefits for eligible titles
- Multiple employee discounts programs
- Commuter Benefits Programs
How To Apply
If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.
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Who's Hiring
- Marathon Health35
- NYC Health + Hospitals7
- US Military Treatment Facilities under DHA6U
- Haven Health3H
- AMFM Healthcare3
Top Industries Hiring
- Healthcare & Medical Services22
- Education9
- Government & Public Sector4
- Non-Profit & Social Services2
- Banking & Financial Services1
Senior Level NP Jobs: Frequently Asked Questions
How do I get a senior level np job?
Employers at this level prioritize demonstrated clinical autonomy, a history of leading protocols or quality improvement initiatives, and the ability to mentor less experienced clinicians. Candidates who can show ownership of patient outcomes, cross-functional collaboration with physicians and administrators, and expertise in a defined specialty consistently stand out over generalists with similar tenure.
Which companies hire senior level nps?
Companies hiring senior level nps right now include Marathon Health, NYC Health + Hospitals, and US Military Treatment Facilities under DHA, based on current listings on Migrate Mate as of July 2026. Health systems, multi-site physician groups, and large outpatient networks tend to post the most senior np openings because their scale requires experienced clinicians who can operate with minimal supervision.
Are there remote senior level np jobs?
Yes, though clinical np roles skew on-site, telehealth has expanded remote options meaningfully at the senior level. About 21% of senior level np openings are remote or hybrid as of July 2026, with the highest concentration in utilization management, chronic disease monitoring, and behavioral health.
What makes a np role senior level?
A senior np role is defined by independent clinical decision-making, accountability for patient panel or program outcomes, and a recognized expectation to mentor and guide junior clinicians or students. These positions typically involve policy input, quality improvement leadership, or specialty expertise that goes beyond direct patient care into shaping how care is delivered across a practice or unit.
Which industries hire the most senior level nps?
Senior level np roles concentrate in Healthcare & Medical Services, Education, and Government & Public Sector, based on current listings on Migrate Mate as of July 2026. These sectors drive hiring at this level because they operate high-volume or high-acuity care environments where experienced, autonomous practitioners are essential to maintaining quality and throughput.