Nurse Practitioner - Outpatient Behavioral Health & Addiction Medicine

About the role

Thrive Now Recovery Centers is preparing to open a new outpatient substance use disorder and behavioral health program in Des Moines, Iowa, in late 2026. It is seeking an experienced, compassionate Nurse Practitioner to join the opening clinical team and provide medical care to patients receiving outpatient treatment. The position is full-time and outpatient.

Key responsibilities

• Complete comprehensive medical evaluations and ongoing patient assessments, and evaluate patients with substance use disorders and co-occurring medical and behavioral health conditions.
• Develop and manage individualized treatment plans with the interdisciplinary team, and prescribe and manage medications within the scope of practice.
• Provide medication-assisted treatment for opioid use disorder, including buprenorphine, and monitor effectiveness, side effects, adherence and response.
• Order and interpret lab tests and diagnostic studies, conduct follow-ups, and assess withdrawal, relapse risk and medication concerns.
• Educate patients on medications, recovery, harm reduction and treatment expectations, and coordinate care with therapists, case managers, primary care providers, pharmacies and hospitals.
• Take part in team meetings, case consultations, referrals to higher levels of care, quality improvement initiatives, and help set up clinical workflows and documentation standards.
• Maintain accurate documentation in the electronic health record and keep patient confidentiality under HIPAA and 42 CFR Part 2.

Required profile

• Graduate degree from an accredited Nurse Practitioner program.
• Current Iowa APRN licensure or ability to obtain it before starting, plus current national board certification.
• Current DEA registration or ability to obtain it before prescribing; prescriptive authority in Iowa.
• Preferred: Family NP, Psychiatric Mental Health NP or other NP certification based on experience.
• Preferred: experience in addiction medicine, behavioral health, psychiatry, primary care, medication-assisted treatment, co-occurring conditions and knowledge of substance use disorders.
• BLS/CPR certification or ability to obtain it.

Required skills

• Strong clinical assessment, decision-making, communication and documentation skills.
• Interdisciplinary collaboration and knowledge of HIPAA and 42 CFR Part 2.

What we offer

• Competitive compensation and a benefits package including medical, dental and vision insurance, paid time off, paid holidays and life insurance options.
• Professional development and growth opportunities within an expanding organization.