About this role
About Outro HealthOutro Health is the first virtual clinic dedicated to helping people safely taper psychiatric medications, starting with antidepressants. For many of our patients, we are the first to offer a real, safe path to a med-free life.
Our model is grounded in the neurobiology of antidepressant discontinuation and hyperbolic tapering, co-developed by our co-founder Dr. Mark Horowitz, one of the world's leading researchers in psychiatric deprescribing. We use gradual, individualized tapering strategies that reflect how these medications actually interact with the brain—minimizing withdrawal and supporting transitions that last.
We were founded by clinicians, researchers, and people with lived experience of long-term psychiatric medication use. We're building a new standard for responsible psychiatric care, and we're looking for clinicians who believe that standard is long overdue.
About the RoleYou'll join the first generation of trained deprescribing clinicians in the US, working within a small team led by field leaders and expert deprescribers.
Your goal is to deliver individualized tapering care to patients who have often spent decades without a real path off their medications, and no one to safely guide them. This is not a high-volume prescribing role—it's a thoughtful, relationship-driven practice built around gradual, patient-centered tapering.
This is a 1099 role. Longer term, PMHNPs that grow their panel with Outro will have a path to full-time opportunities.
What You'll DoConduct psychiatric evaluations and develop individualized tapering plans grounded in hyperbolic tapering methodology
Manage ongoing patient care, including medication adjustments, symptom monitoring, and withdrawal support
Collaborate with care coordinators to ensure continuity across the patient journey
Who You AreActive PMHNP certification with licensure in California
2 years+ of post-certification clinical experience
Tech proficient and confident in a fully remote environment
An interest in non-drug approaches to mental healthcare (e.g., mindfulness, nutrition, movement)
Willing to challenge and unlearn parts of your clinical education
Want to work directly alongside the clinicians and researchers who are building the first deprescribing guidelines