Pyschiatric Nurse Practitioner

Job Description

Directs, coordinates, and provides medical/clinical services to specified consumers within a specific clinic. This includes engagement, assessment, differential diagnosis, treatment planning, medication management, family meetings, supportive psychotherapy, patient education, and risk assessment, and discharge planning. Has a defined caseload, has productivity goals, and meets the psychiatric needs of any consumer assigned to their clinic. Participates in on-call rotation for the system. Participates in utilization management and quality improvement activities. Functions as the senior clinician on the team. Reports to the Chief Psychiatrist and Area Medical Director for clinical performance and the Site Administrator for administrative performance.

ESSENTIAL JOB DUTIES AND RESPONSIBLITIES
Serves as the attending psychiatrist/nurse practitioner to assigned consumers. Completes initial psychiatric assessments, progress notes, annual psychiatric updates, family interventions, develops differential diagnostic assessments, assessments of capacity for consent to treatment, risk assessments, patient education, progress towards treatment goals including medical, psychological, social, behavioral and developmental aspects of the consumers situation.
Documents consumer's progress in the clinical record in addition to medication flow sheets according to established policy. Completes medication education and informed consent when possible.
Documents all activities in the clinical record according to policy using approved forms.
Orders follow-up blood levels and supportive laboratory tests according to standard medical practice. Reviews the health assessment completed by nursing staff, obtains a past and current medical history. Initiates contact with Primary Care Physicians, Emergency Room clinicians and psychotherapists according to established guidelines.
Assesses consumers needs and guides the clinical team while managing treatment plan updates, in addition to initiating contact with outside Providers according to established guidelines.
Serves as on-call as directed; appoints a designee in the event of non-availability.
Practices according to evidence-based practices and DBHS Performance Improvement Protocols and Technical Assistance Documents as posted on the DBHS website.
Actively participates in the Clinical Peer Supervision process as described in the Policy and Protocol consisting of weekly hourly supervision with the Chief Psychiatrist on difficult cases or as designated by the Direct Services Medical Director.
Provides necessary information to clinical team regarding inpatient utilization. Utilizes appropriate medication based on best practices, in addition to appropriately completing required documentation for preauthorization of pharmacy services.
Participates in all Quality Improvement activities as required including but not limited to polypharmacy.
Participates according to the recovery model and Arnold v. Sarn principles; knows and practices engagement skills including motivational interviewing; and assists consumers to define and achieve their own recovery goals.
Identifies potential barriers to quality care and opportunities for improvement and reports them to the Chief Psychiatrist and/or Area Medical Director.
Works closely with other personnel to ensure that each treatment modality is appropriate for the consumer in addition to working with outside psychiatric providers in crisis and inpatient services.
Performs specialized duties as required by special clinical situations or treatment populations consistent with license and scope of practice such as reviewing and signing all amendments and PAD petitions originated at their clinic; evaluates consumers for continuation of court ordered treatment; or prepares medical reports to the Psychiatric Security Review Board or Superior Court including treatment plan changes for those consumers on conditional release form Arizona State Hospital and receiving services at their clinic; and completes Specialized Treatment Plan (STP) and Forced medication Sheet (B form) whenever a consumer is placed on Court Ordered Treatment or needs to return to inpatient treatment on an Amended Court Order Treatment due to non-compliance.
Provide clinical coverage to any other clinic as needed in order to meet business/clinical needs due to inadequate medical coverage for the consumers.
Participates in medical staff meetings including regional and quarterly meetings; and participates in all required site meetings; and participates in any meeting as requested by Chief Psychiatrist, AMD, or DS Medical Director.
Follows all policies and procedures.
Other duties as designated by the Site Administrator or Chief Medical Officer.

MINIMUM QUALIFICATIONS
Education: HS/GED 0 Associates Degree 0 BA/BS 0 MA/MS/MBA 1 Doctorate 1

Field(s) of study: Completion of an accredited NP program with Psychiatric Mental Health Certification or ANCC Certified as Psy-NP.

Experience: One to three years

Job Specific: Three (3) or more post-doctoral years' experience in the delivery of mental health treatment of children/adolescents/adults.
*Equivalent combination of experience and education 0
*Education and/or experiences may run concurrent 0

Licensures: Licensed by the State of Arizona with Board Certification and valid DEA Certification.

KNOWLEDGE, SKILLS AND ABILITIES:
-Ability to supervise independent professionals
- Good problem solving skills and ability to work in an interdisciplinary team environment.
- Ability to take initiative and see tasks to completion.
Computer Skills: General computer and ability to work in an EMR system, Microsoft Outlook, and Microsoft Word.

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