Advanced Practice Provider - Crisis

Detroit Wayne Integrated Health Network•Detroit, MI

3d•Onsite

About The Position

The Advanced Practice Provider (Psychiatric Nurse Practitioner or Physician Assistant) works under the general supervision of the Medical Director of Crisis Services and performs clinical duties across the continuum of intensive crisis stabilization services. These services include the Crisis Stabilization Unit, Behavioral Health Urgent Care, and Mobile Crisis Services. The role provides psychiatric evaluations and related clinical care, determines medical necessity, coordinates and directs care and discharge planning, prescribes and monitors medication, and supports responses to urgent clinical issues and medical emergencies. The provider collaborates with psychiatrists and interdisciplinary teams, supervises coordination of care and the mobile crisis team, reviews eligibility assessments, completes clinical documentation and trainings, and participates in meetings and quality assurance reviews. The role also teaches students and other Advanced Practice Providers as appropriate and performs other duties assigned by the Medical Director. Work is usually performed at the Crisis Center, with driving to other sites throughout Wayne County and Michigan potentially required. Shifts are scheduled either 7:00 a.m.–7:30 p.m. or 7:00 p.m.–7:30 a.m., or as assigned. Weekend coverage is required.

Requirements

Master's degree (MSN) in Psychiatric-Mental Health Nursing, or another MSN with additional coursework qualifying the applicant for PMH Board Certification; alternatively, a bachelor's degree and completion of an AMA-approved Physician Assistant program.
Valid Michigan clinical licensure: Physician Assistant licensure with continuing NCCPA certification; or Registered Nurse licensure, Michigan State Board of Nursing certification as a Nurse Practitioner, and ANA/ANCC Psychiatric-Mental Health Nurse Practitioner (PMHNP) certification.
Valid Michigan driver's license with a safe and acceptable driving record.
Required DEA, license, and BLS certification.
Completion of a Nursing Competency Checklist as part of new-hire onboarding, where applicable.
Minimum of two years of professional experience.
Minimum of one year of behavioral health experience.
Knowledge of DWIHN policies, procedures, practices, provider network, and community resources; the Michigan Mental Health Code; and applicable MDHHS and federal policies, rules, regulations, and procedures.
Knowledge of psychiatric medications, including indications, common side effects, reactions, and interactions.
Ability to work with agitated patients in crisis and their families and implement behavioral management interventions.
Knowledge of clinical care processes, screening and assessment tools, treatment planning, case management, and continuing care for behavioral health services.
Knowledge of medical and behavioral health practices and terminology, behavioral health case management, and evidence-based practices.
Knowledge of diagnostics, psychopharmacology, and supportive treatment approaches for a severely mentally ill population.
Knowledge of Medicaid and applicable local, regional, and national codes, laws, and regulations; compliance standards; clinical assessment principles and practices; Michigan clinical licensure; and the DSM-V.
Clinical documentation and computer skills, including Word, Excel, Access, PowerPoint, Outlook, and Teams.
Attention to detail, problem solving, listening, assessment, evaluation, organization, planning, decision making, critical thinking, interpersonal, communication, teamwork, and training skills.
Ability to communicate orally and in writing, work effectively with others, and serve an ethnically, linguistically, culturally, economically, and socially diverse population.
Judgment and reasoning ability.

Nice To Haves

Knowledge or comprehension of psychiatric care is preferred.
Additional primary care and hospital experience is preferred.
At least one year of experience treating child and adolescent populations in mental health settings is preferred.
Additional primary care, addiction medicine, and/or pediatric experience is a plus.

Responsibilities

Provide direct clinical and patient care, including psychiatric evaluation and re-evaluation, disposition, coordination of medical services with the nurse on duty, medication orders and prescribing, and patient monitoring.
Incorporate evidence-based best-practice standards into service delivery and comply with licensing regulations and accreditation standards.
Determine medical necessity.
Research medical topics, including psychotropic medications, psychiatric evaluation, and coordination of care.
Supervise coordination-of-care activities and direct discharge planning.
Complete required clinical documentation and trainings.
Provide supervision and direction to the mobile crisis team.
Review eligibility assessments for members contacting the Crisis Care Center.
Teach NP/PA students and other Advanced Practice Providers as appropriate.
Participate in clinical and administrative meetings and Quality Assurance reviews.
Collaborate and discuss cases with psychiatrists and work with an interdisciplinary team to improve productivity, efficiency, recovery outcomes, and medical care.
Respond appropriately to medical emergencies and provide clinical coverage and consultation for urgent clinical issues until members are seen by Clinically Responsible Service Providers.
Attend shift handover meetings.
Follow DWIHN compliance standards, including its Code of Conduct and Conflict of Interest Policies, and maintain patient confidentiality under federal guidelines and DWIHN policies and procedures.
Identify and promptly report workplace health and safety risks, accidents, incidents, injuries, and property damage.
Perform additional duties as assigned by the Medical Director.
Report to scheduled shifts and participate in weekend coverage; drive to other sites throughout Wayne County and Michigan when required.