Advanced Practice Provider - Crisis PT

Detroit Wayne Integrated Health Network•Detroit, MI

9d•Onsite

About The Position

Under the general supervision of the Medical Director of Crisis Services, the Advanced Practice Provider (Psychiatric Nurse Practitioner or Physician Assistant) performs clinical duties across intensive crisis stabilization services, including the Crisis Stabilization Unit, Behavioral Health Urgent Care, and Mobile Crisis Services. The position provides direct psychiatric care, supports urgent clinical needs, coordinates care and discharge planning, and collaborates with psychiatrists and interdisciplinary teams. Work is usually performed at the Crisis Center and may require travel to different sites throughout Wayne County and Michigan. Shifts are scheduled either 7:00 a.m.–7:30 p.m. or 7:00 p.m.–7:30 a.m., or as assigned, and include weekend coverage. The position requires a relevant master's-level psychiatric nursing qualification or completion of an AMA-approved Physician Assistant program, applicable Michigan licensure and certification, DEA and BLS certification, and the ability to obtain QMHP and/or QCMHP credentialing. Applicants must have at least two years of professional experience, including at least one year in behavioral health. Proof of full COVID-19 vaccination is a condition of employment, subject to legally supported accommodations or exemptions.

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 as a Physician Assistant with continuing NCCPA certification, or as a Registered Nurse and Nurse Practitioner certified by the Michigan State Board of Nursing and ANA/ANCC as a Psychiatric-Mental Health Nurse Practitioner (PMHNP).
Must be able to obtain QMHP and/or QCMHP credentialing.
Valid Michigan driver's license with a safe and acceptable driving record.
Required DEA, license, and BLS certification.
Complete a Nursing Competency Checklist as part of new-hire onboarding, if applicable.
Minimum two years of professional experience.
Minimum one year of behavioral health experience.
Knowledge of DWIHN policies, procedures, practices, provider network, and community resources.
Knowledge of the Michigan Mental Health Code; MDHHS and applicable federal policies, rules, regulations, and procedures; Medicaid and applicable local, regional, and national codes, laws, and regulations; and compliance standards.
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, behavioral health screening and assessment tools, treatment planning, case management, continuing care, and evidence-based practices.
Knowledge of diagnostics, psychopharmacology, and supportive treatment approaches for a severely mentally ill population; 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 diverse populations, and exercise sound judgment and reasoning.
Ability to work scheduled shifts that may be day or night and participate in weekend coverage.
Proof of being fully vaccinated for COVID-19 as a condition of employment, subject to legally supported accommodations or exemptions.

Nice To Haves

Additional primary care and hospital experience.
At least one year of experience treating children and adolescents in mental health settings.
Additional primary care, addiction medicine, and/or pediatric experience.
Knowledge or comprehension of psychiatric care.

Responsibilities

Provide direct clinical and patient care, including psychiatric evaluations and re-evaluations, 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 and research medical topics related to psychotropic medication, 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 with psychiatrists on cases 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, Code of Conduct, and Conflict of Interest Policies; 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.
Work scheduled shifts and participate in weekend coverage; travel to different sites throughout Wayne County and Michigan as needed.