PA/ARNP Hospitalist - Psychiatry

UIOWA•Iowa City, IA

10h

About The Position

The ARNP/PA Hospitalist provides psychiatric assessment, treatment, and care coordination across University of Iowa Health Care inpatient psychiatry, crisis stabilization, and hospital-based psychiatric consultation services. Clinical work may include caring for adults on general inpatient psychiatry units and the Crisis Stabilization Unit (CSU), consulting on medically hospitalized patients, providing telepsychiatry across University of Iowa Health Care campuses, and cross-covering other inpatient, emergency, and acute psychiatric services as operational needs dictate. The provider collaborates with interdisciplinary teams to deliver evidence-based psychiatric care, support transitions of care, and promote positive outcomes. Duties include psychiatric evaluation, diagnosis, medication management, treatment planning, patient and family education, and consultation for teams caring for people with complex psychiatric, behavioral, and neuropsychiatric needs. The role also includes participation in inpatient psychiatric consultation services and partnership with the Behavioral Emergency Support Team (BEST) to conduct proactive rounds on patients at elevated risk for challenging behaviors. Additional work may include proactive behavioral consultation, interdisciplinary behavioral support initiatives, and recommendations promoting patient safety, therapeutic engagement, and staff support. The provider may also care for patients on the Neurobehavioral Specialty Unit (NBSU), a specialized inpatient service for adults needing enhanced behavioral support, individualized programming, and advanced neurobehavioral interventions. In collaboration with interdisciplinary teams, the provider contributes to psychiatric treatment, behavioral assessment, medication management, and individualized care plans to promote safety, stabilization, and progression to less restrictive care. Health information technology, including telepsychiatry and video teleconferencing, may be used to facilitate care, consultation, coordination, and continuity of services. Weekend, holiday, evening, or night coverage may be required as clinically indicated. University of Iowa Health Care is Iowa’s only comprehensive academic medical center and a regional referral center. More than 12,000 employees, students, and volunteers work together to provide patient care and service.

Requirements

PMHNP applicants: At least 3 years of nursing care experience with adults with mental illness, including at least 1 year of experience after completing a graduate degree.
PA applicants: At least 2 years of post-graduate experience in a psychiatry setting.
Excellent written and verbal communication skills.
Demonstrated ability to work independently and in a group or team setting.
Demonstrated experience collaborating as part of multidisciplinary care teams.
Ability to foster a welcoming and respectful workplace while recognizing personal differences.
ARNPs must meet Iowa Board of Nursing registration and licensure requirements, including graduation from an accredited master's- or doctorate-level nursing program and certification by an accepted accrediting agency.
ARNPs must hold a current Iowa nursing license and be licensed in Iowa as a Psychiatric–Mental Health Nurse Practitioner (PMHNP) by the time of hire.
Physician Associates must meet Iowa Board of Physician Associate Examiners registration and licensure requirements, including graduation from an accredited PA program and certification by the NCCPA.

Nice To Haves

Experience with telemedicine.
Experience with emergency psychiatric assessment.
Experience with the Iowa mental health commitment process.
Experience providing psychiatric triage or acute case management services.
Knowledge of community resources.
PA applicants: Fellowship or residency training in Psychiatry is highly desired.

Responsibilities

Maintain clinical competency and expertise in the area of specialization.
Independently and/or as part of an interdisciplinary team, plan, deliver, and evaluate health care for adult patients.
Provide psychiatric assessment, diagnosis, treatment, medication management, and treatment planning.
Instruct and counsel patients on physical and mental health, including diets, disease prevention, health promotion, therapy, and growth and development.
Discuss testing and treatment options, including associated risks, benefits, and limitations, with patients and families.
Evaluate and treat emergency medical situations and institute procedures needed to respond appropriately.
Collaborate with other professionals to monitor and evaluate the quality of patient care.
Promote health maintenance across outpatient, inpatient, and home-care settings and support transitions of care.
Order and interpret laboratory tests, imaging studies, and other related studies.
Order diets, physical therapy, inhalation therapy, and other rehabilitative services.
Prescribe and administer medications.
Provide anticipatory guidance and counseling to patients and families.
Document medical history, physical examination, assessment, and plan of care in the medical record, and generate health reports for outgoing correspondence.
Initiate and coordinate referrals to other health care team members or agencies.
Provide consultative expertise and behavioral skills that affect clinical practice and patient outcomes.
Maintain effective working relationships with faculty, staff, students, and the public.
Participate in educating fellows, residents, and other health sciences students.
Develop, assist with, and/or participate in clinical research and incorporate research findings into practice.
Participate in the UI Health Care PA/ARNP Hospitalist Council and professional activities in the department, hospital, community, and professional organizations.
Complete administrative activities and special projects as assigned.
Collaborate with the Behavioral Emergency Support Team to proactively round on patients at elevated risk for challenging behaviors.
Contribute to behavioral support initiatives and recommendations that promote safety, therapeutic engagement, and staff support.
Provide care, behavioral assessment, and individualized treatment planning on the Neurobehavioral Specialty Unit when assigned.