PA/ARNP Hospitalist - Psychiatry

University of Iowa•Iowa City, IA

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, consulting on medically hospitalized patients, providing telepsychiatry across UI 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 patient outcomes. Work includes psychiatric evaluation and diagnosis, medication management, treatment planning, patient and family education, and consultation to teams caring for individuals with complex psychiatric, behavioral, and neuropsychiatric needs. The role also participates in inpatient psychiatric consultation services and partners with the Behavioral Emergency Support Team to proactively round on patients at elevated risk for challenging behaviors. Additional work may involve behavioral consultation and interdisciplinary initiatives to promote patient safety, therapeutic engagement, and staff support. The ARNP/PA Hospitalist may provide care on the Neurobehavioral Specialty Unit, an inpatient service for adults requiring 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 that promote safety, stabilization, and progression toward less restrictive care. Telepsychiatry and video teleconferencing may be used to facilitate care, consultation, coordination, and continuity. Weekend, holiday, evening, or night coverage may be required as clinically indicated. Clinical practice oversight is received from the Clinical Director and/or Medical Director and through a collaborative practice agreement with direct supervision from the APP Lead Supervisor.

Requirements

ARNP applicants must graduate from an accredited master's- or doctorate-level nursing education program and hold certification from an accepted accrediting agency, in accordance with Iowa Board of Nursing requirements.
ARNP applicants must hold a current Iowa nursing license.
ARNP applicants must be licensed in Iowa as a Psychiatric–Mental Health Nurse Practitioner (PMHNP) by the time of hire.
PA applicants must graduate from an accredited PA education program and meet Iowa Board of Physician Associate Examiners registration and licensure requirements, including NCCPA certification.
PMHNP applicants must have at least 3 years of nursing care experience with adults with mental illness, including at least 1 year of post-graduate-degree experience.
PA applicants must have 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.

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 collaboratively plan, deliver, and evaluate health care for adult patients.
Instruct and counsel patients on physical and mental health, including diets, disease prevention, health promotion, therapy, and normal growth and development.
Discuss testing and treatment options, including associated risks, benefits, and limitations, with patients and families to support informed decisions.
Evaluate and treat patients and institute procedures needed to respond appropriately to emergency medical situations.
Collaborate with other professionals to monitor and evaluate the quality of patient care.
Promote health maintenance across outpatient, inpatient, and home care settings.
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 examinations, assessments, and care plans in the medical record, and prepare appropriate health reports for outgoing correspondence.
Initiate and coordinate referrals to other health care team members or agencies.
Provide expert knowledge and behavioral skills as a consultative resource to support 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.
Provide psychiatric evaluation, diagnosis, treatment planning, medication management, and patient and family education.
Coordinate psychiatric care and transitions across inpatient, crisis stabilization, consultation, and other acute psychiatric services.
Partner with the Behavioral Emergency Support Team on proactive rounds for patients at elevated risk for challenging behaviors and contribute to behavioral support initiatives.
Provide psychiatric and behavioral care on the Neurobehavioral Specialty Unit when assigned, including behavioral assessment and individualized care planning.