Psych Nurse Practitioner - Non-Crisis - Tucson

Community Bridges, INC•Tucson, AZ

17h•Onsite

About The Position

Community Bridges, Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential, outpatient, inpatient, patient-centered medical homes, medication-assisted treatment, and crisis services to individuals experiencing crisis, opioid use disorder, homelessness, and mental illness. At Community Bridges, Inc. (CBI), a psychiatric practitioner is an integral specialty for our whole person approach in our integrated system of physical, psychiatric, and addiction services. The scope of practice of psychiatric practitioner in the inpatient setting will see adults 18 and older, all genders, all socio-economic backgrounds, complex medical history, and co-occurring psychiatric disorders. Psychiatric practitioners at CBI will be expected to provide patient-centered, evidence-based care for patients as well as serve as patient advocates in all health-related matters, including the appropriate use of specialists, health services, and community resources. This document defines the skills, activities, and expertise that fall within the psychiatric practitioner’s scope of practice in the inpatient and outpatient setting.

Requirements

Licensed practitioner
Complete orientation as directed by CBI
Complete a TB skin test prior to working with CBI patients and annually thereafter
Obtains and maintains suboxone waiver for to treat the maximum number of patients for which the practitioner is eligible
Provides evidence of CPR/First Aid prior to working with CBI patients and provides documentation of renewal every two years
Maintain a minimum 85% compliance with documentation requirements
Maintain a minimum 85% patient satisfaction
Maintain a minimum of 75% follow-up rate
Give a minimum of 60 days’ notice for time off
Comply with agreed upon work schedules
Adhere to all policies and procedures established by CBI
Attend a minimum of 3 quarterly practitioner meetings per year

Responsibilities

Complete Medical Practitioner Admission Orders and CON (for a Physician only) are completed and signed by the admitting medical practitioner, if the medical practitioner is not a physician, the practitioner will coordinate with the CPEC Medical Director to sign the CON within 24-hours of admission
Completes a psychiatric evaluation (HPI) in its entirety and documents the evaluation in the patient file for each individual admitted to the inpatient behavioral health facility within 24-hours of admission
Reviews and acknowledges completed physical health H&P of each patient within 24-hours of admission
Reviews treatment plan and modifies to meet psychiatric, as well as, medical detoxification and physical health needs
Reviews cases with RN and Transition Coordinator daily during rounds as part of discharge planning process
Rounds completed daily in Inpatient between the hours of 0800 and 1600
Documents daily rounds in progress note
Monitors the treatment of physical health and/or coordination with PCP and other prescribers while in treatment
Initiates or recommends Consults and Coordination of Care
Coordinate with one another when discharging, admitting or transferring a patient to a different CBI program or level of care (or a facility outside the CBI system) and document in the medical record to ensure a smooth transition
Be available or will initiate coordination of care (doc to doc) promptly
Will initiate or will direct staff to obtain collateral information
Will review provided medical documentation and document findings
Provides necessary documentation and treatment for patients under petition or court-ordered treatment including Special Treatment Plan and coordinates Tx with the outpatient team
Documents and signs full discharge orders and follow-up recommendations within 24-hours of discharge
Documents review of discharge plan with the patient
Prescribe appropriate pharmacotherapy for related psychiatric disorders, as well as, coordinated care for physical health, substance abuse treatment, and pain management
Maintain at least 80% of e-prescribing with a goal of 100%
Evaluate each patient for addiction medicine protocol prior to discharge
Evaluate each patient for ongoing suboxone taper prior to discharge
Evaluate each patient for ongoing mental health/psychiatric care prior to discharge
Evaluate each patient for ongoing physical health issues prior to discharge
Complete orientation as directed by CBI, which includes shadowing another CBI practitioner prior to working with patients
Complete a TB skin test prior to working with CBI patients and annually thereafter to ensure professional is free from tuberculosis
Obtains and maintains suboxone waiver for to treat the maximum number of patients for which the practitioner is eligible
Maintains necessary patient data logs as required when treating patients with buprenorphine to coordinate with the medical practice team and clinical team on caseload size
Provides evidence of CPR/First Aid prior to working with CBI patients and provides documentation of renewal every two years
Participate in quality management initiatives and correct any identified areas of deficiency within 72 hours; exceptions must be approved by the Director of Medical Practice in consultation with the CBI Medical Director
Maintain a minimum 85% compliance with documentation requirements
Not cancel patient appointments without prior notification to CBI
Not refuse to see CBI patient(s) without approval from the medical director
Adhere to the appointment scheduling protocols assigned by the medical director and monitored by the medical management team
Maintain a minimum 85% patient satisfaction
Maintain a minimum of 75% follow-up rate
Complete and document all medication assessments and informed consents by the end of assigned shift or within 24 hours of seeing the patient
Review the Controlled Substance Prescription Monitoring Program prior to treatment and coordinate care with other prescribing practitioners
Utilize e-Prescribing for all patient prescriptions as established in the CBI electronic medical record
Attend regular staffing and rounds on assigned patients; participate in the development of the patient’s treatment plan; provide clinical expertise for the treatment team for patient care; give appropriate direction and providing effective communication about patient care activities
Support utilization review activities by clearly documenting admission medical necessity and continued stay necessity
Support utilization management activities by providing reviews when requested by payors
Ensure necessary documentation and treatment for patients under petition or court order
Promote collaboration patient care by communicating with referring and receiving professionals
Attend and actively participate in practitioner meetings; actively participate in any state, regulatory, or accreditation surveys; participate in peer review activities and performance improvement projects
Comply with agreed upon work schedules to provide coverage at the facility and meet the clinical and business needs
Give a minimum of 60 days’ notice for time off and will coordinate with peers to arrange for coverage for scheduled shifts
Notify Director of Medical Practice and Medical Director in the case of an emergency and inability to cover a scheduled shift
Adhere to all policies and procedures established by CBI
Attend educational meetings as deemed appropriate for their specialty
Attend quarterly practitioner meetings
Recognize practice limitations and seek consultation with other healthcare professionals, when necessary, to provide optimal patient care
Utilize CBI's care integration model to optimize patient care
May be asked to have new clinical staff of the same specialty or experience shadow them or be trained by them