Psych Nurse Practitioner - Non-Crisis - Phoenix, Mesa, Avondale

Community Bridges Inc•Phoenix, AZ

1d•Onsite

About The Position

Community Bridges, Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona, including residential, outpatient, inpatient, patient-centered medical homes, medication-assisted treatment, and crisis services. CBI serves individuals experiencing crisis, opioid use disorder, homelessness, and mental illness. A psychiatric practitioner at CBI is an integral specialty, providing a whole-person approach within an integrated system of physical, psychiatric, and addiction services. In the inpatient setting, practitioners will see adults 18 and older, of all genders and socio-economic backgrounds, often with complex medical histories and co-occurring psychiatric disorders. Psychiatric practitioners are expected to provide patient-centered, evidence-based care and serve as patient advocates in all health-related matters, including appropriate use of specialists, health services, and community resources. CBI is seeking PMHNPs for various shifts, including Crisis Sobriety Center (AM/PM shifts, rotating weekends), SMI Caseload (Full-time, on-site, Mesa, M-F 8AM-4PM), and ACT/FACT (Full-time, on-site, Central Phoenix, M-F 8AM-5PM). This document outlines the skills, activities, and expertise within the psychiatric practitioner’s scope of practice in both inpatient and outpatient settings.

Requirements

Licensed practitioner with skills, competencies, and experience within their scope of practice
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
Obtain and maintain suboxone waiver to treat the maximum number of patients for which the practitioner is eligible
Provide 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
Attend a minimum of 3 quarterly practitioner meetings per year

Responsibilities

Completes Urgent Psychiatric and/or Addiction Medicine evaluations with all patients referred to the 23-hour observation unit from all referral sources including, but not limited to, hospitals, urgent care centers, law enforcement, and other medical practitioners for the purposes of assessment, diagnosis and treatment recommendations
Complete Urgent Psychiatric Assessment and/or Addiction Medicine, Ambulatory Detox, or Physical Health Assessments with patients who have been identified by CBI screening staff
Coordinate with one another when admitting, transferring, or discharging a patient to a different CBI program or level of care and will document in the medical record to ensure a smooth transition
Be available or initiate doc to doc communication and coordination of care and document it appropriately
All patients on the unit are evaluated at least daily to provide necessary adjustments in treatment and discharge planning
Provide assessment for the appropriate use of seclusion and restraint
Write an order immediately if at the facility, or sign order in the electronic health record within three hours if given verbally for seclusion and restraint
Coordinate with the RN staff to confirm the date and time of intervention for seclusion and restraint
When writing/signing order for seclusion and restraint, the order shall include the date and time that the restraint or seclusion was ordered; the specific restraint or seclusion ordered; if chemical restraint is ordered, then the drugs ordered names, strength, dosage, route of administration, and symptoms being treated
Complete and document an assessment within one hour after order for restraint or seclusion takes place, which shall include current behavior, reaction to intervention being used, patient’s current medical condition, and whether to continue or terminate the restraint or seclusion
Write a release order or document a second order at the end of three hours if restraint or seclusion needs to be continued
Review cases and discharge plans during rounds with assigned CBI medical staff
Document and sign full discharge orders and follow-up recommendations within 24 hours of discharge
Remain on the unit for the entirety of the scheduled shift
Complete Application for Involuntary Evaluation and Application for Emergency Admission
Immediately notify the Admission Coordinator of the decision regarding applications
Staff applications that are determined as not acceptable with the CBI Medical Director prior to not accepting the application and prior to dropping the application post-evaluation
Complete Practitioner Admission Orders on admission (in person or verbally to a nurse) and signed by the admitting practitioner within 24-hours of admission
Perform psychiatric evaluation at minimum once every 24 hours, or sooner if clinically appropriate and necessary to justify patient’s need for continued stay for everyone admitted to the 23-Hour Observation Unit
Review cases with RN and Crisis Specialist during rounds as part of discharge planning process
Document rounds in progress note
Review cases with oncoming practitioner at the end of each shift
Maintain treatment of physical health and/or coordination with PCP and other prescribers while in treatment
Coordinate with one another when discharging, admitting or transferring a patient to a different CBI program or level of care and documents in the medical record to ensure a smooth transition
Complete a psychiatric evaluation and documents the evaluation in the patient file for everyone admitted to the inpatient behavioral health facility
Write order and/or signs order for a pain management evaluation, if clinically indicated, if outside the scope of the attending medical practitioner
Provide necessary documentation and treatment for patients under petition or court ordered treatment
Document review of discharge plan with the patient
Evaluate each patient for ongoing mental health/psychiatric care prior to discharge and document in the electronic health record
Evaluate each patient for ongoing physical health issues prior to discharge and document in the electronic health record
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
Obtain and maintain suboxone waiver to treat the maximum number of patients for which the practitioner is eligible
Maintain necessary patient data logs as required when treating patients with buprenorphine to coordinate with the medical practice team and clinical team on caseload size
Provide 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
Submit a plan of correction to the Medical Director if patient satisfaction falls below 85%
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
Complete documentation within 24 hours of visit
Notify the Director of Medical Practice if documentation is not complete by allotted timeframe
May be asked to have new clinical staff of the same specialty or experience shadow them or be trained by them
Attend educational meetings as deemed appropriate for their specialty
Attend quarterly practitioner meetings
Give a 24-hour notice to the Director of Medical Practice if unable to attend quarterly meetings
Contact the Director of Medical Practice as soon as possible if an unexpected event occurs and unable to give notice for 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