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

Community Bridges, INC•Avondale, AZ

17h•Onsite

About The Position

Community Bridges, Inc. (CBI) is an integrated behavioral healthcare agency in Arizona, providing residential, outpatient, inpatient, patient-centered medical homes, medication-assisted treatment, and crisis services for individuals experiencing crisis, opioid use disorder, homelessness, and mental illness. Psychiatric practitioners at CBI are integral to a whole-person approach, offering integrated physical, psychiatric, and addiction services. In the inpatient setting, practitioners will see adults 18 and older from all backgrounds, often with complex medical histories and co-occurring psychiatric disorders. They are expected to provide patient-centered, evidence-based care and advocate for patients in all health-related matters, including appropriate use of specialists, health services, and community resources. This role encompasses both inpatient and outpatient settings.

Requirements

Licensed Psychiatric Mental Health Nurse Practitioner (PMHNP) or Family Nurse Practitioner (FNP) for specific roles.
Possess skills, competencies, and experience within the psychiatric practitioner’s scope of practice.
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 documentation of renewal every two years.

Responsibilities

Complete Urgent Psychiatric and/or Addiction Medicine evaluations with all patients referred to the 23-hour observation unit.
Complete Urgent Psychiatric Assessment and/or Addiction Medicine, Ambulatory Detox, or Physical Health Assessments with patients identified by CBI screening staff.
Coordinate with other practitioners when admitting, transferring, or discharging a patient to a different CBI program or level of care and document in the medical record.
Initiate or be available for doc-to-doc communication and coordination of care, documenting it appropriately.
Evaluate all patients on the unit at least daily to provide necessary adjustments in treatment and discharge planning.
Provide assessment for the appropriate use of seclusion and restraint, documenting current behaviors, medical conditions, psychiatric/behavioral health conditions, and current medication.
Write an order immediately or sign an order in the electronic health record within three hours for seclusion and restraint, coordinating with RN staff.
Complete and document an assessment within one hour after a seclusion or restraint order takes place.
Write a release order or document a second order at the end of three hours if seclusion or restraint 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, with deviations requiring prior approval from the CMO or designee.
Complete Application for Involuntary Evaluation and Application for Emergency Admission, notifying the Admission Coordinator of the decision immediately.
Staff applications determined as not acceptable with the CBI Medical Director prior to not accepting.
Complete Practitioner Admission Orders on admission (in person or verbally to a nurse) and sign within 24-hours.
Perform psychiatric evaluation at minimum once every 24 hours for everyone admitted to the 23-Hour Observation Unit.
Review cases with RN and Crisis Specialist during rounds as part of discharge planning process and document rounds in progress notes.
Review cases with oncoming practitioner at the end of each shift.
Maintain treatment of physical health and/or coordinate with PCP and other prescribers while in treatment.
Complete a psychiatric evaluation and document it in the patient file for everyone admitted to the inpatient behavioral health facility.
Write and/or sign orders for pain management evaluation if clinically indicated.
Provide necessary documentation and treatment for patients under petition or court ordered treatment.
Document review of the discharge plan with the patient.
Evaluate each patient for ongoing mental health/psychiatric care and physical health issues prior to discharge and document in the electronic health record.
Complete orientation as directed by CBI, including shadowing another CBI practitioner.
Maintain necessary patient data logs as required when treating patients with buprenorphine.
Participate in quality management initiatives and correct any identified areas of deficiency within 72 hours.
Maintain a minimum 85% compliance with documentation requirements.
Adhere to appointment scheduling protocols assigned by the medical director.
Maintain a minimum 85% patient satisfaction and submit a plan of correction if performance falls below this.
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; give appropriate direction and provide 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.
Promote collaborative patient care by communicating with referring and receiving professionals.
Attend and actively participate in practitioner meetings (minimum of 3 quarterly meetings per year); 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 clinical and business needs.
Give a minimum of 60 days’ notice for time off and coordinate with peers for coverage.
Notify Director of Medical Practice and Medical Director in 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, notifying the Director of Medical Practice if not completed.
Train new clinical staff of the same specialty or experience by having them shadow or be trained.
Attend educational meetings deemed appropriate for their specialty.
Recognize practice limitations and seek consultation with other healthcare professionals when necessary to provide optimal patient care.