Psychiatrist III - Part Time

Texas Health & Human Services Commission•Corpus Christi, TX

13d•$10,486 - $11,560•Onsite

About The Position

The Psychiatrist performs advanced psychiatric assessment, treatment, and monitoring for residents at a State Supported Living Center serving people with intellectual and developmental disabilities who may be medically fragile or have behavioral problems. The role works with minimal supervision and substantial independence, reporting directly to the SSLC Medical Director. It uses a multidisciplinary approach to assess residents, develop individualized treatment plans, prescribe and monitor medication, and coordinate care with the Interdisciplinary Team (IDT), behavioral health and direct care staff, neurologists, families, guardians, and other clinicians. The psychiatrist also reviews clinical data and quality trends, leads discussions and committees, and guides the implementation of treatment plans and service improvements. The position is part-time, based at the Corpus Christi State Supported Living Center, and is not eligible for telework. Work-hour flexibility, overtime or extended hours, weekends, holidays, and rotating on-call assignments may be required.

Requirements

Unrestricted medical doctor license from the State of Texas.
Board certified or board eligible in Psychiatry in the State of Texas.
Current unrestricted Drug Enforcement Agency (DEA) registration certificate.
National Provider Identifier (NPI) and enrollment as a Medicaid and Medicare Part B provider.
Residency trained.
Knowledge of general medicine, general psychiatry, and the development, implementation, and documentation of individualized care and treatment plans.
Knowledge of behavior treatment principles and ability to collaborate with behavioral health staff.
Knowledge of state formulary maximum-dose guidelines and ability to document exceptions, including efficacy, safety, and tolerance.
Knowledge and skills in serving people with intellectual and developmental disabilities in a large residential setting.
Skill in patient care and treatment and use of medical and psychiatric diagnostic and treatment tools and equipment.
Knowledge and skill in using electronic healthcare systems and Microsoft Office products.
Ability to assess, diagnose, prescribe, and supervise treatment while complying with local policy, Texas Administrative Code, and applicable laws.
Ability to direct psychiatric activities; examine, diagnose, and treat mental disorders; interpret psychological diagnoses and analyses; develop policies and procedures; and prepare or supervise case histories and medical records.
Ability to resolve medically difficult issues using consultant opinions, appropriate literature, and accepted guidelines.
Ability to facilitate an effective IDT approach that uses team expertise to provide quality care.
Ability to participate in continuous quality improvement and follow improvement plans and state initiatives.
Ability to manage polypharmacy and justify and document the need for multiple psychotropic medications.
Ability to plan, assign, and/or supervise others’ work.
Ability to work independently using sound judgment and advanced time-management skills.
Ability to complete annual and other required training, including CPR, Safe Use of Restraints, and Ukeru.
Ability to organize and present information effectively orally and in writing.
Pass required fingerprint criminal background, pre-employment drug screening, and registry checks.
Applicants must be at least 18 years old; males ages 18–25 must be registered with Selective Service.
State Supported Living Center employees are subject to random drug testing.

Nice To Haves

At least three years of experience working as a psychiatrist is preferred.
Experience working with people with mental illness and intellectual disabilities is preferred.

Responsibilities

Conduct psychiatric assessments and administer psychiatric treatments and medications in coordination with the IDT and in accordance with SSLC policies and applicable standards.
Complete medication reviews with a psychologist and nurse; attend medication reviews and other meetings as requested; and document reviews according to policy.
Establish physician-patient relationships through face-to-face contact, including within 14 calendar days of a new admission; conduct scheduled quarterly, emergency, and follow-up psychiatric clinics and requested reviews.
Select effective medication and dosage, review laboratory work, modify treatment plans, and document deliberations and recommendations accurately and promptly in the electronic health record.
Develop and implement individualized psychiatric treatment plans that address residents’ needs, strengths, preferences, least-restrictive interventions, risks and benefits, and coordination with other disciplines.
Organize implementation timeframes and guide the IDT, behavioral health staff, and direct care staff in carrying out treatment plans.
Review medical records, lead staff discussions, participate in clinical conference calls, communicate recommendations to families, guardians, and Legally Authorized Representatives when requested, and obtain timely medication consents.
Coordinate psychiatric care with neurology for dually diagnosed individuals, provide necessary information to neurologists, and document collaboration in psychiatry notes.
Consult with psychiatrists, medical staff, behavioral health specialists, psychologists, and others to develop behavioral interventions, identify environmental factors affecting care, and support restraint reduction.
Manage acute psychiatric care, including authorizing emergency restraints, ordering emergency medication, coordinating psychiatric hospitalization when clinically indicated as a last resort, and completing post-chemical-restraint assessments within 72 hours.
Review and monitor psychiatric care quality data and trends at least monthly, address identified issues, present changes to the IDT, and follow through on implementation plans.
Participate in desk and onsite audits by reviewing records and applying audit tools.
Maintain regular communication with the Lead Psychiatrist, Medical Director, Facility Director, and other staff to support information transfer and continuity of services.
Participate in quality-care committees, including Medical Services Division, Pharmacy, Therapeutics, Clinical Death Review, Administrative Death Review, Root Cause Analysis, and Admission Reviews.
Participate in mandatory training and comply with HHS policies, HIPAA, state and federal rules, ICF-IID regulations, and the SSLC Department of Justice Settlement Agreement.
Develop, implement, organize, and provide leadership in Psychiatric Services in accordance with applicable policies, regulations, and standards.
Plan, assign, and guide others’ work in multidisciplinary resident care; may supervise psychiatric staff, provide feedback, conduct evaluations, and take corrective action depending on the facility structure.
Participate in agency disaster response, recovery, or Continuity of Operations activities as assigned, which may require a different shift pattern or work location.
Perform other duties as assigned.