Psychiatrist PT Crisis

Detroit Wayne Integrated Health Network•Detroit, MI

3d•Onsite

About The Position

The Psychiatrist performs clinical duties across the continuum of intensive crisis stabilization services, including the Crisis Stabilization Unit, Behavioral Health Urgent Care, and Mobile Crisis Services. The position works under the supervision of the Medical Director and provides direct psychiatric care, clinical oversight, consultation, supervision, and leadership in service quality and coordination. The role includes psychiatric evaluation and treatment, medication and restraint orders, monitoring patients, coordinating medical services, overseeing discharge planning and care coordination, and completing clinical documentation. The Psychiatrist supervises Advanced Practice Providers and the mobile crisis team, consults on urgent clinical issues and cases in emergency and inpatient settings, and supports eligibility and medical-necessity decisions. The Psychiatrist also contributes to utilization management, peer review, policy development, staff training, committee leadership, quality improvement, and consultation with Medicaid Health Plans and other care providers. The position teaches students, residents, and fellows; attends clinical and administrative meetings and shift handovers; and may travel to different sites throughout Wayne County and Michigan. Work is usually performed at the Crisis Care Center.

Requirements

Medical degree from an accredited school of medicine.
Board certification in Psychiatry; if not currently certified, must be board eligible and pursuing certification.
Must be able to be credentialed as a QMHP and/or QCMHP.
At least three years of experience in a mental health program, including experience with policy writing, accreditation activities, staff development, and peer review management of direct-report staff.
Valid and current Michigan license to practice as a physician.
Valid and current Michigan controlled substance license.
Valid and current Drug Enforcement Agency registration.
Valid State of Michigan driver’s license with a safe and acceptable driving record.
Knowledge of Joint Commission accreditation and certification standards; DWIHN policies, procedures, practices, provider network, and community resources; Michigan Mental Health Code; MDHHS and federal policies and regulations relevant to DWIHN; clinical care processes; behavioral health screening and assessment tools; medical and behavioral health practices and terminology; compliance standards; medical-necessity criteria; Medicaid and other governing mental health documents and regulations; psychological, emotional, and sociological assessment and diagnosis; diagnostics, psychopharmacology, and supportive treatment for adults with severe mental illness; co-occurring mental health and substance use disorders; psychotropic medications; CMHSPs, PIHPs, and community mental health services; and the DSM-IV Statistical Manual.
Leadership, training, assessment and evaluation, organizational, planning, analytical, report-writing, decision-making, critical-thinking, interpersonal, communication, teaching, written communication, computer, and teamwork skills.
Ability to communicate orally and in writing, work effectively with others, work with an ethnically, linguistically, culturally, economically, and socially diverse population, and exercise judgment and reasoning.
Provide proof of full COVID-19 vaccination as a condition of employment, subject to applicable accommodations or exemptions.

Nice To Haves

Additional board certification in Child and Adolescent Psychiatry is preferred.
If moonlighting, permission from the Psychiatry Residency and/or Fellowship program and an independent license are required.

Responsibilities

Provide direct clinical and patient care, including psychiatric evaluation and re-evaluation, disposition, coordination of medical services, medication prescribing, restraint orders, and patient monitoring.
Incorporate evidence-based best-practice standards into service delivery and comply with licensing regulations and accreditation standards.
Provide expertise and consultation on psychotropic medications, psychiatric evaluation, care coordination, and other medical topics.
Supervise coordination of care activities and oversee discharge planning.
Complete clinical documentation.
Oversee and clinically supervise Advanced Practice Providers, including case collaboration and discussion and co-signing notes.
Provide supervision and direction to the mobile crisis team.
Complete doctor-to-doctor communications.
Review eligibility assessments for members contacting the Crisis Care Center and Access Center.
Provide oversight for utilization management and review, service denials and appeals, retrospective reviews, death and sentinel-event reporting and review, and clinical aspects of Medicaid Fair Hearings.
Determine medical necessity and conduct peer reviews, including on-site consultations with contractors and service providers when needed.
Oversee policy development and research medical topics; engage in publication opportunities.
Meet with Medicaid Health Plans to coordinate integration of services.
Train staff on applying medical-necessity criteria to referrals for comprehensive mental health services; conduct staff development and training for Medical Directors, providers, Network staff, and other professionals.
Serve in a leadership capacity on designated committees, including Medical Advisory, Utilization Management, Peer Review, Sentinel Events, Death Review, Behavioral Treatment Advisory, and Credentialing committees, as required or directed.
Consult on cases in emergency departments, inpatient psychiatric units, state hospitals, and provider services.
Provide clinical reviews for cases requiring psychiatric consultation for the Recipient Rights office.
Teach students, psychiatric residents, and fellows.
Participate in clinical and administrative meetings and Quality Assurance reviews.
Oversee extended lengths of stay, long-term hospital transfers, discharge planning, and annual community hospital surveys.
Consult with the Quality Management Department on continuous and internal quality improvement.
Analyze and evaluate patient data and provide consultations for disability designation of members.
Provide clinical coverage and consultation for urgent clinical issues while members await care from clinically responsible service providers, including referrals through the Access Center, Crisis Care Center, or Mobile Crisis Team.
Initiate or continue emergency medication orders or restraints in accordance with state law.
Collaborate with an interdisciplinary team to improve productivity, efficiency, recovery outcomes, and medical care.
Ensure appropriate responses to medical emergencies.
Attend shift handover meetings.
Identify and promptly report workplace health and safety risks, accidents, incidents, injuries, and property damage.
Perform related duties as assigned.