LOCUM Psychiatrist (West Allis)

Rogers Memorial Hospital•West Allis, WI

1d•Hybrid

About The Position

The Physician will be expected to attend patients and assist with patient coverage at the locations assigned by Employer (the “Site(s)”). In addition, Physician may be expected to cover additional locations or “Sites”, as assigned by Employer if Site does not have enough patient availability for Physician to achieve RVU targets or daily patient visit goals or there are provider shortages at a particular location and Employer needs Physician to provide additional coverage. The Physician will accept referrals from medical physicians, psychiatrists, in all areas and counties surrounding Site referrals, to attend their patients on the unit, and upon patient discharge the Physician will refer the patient to the referring physician for outpatient care, unless the patient expresses another preference, or the Physician determines that this is not in the best medical interests of the patient. The Physician will be responsible for providing written and verbal discharge summaries to all referring physicians. The Physician will continue to see patients on unit seen by Nurse Practitioners and Physician Assistants and serve as a collaborating physician for them as needed, including completion of psychiatric evaluations. The Physician may be required by Employer to participate in call coverage based on the pre-determined schedule established by the Employer, which will include an equitable division of dates across providers. The Physician shall perform all medical functions necessary to insure the delivery of high quality treatment for psychiatric disorders for patients at the Sites, including, but not limited to: Conducting a psychiatric assessment of each patient within timeline defined by Hospital policy. When applicable, conducting rounds for patients per Hospital policy, and as assigned to Physician. Completing and signing discharge summaries timely, as defined by Hospital policy. When applicable, completing emergency detentions of patients when conditions exist for taking an individual into custody under applicable state law, including filing statements concerning appropriateness of a patient for emergency detention and attending any required court proceedings or meeting standards around the duty to warn by calling the appropriate authorities to complete emergency detention. Participate in quality assurance activities. Medication education with nursing staff. Inservice treatment team, as needed. Attend the Medical Staff meeting and the Medical Staff Executive Committee meeting. Provide supervision, including sponsorship of Advanced Practice Nurse Practitioners (APNP) and/or Physician Assistants (PA) upon request. The Physician will assist the Site in its contracting with payors for mental health services. The Physician will also assist in developing and maintaining positive working relationships with all contracted payors. The Physician will assist in the review of all denials of service from all payors that are deemed for medical reasons. Interface with referring parties, the psychiatrist, family practice and/or pediatrician, to coordinate care, aftercare. Market Employer as appropriate, to include off-site meetings and marketing activities. Review potential admissions, pending cases, and declined admissions, as needed, to assure Employer policy execution and compliance with EMTALA. In addition to the above duties and responsibilities, the Physician needs to be an advocate for the Sites. Advocacy is both an informal activity and a formal activity. It is expected that the Physician will provide support, information, education and services when appropriate opportunities present themselves. The Physician must be committed to assisting the Site in becoming highly visible and respected for the contributions it does and can make to quality patient care. Participate in and support Employer’s quality assurance and performance improvement activities and meetings. Take an active role in identifying new program development opportunities for patient care services and Employer. Participate in community education of behavioral health issues, as requested by Employer. At the sole discretion of the Employer, Physician may be asked to devote some of their time and effort to supporting the admissions process. Duties related to this task include the following: Provide initial placement recommendations based on admitting criteria, clinical parameters, medical history and documentation obtained through screening process provided by prospective patient or representative. Review and evaluate completed admission screenings to determine appropriate program, level of care, and (if appropriate) mode of delivery for prospective patient. Review admissions screening interview (ASI), transfer documentation (TRF/TCF), external provider documentation, charted history from prior Rogers treatment encounters, external treatment summaries, test reports, or letters from interested others. Determine the potential patient has sufficient cognitive and psychological functioning that would allow them to benefit from treatment and programming. Review and demonstrate an understanding of the various programs and modes of treatment delivery available at Rogers, as well as of the latest organizational guidance regarding when each is considered appropriate or necessary for a given patient presentation. Interact with team members, external providers and referents in a respectful manner reflecting positively upon the organization at all times. Convey recommendations and suggestions in a manner that facilitates managing patient/family expectations related to services provided. If necessary, promptly initiate contact with referring providers or treatment teams to determine accurate clinical/programmatic recommendation for patients. Provide clear guidance to team on medical reasoning of recommendation and/or justification for level of care for most accurate relay to patients/families. Document progress using the visual tracking/management system provided. Attend all pertinent MDI huddles as directed by medical/clinical and admission Leader. Complete reviews/recommendations and all required supporting work and documentation in a timely manner in order to ensure quality prospective patient experience. Communicate professionally and accurately. Refer to and work with other departments and agencies as needed and according to departmental policies. Report pertinent data to the attending provider and others on the team, verbally or in writing as necessary, and prioritize effectively and consistently in situations requiring immediate attention versus postponement. Immediately communicate difficult problems with referents, patients, family members/significant others and co-workers. Develop and maintain relationships with medical staff and other providers across RBH for ongoing re-review or other case communication.

Requirements

Licensed MD / DO
Board-eligible psychiatrist
Excellent interpersonal skills
Ability to resolve conflict
Ability to use initiative and judgment to organize, plan activities, formulate policies, delegate responsibility and make decisions affecting diagnosis and treatment of patients.
Ability to relate to people in a manner to win their confidence and establish rapport.
Flexibility to adjust to changing conditions, programs and various details of the position.
Verbal and hearing ability required to interact with patients and employees.
Numerical ability required to maintain records and operate a computer.
Ability to read and communicate through written, verbal and auditory skills and abilities.
Physically/Mentally able to perform job duties as verified by a physical exam by a licensed physician, per post-employment.

Nice To Haves

Board certification preferred
Leadership and/or supervisory experience in a behavioral health organization is preferred
Experience with process improvement implementation preferred

Responsibilities

Attend patients at assigned locations (Site(s)) and via telehealth.
Cover additional locations if needed due to patient availability or provider shortages.
Accept referrals from medical physicians and psychiatrists.
Provide written and verbal discharge summaries to referring physicians.
See patients on unit seen by Nurse Practitioners and Physician Assistants and serve as a collaborating physician.
Complete psychiatric evaluations.
Participate in call coverage as scheduled.
Attend to assigned patients in various levels of care (inpatient, residential, PHP, IOP, outpatient services).
Conduct 1:1 therapy and medication management sessions.
Participate in weekly patient staffing.
Lead and sign treatment plans for each patient.
Provide family education/therapy as clinically indicated.
Attend unit meetings and status reports.
Conduct psychiatric assessments.
Conduct rounds for patients.
Complete and sign discharge summaries.
Complete emergency detentions of patients when conditions exist.
Participate in quality assurance activities.
Provide medication education with nursing staff.
Provide inservice treatment team as needed.
Attend Medical Staff meetings and Medical Staff Executive Committee meetings.
Provide supervision and sponsorship of Advanced Practice Nurse Practitioners (APNP) and/or Physician Assistants (PA).
Assist the Site in contracting with payors for mental health services.
Develop and maintain positive working relationships with contracted payors.
Assist in the review of denials of service from payors.
Interface with referring parties to coordinate care and aftercare.
Market Employer through off-site meetings and marketing activities.
Review potential admissions, pending cases, and declined admissions.
Act as an advocate for the Sites, providing support, information, education, and services.
Identify new program development opportunities.
Participate in community education of behavioral health issues.
Support the admissions process by providing initial placement recommendations.
Review and evaluate completed admission screenings.
Determine if potential patients have sufficient cognitive and psychological functioning to benefit from treatment.
Understand and apply knowledge of various programs and treatment delivery modes.
Interact with team members, external providers, and referents respectfully.
Convey recommendations and suggestions to manage patient/family expectations.
Initiate contact with referring providers or treatment teams.
Provide clear guidance on medical reasoning and justification for level of care.
Document progress using the provided system.
Attend pertinent MDI huddles.
Complete reviews/recommendations and supporting documentation in a timely manner.
Communicate professionally and accurately.
Refer to and work with other departments and agencies.
Report pertinent data to the attending provider and team members.
Communicate difficult problems with referents, patients, family members/significant others and co-workers.
Develop and maintain relationships with medical staff and other providers.