Pmhnp Jobs

About The Position

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.

Benefits

• Medical
• Dental
• Vision
• Disability
• Life
• Supplemental plans - Hospital indemnity/ Critical Illness
• Pet Insurance
• Dependent Care Savings
• Health Care Savings
• 401K with employer match - 100% vested upon enrollment
• Generous PTO accrual
• Wellness programs
• Tuition Reimbursement
• Scholarship Programs
• Incentives