Advanced Practice Provider - Crisis

Advanced Practice Provider (Psychiatric Nurse Practitioner/Physician Assistant)

Crisis Center

Under the general supervision of the Medical Director of Crisis Services, the Advanced Practice Provider (Nurse Practitioners and Physician Assistants) will perform clinical duties and activities as directed, covering the continuum of intensive crisis stabilization services (ICSS) including Crisis Stabilization Unit, Behavioral Health Urgent Care, and Mobile Crisis Services.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

· Provides direct clinical/patient care duties and responsibilities as required, including psychiatric evaluation, re-evaluation, disposition, coordination of medical services with nurse on duty, medication orders/prescribing, monitoring patients, etc.

· Incorporates Evidenced Based Best Practice Standards into service delivery.

· Provides care compliant with licensing regulations and accreditation standards.

· Determines medical necessity.

· Researches medical topics such as psychotropic medication, psychiatric evaluation, coordination of care, etc.

· Supervises coordination of care activities.

· Directs discharge planning.

· Completes clinical documentation as required.

· Provides supervision and direction to the mobile crisis team.

· Reviews Eligibility assessments for members contacting the Crisis Care Center.

· Completes required trainings.

· Teaches NP/PA students and other Advanced Practice Providers, as appropriate.

· Participates in clinical and administrative meetings.

· Participates in Quality Assurance reviews.

· Collaborates and discusses cases with psychiatrist.

· Collaborates with an interdisciplinary team to continuously improve productivity, efficiency, recovery outcomes, and medical care.

· Handles work responsibilities and challenges with honest and ethical behavior.

· Ensures appropriate responses to all medical emergencies.

· Provides clinical coverage and consultation on any urgent clinical issue that may arise between the time that members contact the Crisis Care Center and/or Mobile Crisis Teams and until they are seen by our Clinically Responsible Service Providers.

· Attends shift handover meetings.

· Understands and adheres to DWIHN compliance standards as they appear in the Code of Conduct and Conflict of Interest Policies.

· Maintains patient confidentiality per federal guidelines and DWIHN policy and procedures.

· Identifies and timely reports any health and safety risks, accidents, incidents, injuries, and property damage at the workplace.

· Performs any additional duties as assigned by the Medical Director.

KNOWLEDGE, SKILLS, AND ABILITIES (KSA’S):

· Knowledge of DWIHN policies, procedures, and practices.

· Knowledge of the DWIHN provider network and community resources.

· Knowledge of the Michigan Mental Health Code.

· Knowledge of MDHHS policies, rules, regulations, and procedures.

· Knowledge of Federal policies, rules, regulations, and procedures as it relates to DWIHN.

· Knowledge of comprehension of psychiatric care preferred.

· Knowledge of psychiatric medications and their indications, common side effects, reactions, and interactions of medications prescribed.

· Knowledge and ability to work with agitated patients in crisis and their families to implement behavioral management interventions.

· Knowledge of the clinical care process (screening, assessment, treatment planning, case management, and continuing care).

· Knowledge of and ability to use screening and assessment tools for behavioral health services.

· Knowledge of medical and behavioral health practices and terminology.

· Knowledge of behavioral health case management practices and principles.

· Knowledge of Evidence Based Practices for the behavioral health field.

· Knowledge of and ability to use treatment planning, case management, and continuing care for behavioral health services.

· Knowledge of diagnostics, psychopharmacology, and supportive treatment approaches as applied to a severely mentally ill (SMI) population.

· Knowledge of Medicaid, local, regional, and national codes, laws, and regulations.

· Knowledge of compliance standards.

· Knowledge of clinical assessment principles and practices.

· Knowledge of clinical licensure in the State of Michigan.

· Knowledge of the DSM-V Statistical Manual.

· Clinical documentation skills.

· Computer skills (Word, Excel, Access, Power Point, Outlook, Teams).

· Attention to detail skills.

· Problem solving skills.

· Effective listening skills.

· Assessment skills.

· Evaluation skills.

· Organizational skills.

· Planning skills.

· Decision making skills.

· Critical thinking skills. · Interpersonal skills.

· Communication skills.

· Teamwork skills.

· Training skills.

· Ability to communicate orally.

· Ability to communicate in writing.

· Ability to work effectively with others.

· Ability to work with an ethnically, linguistically, culturally, economically, and socially diverse population.

· Judgment/reasoning ability.

REQUIRED EDUCATION:

· A Master's Degree (MSN) in Psychiatric-Mental Health (PMH) Nursing or other MSN with additional coursework for eligibility for PMH Board Certification

OR

· A Bachelor's Degree, completion of an AMA-approved Physician Assistant program, licensure as a Physician Assistant

REQUIRED LICENSES:

· A Valid State of Michigan clinical licensure.

o Licensure as a Physician Assistant. Continuing certification from the National Commission on the Certification of Physician Assistants. Or

o Licensure as a Registered Nurse and certified from MI State Board of Nursing as a Nurse Practitioner and ANA/ANCC Psychiatric-Mental Health Nurse Practitioner (PMHNP).

· A valid State of Michigan Driver’s License with a safe and acceptable driving record.

SPECIAL CONDITIONS:

· Required DEA, License and BLS certification.

· A Nursing Competency Checklist must be completed as part of the new hire onboarding process.

REQUIRED EXPERIENCE:

· Minimum of two (2) years of professional experience.

· Minimum one (1) years of behavioral health experience.

· Additional Primary care and hospital experience preferred.

PREFERRED EXPERIENCE:

· Minimum of one (1) year of experience treating child and adolescent populations in mental health settings.

· Additional Primary care, Addiction medicine and/or pediatric experience a plus.

WORKING CONDITIONS:

Work is usually performed at the Crisis Center but may require the employee to drive to different sites throughout Wayne County and the State of Michigan.

Shift Schedule

· Reports to shifts as scheduled, either from 7:00am-7:30pm or 7:00pm-7:30am or as assigned.

· Participates in weekend coverage.

This description is not intended to be a complete statement of job content, rather to act as the essential functions performed. Management retains the discretion to add or change the position at any time.

Please Note: DWIHN requires proof of being fully vaccinated for COVID-19 as a condition of employment. Medical or religious accommodations or other exemptions that may be required by law will be approved when properly supported. Further information will be provided during the recruitment process.

The Detroit Wayne Integrated Health Network is an Equal Opportunity Employer