Advanced Practice Provider - Crisis PT

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

Responsibilities

• Provides direct clinical/patient care duties, including psychiatric evaluation, re-evaluation, disposition, coordination of medical services with nurse on duty, medication orders/prescribing, and patient monitoring.
• Incorporates Evidence-Based Best Practice Standards into service delivery.
• Provides care compliant with licensing regulations and accreditation standards.
• Determines medical necessity and researches medical topics such as psychotropic medication, psychiatric evaluation, and coordination of care.
• Supervises coordination of care activities and 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 and teaches NP/PA students and other Advanced Practice Providers, as appropriate.
• Participates in clinical and administrative meetings, as well as Quality Assurance reviews.
• Collaborates and discusses cases with psychiatrists and interdisciplinary teams to 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 urgent clinical issues from the time members contact the Crisis Care Center and/or Mobile Crisis Teams until they are seen by Clinically Responsible Service Providers.
• Attends shift handover meetings.
• Adheres to DWIHN compliance standards as outlined in the Code of Conduct and Conflict of Interest Policies.
• Maintains patient confidentiality per federal guidelines and DWIHN policy and procedures.
• Identifies and reports any health and safety risks, accidents, incidents, injuries, and property damage at the workplace in a timely manner.
• Performs additional duties as assigned by the Medical Director.

Requirements

• Master's Degree (MSN) in Psychiatric-Mental Health (PMH) Nursing or other MSN with additional coursework for eligibility for PMH Board Certification, or Bachelor's Degree, completion of an AMA-approved Physician Assistant program, and licensure as a Physician Assistant.
• Valid State of Michigan clinical licensure:
  • Licensure as a Physician Assistant with continuing certification from the National Commission on the Certification of Physician Assistants, or
  • Licensure as a Registered Nurse, certified from MI State Board of Nursing as a Nurse Practitioner, and ANA/ANCC Psychiatric-Mental Health Nurse Practitioner (PMHNP).
• Valid State of Michigan Driver’s License with a safe and acceptable driving record.
• DEA, License, and BLS certification.
• Minimum of two (2) years of professional experience, with at least one (1) year of behavioral health experience.
• Additional primary care and hospital experience preferred.
• Preferred: Minimum of one (1) year of experience treating child and adolescent populations in mental health settings, along with additional primary care, addiction medicine, and/or pediatric experience.

Skills

• Knowledge of DWIHN policies, procedures, and practices, as well as the DWIHN provider network and community resources.
• Knowledge of the Michigan Mental Health Code, MDHHS policies, rules, regulations, and procedures, and Federal policies as they relate to DWIHN.
• Comprehension of psychiatric care, including psychiatric medications, their indications, common side effects, reactions, and interactions.
• 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).
• Ability to use screening and assessment tools for behavioral health services.
• Knowledge of medical and behavioral health practices and terminology, as well as behavioral health case management practices and principles.
• Knowledge of Evidence-Based Practices for the behavioral health field.
• Ability to use treatment planning, case management, and continuing care for behavioral health services.
• Knowledge of diagnostics, psychopharmacology, and supportive treatment approaches for a severely mentally ill (SMI) population.
• Knowledge of Medicaid, local, regional, and national codes, laws, and regulations, as well as compliance standards.
• Knowledge of clinical assessment principles and practices, and clinical licensure in the State of Michigan.
• Knowledge of the DSM-V Statistical Manual.
• Clinical documentation skills and proficiency in computer skills (Word, Excel, Access, PowerPoint, Outlook, Teams).
• Attention to detail, problem-solving, effective listening, assessment, evaluation, organizational, planning, decision-making, and critical thinking skills.
• Strong interpersonal, communication, teamwork, and training skills.
• Ability to communicate orally and in writing, work effectively with others, and work with an ethnically, linguistically, culturally, economically, and socially diverse population.
• Judgment and reasoning ability.

Schedule

• Part-time position.
• Reports to shifts as scheduled: 7:00 AM – 7:30 PM or 7:00 PM – 7:30 AM, or as assigned.
• Includes weekend coverage.
• Work is primarily performed at the Crisis Center but may require travel to different sites throughout Wayne County and the State of Michigan.

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.