Consultation-Liaison Psychiatrist
The Christ Hospital Health Network · Cincinnati, OH · 7 mo ago
On-siteHealthcareFull-time
Responsibilities
- Perform psychiatric assessments and evaluations for adult inpatients referred from medical, surgical, ICU, and specialty services.
- Provide diagnostic clarification and treatment plans for patients with: Mood disorders, psychosis, anxiety, PTSD, delirium, encephalopathy, cognitive disturbances, behavioral complications of medical illness, substance use and withdrawal syndromes.
- Develop comprehensive management plans including medication recommendations, safety planning, behavioral strategies, and follow-up needs.
- Collaborate closely with hospitalists, intensivists, surgeons, neurologists, nursing, case management, and ancillary teams.
- Document evaluations, recommendations, and progress notes in the EMR in accordance with hospital policy.
- Provide expertise in the assessment, differential diagnosis, and management of delirium in medically ill or postoperative patients.
- Guide nonpharmacologic and pharmacologic interventions to reduce complications, restraint use, and unnecessary testing.
- Partner with nursing leadership and hospital medicine on system-level delirium protocols and education.
- Evaluate and manage patients experiencing withdrawal from alcohol, opioids, benzodiazepines, and other substances.
- Assist in developing management plans that include MAT (medication-assisted treatment) when appropriate.
- Coordinate with Addiction Medicine, Social Work, and Case Management for safe discharge and continuity of care.
- Provide consultation for competency evaluations and behavioral issues involving comorbid substance use.
- Participate in a rotating schedule of compensated ED call coverage.
- Provide rapid psychiatric evaluation for ED patients, including: Safety assessments and disposition planning, Management of agitation, psychosis, or suicidal ideation, Admission vs discharge recommendations.
- Coordinate directly with ED providers and the inpatient psychiatric unit.
- Provide periodic coverage for the inpatient psychiatric unit, including rounding, admission evaluations, and treatment planning.
- Collaborate with the Behavioral Health multidisciplinary team to ensure safe, high-quality inpatient psychiatric care.
- Support transitions between the medical floors, ED, and inpatient behavioral health service to streamline flow.
- Serve as a psychiatric resource to hospital staff through curbside consults, interdisciplinary huddles, and committee participation.
- Provide education for medical staff, residents, nursing, and allied health professionals on topics such as delirium prevention, psychopharmacology, and substance-use management.
- Participate in quality improvement initiatives related to behavioral health care, safety, throughput, and LOS reduction.
Qualifications
- Board eligible or certified in psychiatry.
- Able to obtain an unrestricted Ohio State Medical License and DEA.
- Experience managing delirium, complex psychiatric comorbidities, and substance use disorders in medical settings.
- Strong interpersonal communication skills, and ability to work collaboratively across disciplines.
- Fellowship in consultation-liaison psychiatry preferred but not required.