Lead Psychiatrist

Brief Job Description

The state of Texas offers many benefits to employees. HHSC is a qualifying organization for the Federal Public Service Loan Forgiveness Program, which forgives the remaining balance on college student Direct Loans after making 120 qualifying monthly payments. We also offer excellent health benefits, a lifetime monthly retirement annuity as well as 401(k) and 457 Programs under the Employees Retirement System of Texas.

Essential Job Functions (EJFs)

• Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
• Utilizes a multi-disciplinary approach to complete psychiatric assessments of individuals, and administers psychiatric treatments and medications within the SH policies/procedures as deliberated with and agreed upon by the The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), Texas Administrative Code (TAC), Texas HHSC Executive Formulary Committee, and SH policies.
• Attends and participates in in other meetings and committees as requested.
• Performs medication reviews in accordance with policy.
• Plans, assigns, and guides the work of others in the process of the multi-disciplinary approach to patient care per policies and procedures.
• Conducts psychiatric clinics as scheduled and psychiatric reviews as requested by the review team or the central office Chief Medical Officer.
• Treats each individual with the most effective medication and the most effective dosage. Reviews lab work, modifies recovery plans, and records deliberations and treatments accurately and timely in the electronic health record.
• Develops and implements psychiatric recovery plans documenting how supports and interventions are customized for the individuals’ psychiatric needs as well as their strengths and preferences. Documents how recovery plans are person centered and least-restrictive interventions based on risk vs. benefit analysis and treatment history, and how psychiatric supports and interventions are integrated with the supports and interventions from other disciplines. Develops and organizes implementation timeframes and provides guidance to the recovery team, and direct care staff while following HHSC and local policies and procedures, TJC standards, CMS conditions of participation, TAC, and other state statutes.
• Reads and analyzes medical records, leads discussions in staff meetings, participates in conference calls concerning clinical psychiatric issues, reviews the clinical practice of providers in peer review proceedings, and provides written opinions and recommendations as appropriate on all matters raised in these venues. Interacts with and makes recommendations to family members, guardians, and legally authorized representatives (LAR) when requested, and obtains timely medication consents.
• Ensures collaboration between psychiatry and other medical disciplines for dually diagnosed individuals. Provides other medical specialist with necessary information and ensures that psychiatry notes reflect this collaboration.
• Consults with other psychiatrists, medical staff, psychologists, and others to collaboratively develop psychiatric interventions, identify environmental factors that may impact psychiatric care, and participate in restraint reduction efforts by coordinating medication and behavior therapy. Manages acute psychiatric care including authorizing emergency restraints and writing orders for the emergency use of medication.
• Reviews and monitors system data and trends related to the quality of psychiatric care provided at the SH. Addresses issues identified through monitoring of data and presents changes to the recovery plan. Attends meetings and chairs discussions to inform and create buy-in to necessary changes and follows through on SH performance improvement plans. Participates in desk and onsite audits by reviewing records and applying audit tools.
• Maintains open and regular communication with the Medical Director, Superintendent, and other staff to ensure the transfer of needed information and continuity of services. Participates in various Medical Staff Committees and Sub-committees (Utilization Management, Infection Control, Pharmacy and Therapeutics, etc.) designed to ensure patients are receiving quality care.
• Participates in mandatory training per HHSC policies and procedures, HIPAA policies, state and federal rules and regulations, and TJC standards and CMS conditions of participations to provide quality psychiatric services and care to individuals served. Travels occasionally to other SHs to participate in team reviews to assess compliance with regulations, policies, and standards.
• Develops, implements, organizes, and provides leadership in the area of Psychiatric Services following HHSC policies and procedures, state and federal rules and regulations, and TJC standards and CMS conditions of participations in order to provide quality psychiatric services and care to individuals served.
• May review the work of other Psychiatrists and clinic staff for appropriateness of care, quality of care, and timeliness of care. May manage staff within the psychiatric department.
• Provides psychiatric coordination, collaboration, and consultation with the facility Medical Director, the central office Chief Medical Officer, central office Chief of Forensic Medicine, central office Director of Facility Operations, and central office Associate Commissioner in all matters of patient care services, quality improvement initiatives, TJC compliance, state TAC, and regulatory agency code compliances. Advises the facility Medical Director, the central office Chief Medical Officer, and central office Chief of Forensic Medicine of unusual or difficult psychiatric problems experienced at the SH.
• Stays current with research of psychiatric and behavioral health treatments. Reviews and makes recommendations to the appropriate authority for changes in evaluation tools and treatment protocols used to ensure compliance with the standards for quality of care concerning psychiatry and behavior health services.
• Provides staff guidance and training for new employees, professional staff, direct contact staff, and families. Participates in mandatory training per HHS policies and procedures, HIPAA policies, state and federal rules and regulations, to provide quality psychiatric services and care to individuals served.
• If the assigned SH supports a psychiatric residency program, may serve as a supervising physician and liaison to resolve issues related to student rotations at the SH by initiating contact with medical schools, attending meetings, and writing statements of work for contracts.
• If the assigned SH employs psychiatric advanced practice registered nurses (PAPRN), may serve as delegating physician as requested.

Knowledge, Skills and Abilities (KSAs)

• Knowledge of methods and procedures in the field of general medicine and general psychiatry.
• Knowledge of principles of the development, implementation, and documentation of person-centered individualized care and recovery plans.
• Knowledge of the principles of behavior treatment and ability to work collaboratively with staff.