Psych Nurse Practitioner - Crisis - Multiple Site

About the role

CBI is seeking a PMHNP/FNP for the Crisis Sobriety Center to work AM/PM shifts (Sunday – Tuesday Rotating Wed) (Rotating Wed Thursday - Saturday).

Responsibilities

• Completes Urgent Psychiatric and/or Addiction Medicine evaluations with all patients referred to the 23-hour observation unit from all referral sources including, but not limited to, hospitals, urgent care centers, law enforcement, and other medical practitioners for the purposes of assessment, diagnosis and treatment recommendations.
• Complete Urgent Psychiatric Assessment and/or Addiction Medicine, Ambulatory Detox, or Physical Health Assessments with patients who have been identified by CBI screening staff.
• Coordinate with one another when admitting, transferring, or discharging a patient to a different CBI program or level of care and will document in the medical record to ensure a smooth transition.
• Be available or initiate doc to doc communication and coordination of care and document it appropriately.
• All patients on the unit are evaluated at least daily to provide necessary adjustments in treatment and discharge planning.
• Seclusion and Restraint: Seclusion and restraint interventions are used in accordance with CBI policy. Provide assessment for the appropriate use of seclusion and restraint. Write an order immediately if at the facility, or sign order in the electronic health record within three hours if given verbally. Complete and document an assessment within one hour after order for restraint or seclusion takes place, which shall include current behavior, reaction to intervention being used, patient’s current medical condition, and whether to continue or terminate the restraint or seclusion. Write a release order or document a second order at the end of three hours if restraint or seclusion needs to be continued.
• Discharge Orders: 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. Deviations require prior approval from the CMO or designee.
• Complete Application for Involuntary Evaluation and Application for Emergency Admission (please see a more detailed job aid).
• Complete Admission Orders on admission (in person or verbally to a nurse) and sign by the admitting practitioner within 24-hours of admission.
• Daily Staffing and Rounds: Everyone admitted to the 23-Hour Observation Unit will have a psychiatric evaluation at minimum once every 24 hours, or sooner if clinically appropriate and necessary to justify patient’s need for continued stay. Review cases with RN and Crisis Specialist during rounds as part of discharge planning process. Document rounds in progress note. Reviews cases with oncoming practitioner at the end of each shift.
• Maintain treatment of physical health and/or coordination with PCP and other prescribers while in treatment.
• Internal Consults and Coordination of Care: Coordinate with one another when discharging, admitting or transferring a patient to a different CBI program or level of care and documents in the medical record to ensure a smooth transition.
• Psychiatric: Complete a psychiatric evaluation and documents the evaluation in the patient file for everyone admitted to the inpatient behavioral health facility. Write order and/or signs order for a pain management evaluation, if clinically indicated, if outside the scope of the attending medical practitioner. Provides necessary documentation and treatment for patients under petition or court ordered treatment. Document review of discharge plan with the patient.
• Mental Health/Psychiatric Care: evaluate each patient for ongoing mental health/psychiatric care prior to discharge and document in the electronic health record.
• Physical Health: Practitioner shall evaluate each patient for ongoing physical health issues prior to discharge and document in the electronic health record.
• Universal: Complete orientation as directed by CBI, which includes shadowing another CBI practitioner prior to working with patients. Obtain and maintain suboxone waiver for to treat the maximum number of patients for which the practitioner is eligible. Maintain necessary patient data logs as required when treating patients with buprenorphine to coordinate with the medical practice team and clinical team on caseload size. Provides evidence of CPR/First Aid prior to working with CBI patients and provides documentation of renewal every two years. 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 for patient care; give appropriate direction and providing 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. Ensure necessary documentation and treatment for patients under petition or court order. Promote collaboration patient care by communicating with referring and receiving professionals. Attend and actively participate in practitioner meetings; actively participate in any state, regulatory, or accreditation surveys; participate in peer review activities and performance improvement projects. Adhere to the appointment scheduling protocols assigned by the medical director and monitored by the medical management team. Maintain a minimum 85% patient satisfaction. If performance falls below 85%, practitioner will submit a plan of correction to the Medical Director. If performance falls below 85% for two consecutive months, practitioner will be removed from the schedule and will not receive compensation during this time. 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 for patient care; give appropriate direction and providing 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. Ensure necessary documentation and treatment for patients under petition or court order. Promote collaboration patient care by communicating with referring and receiving professionals. Attend and actively participate in practitioner meetings; actively participate in any state, regulatory, or accreditation surveys; participate in peer review activities and performance improvement projects. Adhere to the appointment scheduling protocols assigned by the medical director and monitored by the medical management team. Maintain a minimum 85% patient satisfaction. If performance falls below 85%, practitioner will submit a plan of correction to the Medical Director. If performance falls below 85% for two consecutive months, practitioner will be removed from the schedule and will not receive compensation during this time. 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 for patient care; give appropriate direction and providing 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. Ensure necessary documentation and treatment for patients under petition or court order. Promote collaboration patient care by communicating with referring and receiving professionals. Attend and actively participate in practitioner meetings; actively participate in any state, regulatory, or accreditation surveys; participate in peer review activities and performance improvement projects. Adhere to the appointment scheduling protocols assigned by the medical director and monitored by the medical management team. Maintain a minimum 85% patient satisfaction. If performance falls below 85%, practitioner will submit a plan of correction to the Medical Director. If performance falls below 85% for two consecutive months, practitioner will be removed from the schedule and will not receive compensation during this time. 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 for patient care; give appropriate direction and providing 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. Ensure necessary documentation and treatment for patients under petition or court order. Promote collaboration patient care by communicating with referring and receiving professionals. Attend and actively participate in practitioner meetings; actively participate in any state, regulatory, or accreditation surveys; participate in peer review activities and performance improvement projects. Adhere to the appointment scheduling protocols assigned by the medical director and monitored by the medical management team. Maintain a minimum 85% patient satisfaction. If performance falls below 85%, practitioner will submit a plan of correction to the Medical Director. If performance falls below 85% for two consecutive months, practitioner will be removed from the schedule and will not receive compensation during this time. 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 for patient care; give appropriate direction and providing 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. Ensure necessary documentation and treatment for patients under petition or court order. Promote collaboration patient care by communicating with referring and receiving professionals. Attend and actively participate in practitioner meetings; actively participate in any state, regulatory, or accreditation surveys; participate in peer review activities and performance improvement projects. Adhere to the appointment scheduling protocols assigned by the medical director and monitored by the medical management team. Maintain a minimum 85% patient satisfaction. If performance falls below 85%, practitioner will submit a plan of correction to the Medical Director. If performance falls below 85% for two consecutive months, practitioner will be removed from the schedule and will not receive compensation during this time. 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 for patient care; give appropriate direction and providing 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. Ensure necessary documentation and treatment for patients under petition or court order. Promote collaboration patient care by communicating with referring and receiving professionals. Attend and actively participate in practitioner meetings; actively participate in any state, regulatory, or accreditation surveys; participate in peer review activities and performance improvement projects. Adhere to the appointment scheduling protocols assigned by the medical director and monitored by the medical management team. Maintain a minimum 85% patient satisfaction. If performance falls below 85%, practitioner will submit a plan of correction to the Medical Director. If performance falls below 85% for two consecutive months, practitioner will be removed from the schedule and will not receive compensation during this time. 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