Psych Nurse Practitioner New Mexico

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.
• Completes Urgent Psychiatric Assessment and/or Addiction Medicine, Ambulatory Detox, or Physical Health Assessments with patients who have been identified by CBI screening staff.
• Carefully 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.
• 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. Complete Application for Involuntary Evaluation and Application for Emergency Admission (please see a more detailed job aid).
• Complete a TB skin test prior to working with CBI patients and annually thereafter. 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.
• Participate in quality management initiatives and correct any identified areas of deficiency within 72 hours; exceptions must be approved by the Director of Medical Practice in consultation with the CBI Medical Director.
• Complete orientation as directed by CBI, which includes shadowing another CBI practitioner prior to working with patients.
• Complete a 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. This includes completion of certification of need for Level I admissions or facilitating completion by a physician if the practitioner is a Nurse Practitioner or Physician Assistant.
• Support utilization management activities by providing reviews when requested by payors.
• 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.
• Comply with agreed upon work schedules to provide coverage at the facility and meet the clinical and business needs.
• Medical Professionals are expected to complete documentation within 24 hours of visit. Should documentation not be complete by allotted timeframe, Medical Professional must notify the Director of Medical Practice.
• Medical Professionals may be asked to have new clinical staff of the same specialty or experience shadow them or be trained by them. Should the training impact patient care, adjustments will be made to practitioner schedules during training hours.
• Medical Professionals will be expected to attend educational meetings as deemed appropriate for their specialty. Medical Professionals will be expected to attend quarterly practitioner meetings.

Qualifications

• Licensed to practice as a Psychiatric Mental Health Nurse Practitioner in the state of Arizona.
• Experience in acute care settings, including inpatient and outpatient psychiatric and/or addiction medicine.
• Knowledge of substance use disorders, mental health disorders, and the integration of physical health care.
• Ability to assess, diagnose, and treat patients with a wide range of psychiatric and/or addiction medicine conditions.
• Experience with seclusion and restraint interventions and the ability to write and sign orders for such interventions.
• Experience with the Controlled Substance Prescription Monitoring Program.
• Experience with e-Prescribing and maintaining necessary patient data logs.
• Experience with quality management initiatives and documentation.
• Experience with patient care coordination and discharge planning.
• Experience with medical necessity documentation and utilization management activities.
• Experience with peer review activities and performance improvement projects.
• Experience with medical practice team and clinical team on caseload size.
• Experience with communication with referring and receiving professionals.
• Experience with attending practitioner meetings and participating in state, regulatory, or accreditation surveys.
• Experience with educational meetings and quarterly practitioner meetings.
• Experience with attending and actively participating in peer review activities and performance improvement projects.
• Experience with complying with agreed upon work schedules to provide coverage at the facility and meet the clinical and business needs.
• Experience with completing documentation within 24 hours of visit and notifying the Director of Medical Practice if documentation is not complete by allotted timeframe.
• Experience with shadowing and training new clinical staff of the same specialty or experience.
• Experience with attending educational meetings as deemed appropriate for their specialty.
• Experience with attending quarterly practitioner meetings.