Psych Nurse Practitioner New Mexico

Community Bridges · Fort Sumner, NM · 3 days ago

HealthcareInternship

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. 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. 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.
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 and sign full discharge orders and follow-up recommendations within 24-hours of discharge. 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.
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. 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. 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.
Comply with agreed upon work schedules to provide coverage at the facility and meet the clinical and business needs. CBI maintains the right to schedule Medical Professional at any facility and will make every attempt to establish routine schedules. Give a minimum of 60 days’ notice for time off and will coordinate with peers to arrange for coverage for scheduled shifts. Time off requests will be sent to medicaltimeoff@cbridges.com and if employee, will also submit request into CBI’s current time and attendance system. Notify Director of Medical Practice and Medical Director in the case of an emergency and inability to cover a scheduled shift.
Documentation: 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.
Training: 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.
Practitioner Education: 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. Should Medical Professional be unable to attend these meetings, a 24-hour notice will need to be given to the Director of Medical Practice. Should an unexpected event occur, and the Medical Professional is unable to give notice. they will be expected to contact the Director of Medical Practice as soon as possible. Minimum of 3 quarterly meeting required per year.
Integration: As Medical Professionals, it is important to recognize practice limitations and seek consultation with other healthcare professionals, when necessary, to provide optimal patient care.

Qualifications

Minimum of a Master's degree in Nursing, Doctorate in Nursing Practice (DNP), or Doctorate in Psychology (Ph.D.) from an accredited institution.

Current Arizona license as a Psychiatric Mental Health Nurse Practitioner (PMHNP).

Must have a minimum of 2 years of experience in a psychiatric setting.

Must have experience with seclusion and restraint techniques.

Must have experience with medication management and addiction medicine.

Must have experience with physical health assessments and coordination with PCPs.

Must have experience with discharge planning and coordination of care.

Must have experience with documentation and adherence to medical records.

Must have experience with electronic health records and e-prescribing.

Must have experience with quality management initiatives and documentation compliance.

Must have experience with patient care coordination and utilization management.

Must have experience with peer review activities and performance improvement projects.