Psych Nurse Practitioner - Non-Crisis - Phoenix, Mesa, Avondale

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.
• Carefully assess and document the appropriate use of seclusion and restraint, including the date and time of intervention, the specific restraint or seclusion ordered, and the maximum duration authorized.
• 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 an order immediately if at the facility, or sign order in the electronic health record within three hours if given verbally.
• Coordinate with the RN staff to confirm the date and time of intervention and 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.
• 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.
• Complete a psychiatric evaluation and documents the evaluation in the patient file for everyone admitted to the inpatient behavioral health facility.
• Evaluate each patient for ongoing mental health/psychiatric care prior to discharge and document in the electronic health record.
• 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.
• Obtains and maintains 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.
• 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.
• Maintain a minimum 85% compliance with documentation requirements.
• Not cancel patient appointments without prior notification to CBI.
• 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.
• 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.
• 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.
• Give a minimum of 60 days’ notice for time off and will coordinate with peers to arrange for coverage for scheduled shifts.
• Notify Director of Medical Practice and Medical Director in the case of an emergency and inability to cover a scheduled shift.
• Adhere to all policies and procedures established by CBI.

Qualifications

• Minimum of a Master's degree in Nursing (MSN) with a specialization in Psychiatric Mental Health Nursing (PMHNP) or Family Nurse Practitioner (FNP).
• Licensed to practice as a Psychiatric Mental Health Nurse Practitioner (PMHNP) or Family Nurse Practitioner (FNP) in the state of Arizona.
• Current DEA registration and Suboxone waiver.
• Experience in inpatient and outpatient settings, including crisis and substance use disorder treatment.
• Knowledge of and experience with seclusion and restraint interventions.
• Ability to coordinate care across multiple disciplines and levels of care.
• Excellent communication and documentation skills.
• Experience with electronic health records and e-Prescribing.
• Knowledge of the Controlled Substance Prescription Monitoring Program.
• Experience with patient advocacy and serving as a patient advocate in all health-related matters.
• Experience with patient-centered, evidence-based care.
• Experience with discharge planning and coordination of care.
• Experience with internal consults and coordination of care.
• Experience with quality management initiatives and documentation.
• Experience with patient confidentiality and HIPAA regulations.
• Experience with patient satisfaction and follow-up rates.
• Experience with patient safety and risk management.
• Experience with patient care coordination and collaboration.
• Experience with patient care documentation and reporting.
• Experience with patient care communication and coordination.
• Experience with patient care adherence to policies and procedures.
• Experience with patient care scheduling and coverage.
• Experience with patient care notifications and communication.
• Experience with patient care emergencies and response.
• Experience with patient care peer review and performance improvement projects.