The Providence Center
Job Title: Hospital Emergency Room Clinician
Division: Acute Care
Department: Care New England Connect
Reports To: Associate Director of Care New England Connect
Provide crisis assessment and triage services for individuals presenting to contract facility Emergency Departments as well as those otherwise identified by contract hospitals as requiring psychiatric evaluation.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
Provide crisis assessment services for individuals in contract facility Emergency Departments. Determine appropriate level of care and provide referrals as necessary.
Obtain insurance authorizations when required for patient to access level of care. Complete legal documentation, as needed, when admission to an acute psychiatric facility is warranted.
Confer with community agencies (police, rescue, other emergency rooms), and private health plans requesting psychiatric consultations as appropriate.
Receive and evaluate all appropriately referred psychiatric walk-ins as well as direct-admissions and make appropriate recommendations regarding treatment according to established clinical protocol.
Provide supportive counseling as necessary to consumer, family and/or significant others.
Consult and make recommendations to the hospital Emergency Department Attending Physician on the appropriate disposition of patients presenting with psychiatric crises.
Utilize verbal de-escalation skills to assist with combative or belligerent patients in the Emergency Department.
Serve as a liaison to hospital staff.
Confer with other Center staff involved with the care of a Center consumer. Provide continuity of care for consumers of other agencies by contacting providers when appropriate release of information is obtained.
Perform record keeping in accordance with Health Information Services (HIS) and other Center requirements within required time frames.
Monitor confidentiality in accordance with Center policy and legal requirements.
Be aware of and practice in accordance with RI Mental Health Law.
Follow required office procedures in a cooperative manner.
Initiate and process incident reports as per Center guidelines.
Maintain cooperative relationships with consumers, staff, hospital personnel, outside agencies and the public.
Communicate with various local agencies and other departments or teams at The Center.
Work in cooperation with co-workers and supervisory staff.
Deal with team members regarding problems in a constructive manner.
Accept and use direction and supervision.
Abide by hospital dress code and other applicable policies.
Attend mandatory in-service trainings.
QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE
Master's degree or above in Social Work, Counseling or related field required. Appropriate license/certification, LICSW, QMHP, etc. preferred. Five years experience in assessment, triage, and crisis intervention of individuals with serious psychiatric disability or equivalent combination of education and experience.
Ability to read and interpret documents such as operating instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively with consumers, clinical personnel at the hospital and other agencies, and Center staff.
Ability to solve problems and deal with a variety of complex variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
OTHER SKILLS AND ABILITIES
Ability to handle crisis situations in a calm and responsible manner; knowledge of psychotropic medications, community resources, as well as knowledge of Center EAP and other health plans which contract with The Center to provide emergency services.
PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; sit; use hands to finger, handle, or feel objects, tools, or controls; and reach with hands and arms.
The employee is occasionally required to walk and stoop, kneel, crouch, or crawl. The employee must regularly lift and/or move up to 10 pounds and frequently lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, and the ability to adjust focus.
WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate.
Care New England Health System