I. GENERAL RESPONSIBILITIES:
Utilizing FHR's PRISMmodel for the Effective Treatment of Serious and Persistent Mental Illness , assesses and diagnoses patients, provide psychotherapy and prescribe medication management for individuals include chronic mental illness, dual diagnosis, and substance abuse.
II. REQUIRED QUALIFICATIONS WITH REASONABLE ACCOMMODATION:
If the applicant is unable to perform any essential functions because of his/her disability but can achieve required results by means of a reasonable accommodation, the individual shall not be considered unqualified for the position.
A. PRE-EMPLOYMENT EDUCATION:
PA Certification :Must possess Psychiatric CRNP certification and one or more years of applicable experience.
B. CORE COMPETENCIES
Analytical Thinking: The ability to tackle a problem by using a logical, systematic, sequential approach
Building Collaborative Relationships: The ability to develop, maintain, and strengthen partnerships with others inside or outside the organization who can provide information, assistance, and support.
Developing Others: The ability to delegate responsibility and to work with others and coach them to develop their capabilities
Diagnostic Information Gathering: The ability to identify the information needed to clarify a situation, seek that information from appropriate sources, and use skillful questioning to draw out the information, when others are reluctant to disclose it
Oral/ Written Communication: The ability to express oneself clearly in conversations and interactions with others. The ability to ensure that information is passed on to others who should be kept informed. The ability to express oneself clearly in business/clinical writing.
Professional/Technical Expertise: The ability to demonstrate depth of knowledge and skill in a specific discipline
III. ESSENTIAL DUTIES AND PERFORMANCE STANDARDS:
1.Participates in Agency peer review /clinical risk management meetings as needed.
2.Maintains current state license, state controlled substances license, DEA number and liability insurance.
3.Elicits and records information about patient's medical and psychiatric histories for the purpose of formulating accurate diagnosis and providing relevant treatment.
4.Conducts comprehensive mental status examinations to monitor psychiatric status, formulate accurate diagnosis, and provide relevant treatment.
5.Orders laboratory tests and procedures as indicated to monitor potential side effects of treatment and/or to monitor compliance.
6.Orders assessments or consultations for individuals to assist with diagnostic formulation and/or develop comprehensive treatment plans.
7.Encourages individuals to have routine medical, gynecological, optical, and dental examinations to ensure general health maintenance. Facilitate coordination of care with the individual's health care team.
8.Prescribes and monitors psychotropic medications according to community standards of care and the FHR P&P. Monitors individual's response to pharmacological intervention through individual contact, and collaboration with other members of individual's treatment team.
9.Discusses risks and benefits and obtains informed consent from individual or appointed guardian prior to initiating pharmacotherapy.
Demonstrates ability to integrate general medical concerns into general psychiatric care as evidenced by attention to drug--drug interactions, complications of medical illness, and behavioral effects of somatic illness and treatments.
Provides psychoeducation to individuals and, when appropriate, their significant others regarding diagnosis, treatment options and recommendations, and self-care techniques.
Conducts and supervises individual psychotherapy, family therapy, and group therapy when clinically and programmatically indicated.
Maintains documentation in electronic health record of all individual appointments and telephone contacts in accordance with FHR, CARF, and local Department of Mental Health standards.
E-Prescribe - Utilize e-prescribe feature in CARe to write prescriptions
Prepares psychiatric assessments and progress notes for inclusion in clinical records according to FHR policy.
Attends and participates in treatment planning process and has final approval of treatment plans which is indicated by signature on the plan.
Collaborates and consults with nurses, social workers, case managers, and other practitioners involved in individual's care - both within and outside of the agency.
Performs emergency assessments and refers individuals for inpatient treatment when indicated.
Coordinates individual care with inpatient practitioner through direct communication with inpatient practitioner.
Completes in a timely manner requests to fill out forms made by individuals or outside agencies when indicated such as insurance forms, GPA forms, TDI forms, SSI forms, etc.
Conducts self in a professional and ethical manner in keeping with FHR policy and APA guidelines on ethical conduct.
Prepares papers for court-ordered treatment and testifies in court when indicated.
Supervises, as assigned, licensed clinical practitioners.
Provides on-call coverage for evenings, weekends, and holidays as required.
Participates in FHR committees as assigned.
Completes prescription refills in a timely manner.
IV. WORKING CONDITIONS:
The work environment characteristics described here are representative of those
encountered 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.
A. Physical Demands: The physical demands described here are representative of those that must be met to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
B. Unusual Environmental Conditions:
C. Hazards: Potential for exposure to infection and disease. Necessity to practice universal precautions at all times.