Psychiatrist (Geriatric) - Health SystemSan Diego, CAJob Responsibilities/Duties:
Provides direct psychiatric evaluation and evidenced-based pharmacologic treatment of patients, focusing on patients with diagnostic or therapeutic challenges who are identified in discussion with the patients BH clinician and/or PCP.
Provides consultation to clinical staff and primary care providers (PCPs) as needed regarding the clients care, treatment recommendations and progress via documentation in the clients record, face to face or telephonic consultation.
Actively participates in Quality Assurance activities of the Division with regard to treatment Utilization Review, medication monitoring, peer review, procedures andprocesses.
Completes all required documentation in a timely fashion including: the preparation of reports and written documentation, notes and medical records, all other formsand documents as required by the department, company, state and federal agencies. To attend training and work efficiently in both the County EHR Cerner and FQHC EHR Nextgen.
Participates in the development and delivery of inservice training for primary carebased providers including medical residents and staff regarding current understanding of best practices for the recognition and treatment of behavioralhealth conditions in primary care as requested.
Performs crisis interventions as needed including but not limited to conducting suicide assessments and make recommendations to medical providers and patients; determine if crisis response services are appropriate for patient safety.Works in coordination with the Director of Psychiatry/Director of Psychology to ensure full integration of services and a team based approach to care. Works in coordination with Manager of the CMSS County Contract program.
Participates in meetings as required and participate on committees as directed.
Maintains productivity expectations in accordance with clinic/program guidelines.
Performs any other job-related duties as needed, assigned and/or as requested.
Current license to practice in the State of California. Board certified or boardeligible in adult psychiatry.
Geriatric Psychiatry fellowship training
Knowledge of behavioral medicine, health psychology, substance abuse interventions including IMPACT and/or SBIRT model strongly recommended.
Knowledge of rehabilitation and recovery treatment modalities.
VIEW JOBS5/5/2021 12:00:00 AM2021-08-03T00:00For nearly 50 years, Family Health Centers of San Diego (FHCSD) has provided affordable, high-quality health care and supportive services to all San Diegans. With more than 1,800 employees spread throughout 40 sites around the county, FHCSD is proud of the diversity of its staff as a reflection of the communities it serves.
The reward of working at FHCSD is more than a paycheck and excellent benefits; it is the impact and contribution to the San Diego community that employees value most. If you are passionate about improving the overall health and livelihood of your community, FHCSD is looking for people like you.
General Job Description
* The Psychiatrist provides psychiatric services, including assessment/evaluation, diagnosis, and treatment in assigned areas, to a diverse patient population as an independent practitioner. The Psychiatrist also provides consultation and support to primary care providers in integrated behavioral health sites for in the management of primary care patients with mental health concerns. As a Psychiatrist, you have a passion for providing caring, high quality mental health services to a diverse patient population, with a special commitment to the uninsured, low income, and the medically underserved. You thrive on the challenge of working in a fast-paced, team-based environment, knowing you are making a difference in your community every day.
* Ability and means to travel as needed in a timely manner within San Diego County. DRIVER REQUIREMENTS: Requires an active Class C California driver's license, proof of liability insurance at $100,000, on vehicle used. No more than 2 points in past 12 months; No suspensions in last 2 years for moving violations; No DUI, reckless or felony Driving within 5 years. No license revocation in 7 years.
* Board Certification in Psychiatry preferred.
* Current American Heart Association healthcare provider CPR (BLS), or Advanced Cardiac Life Support, Advanced Trauma Life Support, or Advance Resuscitation Training.
* DEA license
* Graduate from an accredited school of medicine; completion of a 3 year residency in General Psychiatry OR current status as a 3rd year resident in a General Psychiatry program.
* Must possess current unrestricted license to practice in the State of California.
Experience/Specialized skills (including Language)
* 1 year experience working in Psychiatry preferred; experience with underserved, low-income persons, or homeless persons preferred.
* Ability to maintain good interpersonal interactions with clients and co-workers as a member of a multi-disciplinary community health team with a diverse multi-cultural population.
* Ability to work effectively with patients from diverse social, cultural and economic groups.
* Ability to work well in both a team-based environment and independently.
* Basic computer literacy ability to comply with department needs and expectations (i.e., electronic medical record documentation, obtaining background information and reports on patients, following up on appointments, etc.).
* Bilingual in Spanish/English preferred.
* Clinical skills appropriate to scope of practice and clinical judgment necessary to implement the treatment plan.
* Demonstrated medical/psychiatric knowledge and clinical skills, including ability to assess both medical and psychiatric information including patient presentation, differential diagnosis, and psychopharmacology needs.
* Good written and verbal communication skills, including ability to communicate effectively with patients and family members who speak English as a second language.
* Must possess a demonstrated commitment to community medicine.
Physical Requirements/Working Environment
Bending (neck): RARELY (0-1 HRS)
Bending (waist): RARELY (0-1 HRS)
Carrying 0 - 10 lbs: OCCASIONALLY (1 - 3 HRS)
Carrying 11 - 25 lbs: NEVER
Carrying 25 - 50 lbs: NEVER
Carrying 51 - 75 lbs: NEVER
Carrying 75 lbs: NEVER
Climbing (ladder): NEVER
Climbing (stairs): RARELY (0-1 HRS)
Driving: To drive from one clinic or another, or in the community: INCIDENTAL DRIVING (LESS THAN 3 DAYS/WEEK)
Exposure to blood borne pathogens and biohazards: NO
Exposure to dust, gas, fumes, or chemicals: Cleaning liquids, office supplies. Exposure to outpatient medical clinic environment.
Fine manipulation: RARELY (0-1 HRS)
Kneeling: RARELY (0-1 HRS)
Lifting 0 - 10 lbs: OCCASIONALLY (1 - 3 HRS)
Lifting 11 - 25 lbs: NEVER
Lifting 25 - 50 lbs: NEVER
Lifting 51 - 75 lbs: NEVER
Lifting over 75 lbs: NEVER
Power Grasping: RARELY (0-1 HRS)
Pulling 0 - 10 lbs: OCCASIONALLY (1 - 3 HRS)
Pulling 11 - 25 lbs: NEVER
Pulling 25 - 50 lbs: NEVER
Pulling 51 - 75 lbs: NEVER
Pulling over 75 lbs: NEVER
Pushing 0 - 10 lbs: OCCASIONALLY (1 - 3 HRS)
Pushing 11 - 25 lbs: NEVER
Pushing 25 - 50 lbs: NEVER
Pushing 51 - 75 lbs: NEVER
Pushing over 75 lbs: NEVER
Reaching (above shoulder level): RARELY (0-1 HRS)
Reaching (below shoulder level): RARELY (0-1 HRS)
Repetitive use of hand: FREQUENTLY (3 - 6 HRS)
Simple Grasping: FREQUENTLY (3 - 6 HRS)
Sitting: FREQUENTLY (3 - 6 HRS)
Standing: OCCASIONALLY (1 - 3 HRS)
Twisting: RARELY (0-1 HRS)
Use of Personal Protective Equipment: NO
Walking: OCCASIONALLY (1 - 3 HRS)
Working around equipment and machinery: Office equipment
Ages of Patients Served: ALL
* Completes all required documentation accurately, in a timely manner, and thoroughly in accordance with department standards; in addition, documentation complies with patients' insurance requirements.
* Maintains satisfactory peer reviews: able to assess medical information including pathophysiology, patient presentation, differential diagnosis, etc., in order to facilitate health promotion and disease prevention.
* Meets clinic site and organization needs in a reliable and flexible manner; prioritizes work and makes an effort to adhere to schedule.
* Performs other duties as assigned.
* Provides comprehensive evaluations, diagnosis and treatment of patients with mental illness, emotional disorders and/or substance abuse. As needed, examines patients to determine presence of physical disease utilizing physical finds, laboratory results and medical history. Maintains the appropriate productivity expectation based on contract, program or clinic assignment.
* Works effectively as a member of the multi-disciplinary treatment team. Communicates with providers, physicians, case managers, scheduling staff, referring providers, and with outside agencies and authorities, in a timely and appropriate manner. Coordinates and links psychiatric treatment plan with both FHCSD therapy, case management, primary care "medical home," and with community support systems as appropriate. In integrated behavioral health sites, provides consultation and support to primary care providers in the management of primary care patients with mental health concerns.
Family Health Centers Of San Diego, Inc.San DiegoCA
VIEW JOBS4/30/2021 12:00:00 AM2021-07-29T00:00JOB DESCRIPTION: 24 bed unit. Ratio: 6:1. CSU and CAPS and potentially BH patients in ED. REQUIRED: - 2 years Behavioral Health exp - CA license (facility does not accept EMSA) - BLS - Associate's Degree or Nursing diploma PREFERRED: - 1 year with peds/adolescents patients - Bonus if they're English/Spanish bilingual! - CPI cert
CA RN License # and exp Pedi Psych Experience Required BLS, CPI
This California city is what the Golden State is all about: miles of sun-kissed beaches, year-round idyllic weather and a patchwork playground of multi-flavored communities. Often referred to as "America's Finest City," this jewel on the Pacific Coast glitters with fun, sun, a mind-boggling variety of entertainment and an abundance of exhilarating outdoor adventures.
Onward Healthcare's travel nursing assignments typically last 13 weeks, and include:
* Competitive pay rates and comprehensive benefits
* Medical plans with dental and vision
* Complimentary, high-quality private housing
* 401(k) and flex spending options
* Life insurance
* Accident and short-term disability coverage
* Free continuing education (CE) courses
* Travel allowances
* Guaranteed pay program
* Tuition discount program
* Referral bonuses
Onward Healthcare, an AMN Healthcare company, is a travel nursing company dedicated to moving our nurses careers "onward and upward." Our team of expert recruiters connect clinicians with exclusive travel nursing opportunities at the nation's top hospitals and healthcare facilities. Onward's nursing assignments are part of a larger, comprehensive RN career development and consultation service. Onward/AMN Healthcare is an EEO/AA/Disability/Protected Veteran Employer.
Onward HealthcareSan DiegoCA
VIEW JOBS4/20/2021 12:00:00 AM2021-07-19T00:00Overview
Do you want to make a difference in healthcare?
Landmark Health was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to chronically ill patients, many of whom are frail, elderly and ill-equipped to navigate our overwhelming healthcare system.
Because many of our patients are frail and elderly, we deliver care primarily in the comfort of their home. Our Program is also offered to eligible patients at no incremental financial cost to them. We are not a fee-for-service practice; we benefit economically only if we deliver high-quality patient outcomes and satisfaction. As a result, our clinical teams can spend quality-time caring for a smaller number of patients, giving all patients the space, respect, compassion and care they deserve.
At Landmark, our interdisciplinary teams collaboratively manage our complex patient panels. These teams are led by Physicians, Nurse Practitioners, and Physician Assistants, with supporting care provided by RN Nurse Care Managers, Social Workers, Pharmacists, Behavioral Health and other employed team members.
The collaborating psychiatrist provides clinical supervision to behavioral health nurse practitioners and physician assistants and assists with management of Landmark members with psychiatric illness. The collaborating psychiatrist works with the Chief Behavioral Health Officer and Regional Medical Director to ensure midlevel practitioners are providing exceptional care to Landmark members. Dedicated to improving the health and well-being of members; this position collaborates with existing PCPs and / or behavioral health providers if present, the Landmark multi-disciplinary team, the health plan Medical Director and behavioral health department, health professionals, to develop members' goals of care in all phases of longitudinal delivery.
Part Time Flexible 8 hours per week
* Functions as the day to day behavioral health clinical leader of the multi-disciplinary team, providing decision support to team members providing care in the home to Landmark patients.
* Conducts 1:1 clinical supervision meetings monthly with all in market midlevel psychiatric providers.
* Review and co-sign 2-3 patient charts per week for all midlevel psychiatric providers in market to ensure best practices for documentation of clinical encounters in the electronic medical record as per Landmark's Medical Records Policies.
* Initiate performance improvement plan in collaboration with Chief Behavioral Health Officer, human resources, and Regional Medical Director if it comes to the attention of collaborating psychiatrist that market midlevel psychiatric provider is not practicing in accordance with best practices.
* Conduct virtual co-visits for complex cases or as requested by market midlevel psychiatric provider.
* Be available to provide consultation and support for acute cases in real-time during normal hours of clinical operation.
* Respond to routine clinical questions or requests for non-urgent support from market midlevel psychiatric providers by end of business day.
* Provide input on clinical management and care plans to ensure best practice.
* Participates in management meetings that include, but may not be limited to:
Weekly case conference reviews
Monthly staff meetings
Quarterly Quality Improvement Committee meetings
* Participate in health plan partner meetings as appropriate.
* Supports ongoing education and practice improvement through continuing education/journal club programs
* Supports market midlevel psychiatric providers in prescribing appropriate diagnostics and interventions to avoid unnecessary transfers/acute admissions.
* Keeps current on relevant medical, behavioral research, technology, and related issues by attending continuing education courses, professional meetings and completing journal reviews.
* Demonstrate appropriate medical judgment and appropriate use of resources with regards to care plans, diagnostic testing and referrals.
* Develop strong collaborative relationships with midlevel providers.
* Support midlevel provider in delivering timely, evidence-based and appropriate patient care at all times.
* Complete and sign all documentation (including from vendors) within required timeframes.
* Board Certified in Psychiatry, Board Certified in Addiction Medicine, Geriatrics sub-specialty preferred [Board Eligible for up to one year if new grad]
* Medical Doctorate or Doctorate of Osteopathy required
* Board Certified in Psychiatry, Board Certified in Addiction Medicine, Geriatrics sub-specialty preferred
* Current, valid, non-sanctioned, non-restricted license to practice medicine in the state
* Current DEA certification
* Current state driver's license
* Ability to meet all Landmark Health Credentialing Requirements
* Extensive experience in providing psychiatric care to a wide range of patients including geriatrics.
* Familiarity with Medicare Guidelines
* Familiarity with HCC and ICD-10 codes as related to billing practices.
* Driver's license without restrictions and with a good driving record.
* Malpractice profile meets Landmark Health's risk guidelines.
* Minimum of two (2) years clinical experience, home-based care desired.
* Knowledge of applicable clinical standards of care.
* Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful.
In order to work with potentially vulnerable patient populations and to keep employees healthy while caring for patients, all patient-facing employees of Landmark must provide evidence of the following required immunizations/vaccinations as a condition of employment: TB, MMR, Tdap, and Influenza. Declinations may be accommodated based on your medical history, an allergy or religious beliefs. Please immediately contact HR if you wish to apply for an exemption from our vaccination requirements so that we may determine if you qualify for an accommodation.
Landmark HealthSan DiegoCA
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