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Psychiatrist (Regular Ft) PCMHI
4 months ago
VA offers a comprehensive total rewards package. VHA Physician Total Rewards.
Recruitment Incentive (Sign-on Bonus): Authorized
Relocation Incentive for Current VA employees: Authorized
Telework: authorized one day a week.
Education Debt Reduction Program (Student Loan Repayment): Learn more. EDRP Authorized: Contact Hannah.Neilson@va.gov, the EDRP Coordinator for questions/assistance
Pay: Competitive salary, annual performance bonus, regular salary increases
Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory
CME: Possible $1,000 per year reimbursement (must be full-time with board certification)
Malpractice: Free liability protection with tail coverage provided
Contract: No Physician Employment Contract and no significant restriction on moonlighting
Functions:
Psychiatrists working in an integrated care setting have many potential functions. These depend on the goals of the program, the specific makeup of the PCMHI staff and the role of the Psychiatrist. Like other members of the team, their work differs from that of a provider working in general or subspecialty mental health. In PCMHI they are part of a primary care team and function in a consultative as well as direct treatment role. While PCMHI is primarily a population based approach focusing on uncomplicated mental health conditions commonly encountered in primary care, the addition of a psychiatrist allows for co-management of more complex conditions when indicated. Given this role, it is critical that any psychiatrist in PCMHI has a broad base of knowledge, skills and abilities to address the wide variety of mental illnesses that may be encountered in the population. In addition, the psychiatrist is also a key member of the overall mental health team and serves a critical role in the continuum of care.
Duties
The clinical services will be provided by a physician who has completed residency training in psychiatry. She/he must be qualified to diagnose, treat, and manage patients with mental illness according to standard, usual, and acceptable methods and techniques. Other duties and responsibilities include:
Performing initial clinical diagnostic examinations, and formulating initial treatment plans for their patients. The psychiatrist is expected to have a panel of patients he/she follows for a time limited episode of care. Patients assessed to be psychiatrically stable after this episode of care should be referred back to PCP's while patients experiencing continued mental health symptoms should be referred to general mental health or subspeciality mental health treatment as indicated.
Provides ongoing support to other PACT members. While the PCPs often provide routine medication initiation and management, in many instances, it may be preferable for the psychiatrist to initiate medication and either treat to target or support PCP continuation of medication, either directly or by supervision of care management.
Performs direct in-person or virtual face to face assessment and treatment when indicated. This assessment includes a mental status examination. Communicates frequently with other primary care staff and attends primary care service meetings.
Provides chart based consultation, including E-consults as needed/requested.
Maintains availability for informal and "curbside" consults as needed by PACT members. Ensures ongoing availability for urgent or emergent situations.
Provides diagnostic clarification when needed.
Routinely attends PACT huddles for informal consultation and education of the team.
Offers and provides formal education sessions as desired by other team members
Serves as liaison between PACT providers and other mental health providers working with PACT patients who are receiving ongoing services in general and subspecialty MH clinics. Generally the PCMHI psychiatrist does not provide direct treatment for such patients though should be of help during times of crisis. In such instances, the PCMHI psychiatrist is expected to make every effort to
