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Psychiatrist - Harm Reduction Coordinator (HRC)/Substance Use Disorder (SUD)

2 months ago


Las Vegas, United States Veterans Health Administration Full time

VA offers a comprehensive total rewards package. VHA Physician Total Rewards.

Education Debt Reduction Program (Student Loan Repayment): Learn more.
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact V21CCOEEDRP@va.gov, the EDRP Coordinator for questions/assistance

Work Schedule: 7:30am to 4:00pm, Monday through Friday
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

Harm Reduction Coordinator (HRC)/substance use disorder (SUD) Psychiatrist is aligned under the Chief of Psychiatry and is a bargaining unit employee. HRC/SUD Psychiatrist provides care in accordance with the VA goals of high-quality, Veteran-centered healthcare that embraces the recovery model. Incumbent evaluates Veterans' mental health symptoms, including SUD and other addictions, and provides diagnostic evaluation, medication initiations, ongoing medication follow up, monitoring of responses to medication trials, and provide mental health interventions as needed. They can also conduct lethality assessments, determining appropriateness of medication trials, supportive counseling, further assessment, and follow up. Additionally, they take inpatient call ass assigned. HRC/SUD Psychiatrist functions in a collaborative fashion with behavioral health team members, other departments, and medical staff members to provide primary SUD behavioral health services.

The major duties and responsibilities include, but are not limited to:

Clinical: Provides direct patient care within the SUD section (outpatient, inpatient, or residential) within behavioral health services. Maintains competency in all aspects of psychiatric care. Maintains currency in medication management, including adverse reactions and their appropriate treatments. Uses appropriate documentation to record patients' medical history and all aspects of the patients' Psychiatric course of treatment.

Administration: Serves as the physician point of contact and facility SME on harm reduction interventions. Develops a facility level syringe services program (SSP) and fentanyl test strip distribution system. Evaluates SSP outcomes, implementation strategies, and lessons learned for further program improvement. Uses data dashboards to identify harm reduction opportunities. Champions implementation of low barrier buprenorphine initiation and infectious disease testing. Works with local colleagues to improve sexual and drug use history taking and linkage to appropriate harm reduction services. Consults with Office of General Counsel (OGC) to determine if any SSP services/supplies are legally prohibited. Collaborates with the national VA Human Immunodeficiency Virus (HIV)/SSP Affinity Group and with local and national community harm reduction organizations for program improvement.