Nurse Practitioner

CHILD AND ADOLESCENT PSYCHIATRY

Under the general supervision of the Chief Medical Officer, the Nurse Practitioner (Advanced Practice Provider) will perform clinical duties and activities as directed.

PRINCIPLE DUTIES AND RESPONSIBILITIES:

• Provides direct clinical/patient care duties and responsibilities as required, including psychiatric evaluations, re-evaluations, dispositions, coordination of medical services with nurse on duty, medication orders/prescribing, monitoring patients, etc.

• Obtains detailed history and develops patient care charts; performs physical examinations and evaluations on assigned patients; assesses and treats medical problems and provides direct patient care to a specified patient population.
• Notifies attending physician on call, house physician on call, or supervising physician regarding any unusual or unexpected events or problems requiring direct physician consultation.
• Practices safety, environmental, and/or infection control methods.
• Supervises and/or coordinates the activities of patient care and support staff within the clinic.
• Writes progress notes on patients' charts indicating patient status and treatment procedures.
• Provides health education to patients, families and/or community health practitioners and groups.
• Trains and supervises clinical staff engaged in specific clinical activities.
• Performs clinical research related to specific operations.
• Examines patients, diagnoses illnesses, and provides treatment.
• Orders, interprets, and evaluates diagnostic tests.
• Gathers health histories, performs physical examinations and diagnostic procedures.
• Develops and implements treatment plans.
• Documents all patient interactions.
• Notifies managing physician about unusual or unexpected events or problems.
• Orders, performs, and interprets routine laboratory tests.
• Consults with patients in clinic settings and/or refers patients to department physicians, other specialists, and medical and community resources as necessary.
• Prescribes medications based on patient’s medical diagnosis and needs.
• Provides education and instruction on patient’s condition(s) as required.
• Directs other medical personnel in the execution of patient care.
• Provides immediate evaluation, treatment, and institution of procedures essential to providing appropriate response to emergency medical problems.
• Provides complete physical examinations.
• Interprets lab results.
• Provides teaching and counseling to support healthy lifestyle behaviors.
• Refers patients to other health professionals as needed.
• Determines, plans, and initiates appropriate treatment, and adjusts treatment if necessary.
• Documents medical information of patients and maintains electronic medical records.
• Maintains knowledge of current medical research and trends.
• Supports research projects.
• Monitors and operates medical equipment.
• Diagnoses health issues.

• Incorporates Evidenced Based Best Practice Standards into service delivery.
• Provides care compliant with licensing regulations and accreditation standards.
• Determines medical necessity.
• Researches medical topics such as psychotropic medication, psychiatric evaluation, coordination of care, etc.
• Supervises coordination of care activities.
• Directs discharge planning.
• Completes clinical documentation as required.
• Provides supervision and direction to the mobile crisis team.
• Reviews Eligibility assessments for members contacting the Crisis Care Center.
• Participates in clinical and administrative meetings.
• Participates in Quality Assurance reviews.
• Collaborates and discusses cases with psychiatrist.
• Collaborates with an interdisciplinary team to continuously improve productivity, efficiency, recovery outcomes, and medical care.
• Ensures appropriate responses to all medical emergencies.
• Provides clinical coverage and consultation on any urgent clinical issue that may arise between the time that members contact the Crisis Care Center and/or Mobile Crisis Teams and until they are seen by our Clinically Responsible Service Providers.
• Teaches NP/PA students and other Advanced Practice Providers, as appropriate.
• Attends shift handover meetings.
• Identifies and timely reports any health and safety risks, accidents, incidents, injuries, and property damage at the workplace.

• Performs related duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES (KSA’S):

• Knowledge of DWIHN policies, procedures, and practices.
• Knowledge of the DWIHN provider network and community resources.
• Knowledge of the Michigan Mental Health Code.
• Knowledge of MDHHS policies, rules, regulations, and procedures.
• Knowledge of Federal policies, rules, regulations, and procedures as it relates to DWIHN.
• Knowledge of comprehension of psychiatric care.
• Knowledge of psychiatric medications and their indications, common side effects, reactions, and interactions of medications prescribed.
• Knowledge and ability to work with agitated patients in crisis and their families to implement behavioral management interventions.
• Knowledge of the clinical care process (screening, assessment, treatment planning, case management, and continuing care).
• Knowledge of and ability to use screening and assessment tools for behavioral health services.
• Knowledge of medical and behavioral health practices and terminology.
• Knowledge of behavioral health case management practices and principles.
• Knowledge of Evidence Based Practices for the behavioral health field.
• Knowledge of and ability to use treatment planning, case management, and continuing care for behavioral health services.
• Knowledge of diagnostics, psychopharmacology, and supportive treatment approaches as applied to a severely mentally ill (SMI) population.
• Knowledge of Medicaid, local, regional, and national codes, laws, and regulations.
• Knowledge of compliance standards.
• Knowledge of clinical assessment principles and practices.
• Knowledge of clinical licensure in the State of Michigan.
• Knowledge of the DSM-V Statistical Manual.
• Clinical documentation skills.
• Computer skills (Word, Excel, Access, Power Point, Outlook, Teams).
• Attention to detail skills.
• Problem solving skills.
• Effective listening skills.
• Assessment skills.
• Evaluation skills.
• Organizational skills.
• Planning skills.
• Decision making skills.
• Critical thinking skills.
• Interpersonal skills.
• Communication skills.
• Teamwork skills.
• Training skills.
• Ability to communicate orally.
• Ability to communicate in writing.
• Ability to work effectively with others.
• Ability to work with an ethnically, linguistically, culturally, economically, and socially diverse population.
• Judgment/reasoning ability.

REQUIRED EDUCATION:

A Master's Degree (MSN) in Psychiatric-Mental Health (PMH) Nursing or other MSN with additional coursework for eligibility for PMH Board Certification.

REQUIRED EXPERIENCE:

Two (2) years of professional clinical experience in a behavioral healthcare or mental health setting.

REQUIRED LICENSES:

Licensure as a Registered Nurse and certified from MI State Board of Nursing as a Nurse Practitioner and ANA/ANCC Psychiatric-Mental Health Nurse Practitioner (PMHNP).

A valid State of Michigan Driver’s License with a safe and acceptable driving record.

SPECIAL CONDITIONS:

Required DEA License and BLS certification.

A Nursing Competency Checklist must be completed as part of the new hire onboarding process.

WORKING CONDITIONS:

Work is usually performed at the Crisis Care Center but may require the employee to drive to different sites throughout Wayne County and the State of Michigan.

This description is not intended to be a complete statement of job content, rather to act as a general description of the essential functions performed. Management retains the discretion to add or change the position at any time.

Please Note: DWIHN requires proof of being fully vaccinated for COVID-19 as a condition of employment. Medical or religious accommodation or other exemptions that may be required by law, will be approved when properly supported. Further information will be provided during the recruitment process.

The Detroit Wayne Integrated Health Network is an Equal Opportunity Employer