Psychiatric Mental Health Nurse Practitioner

POSITION SUMMARY:

Provides psychiatric care to patients in an integrated primary care setting, diagnosing, triaging, and providing prescription medications for a complex patient population with behavioral and mental health diagnoses.  Develops treatment plans and provides brief intervention strategies for patients.  Collaborates and consults with medical providers, behavioral health consultants, mental health providers, clinical pharmacists, and other care partners to ensure safe, effective, high-quality treatment for patients.

CORE JOB RESPONSIBILITIES:

Direct Patient Care

• Provides direct patient care within the scope of psychiatry in an outpatient primary care setting, including intake and follow up care appointments for medication management, same-day access, and other clinical reviews as needed.
• Examines, diagnoses, and treats acute and chronic mental and behavioral health conditions.
• Develops treatment plans and manages patient health issues in accordance with established clinic protocols and evidence-based pharmacotherapy and psychotherapeutic interventions, as indicated and appropriate.
• Provides education to patients and family members regarding behavioral disorders and best practice approaches to treatment.
• Advocates for patients in coordinating the use of the entire health care system to benefit the patient, referring to specialty providers when indicated.
• Works with clinical team and community partners to optimize patient care access.
• Delivers patient care within HRSA services scope and approved locations, encompassing patient homes, community-based sites, and providing home-based care when necessary and in adherence to defined services and safety protocols. Local travel required.

Standards of Practice

• Uses current evidence-based guidelines in creating diagnostic and treatment plans; utilizing tools such as “Up to Date”.
• Provides care which reflects health care cost consciousness and addresses social determinants of health.
• Effectively utilizes team-based care model, leveraging expertise of all members of multi-disciplinary team.
• Acts as patient educator, leveraging tools (e.g., EHR, on-line resources, written materials, MyChart messages, etc..) to effectively communicate information with patients regarding diagnoses, treatment options, disease prevention, safe health behaviors, self-care skills, and health promotion.

Documentation/Indirect patient care

• Maintains accurate electronic health records of patients and completes documentation in timely manner.
• Reflects critical thinking in documentation.
• Responds to patient telephone calls and MyChart messages in a timely manner.
• Accurately codes patient charts to ensure correct billing.
• Utilizes EHR tools (e.g., “fyi”, problem-based charting, etc.) to enable other clinical team members to effectively care for patients.

SUPPORTING JOB RESPONSIBILITIES:

• Serves as indirect leader, providing consultation to clinical team members and demonstrating professionalism and compassion.
• Adheres to highest standards of medical practice, ethics, and professionalism at all times.
• Complies with all policies, procedures, guidelines, and workflows.
• Performs safe work practices to protect the health and safety of employees and patients per OSHA regulation.
• Protects individually identifiable health information per HIPAA regulation.
• Completes all required compliance training within the established timeline.
• Utilizes the incident reporting system as needed.
• Utilizes annual CME benefit.
• Attends meetings, team huddles and assigned trainings; is responsible for reviewing information from missed huddles/meetings/trainings.
• Addresses in a timely manner, correspondence which includes but is not limited to Outlook, EHR encounters, in-basket, etc.
• Participates in peer review, quality assurance, quality improvement activities, provider meetings and other clinical duties as assigned.
• Utilizes resources to remain informed of organizational communication (i.e., Mosaic Share, MS Outlook email, organization newsletter, etc.)

COMPETENCIES:

Accountability:  Takes ownership for delivering on commitments; owns mistakes and uses them as opportunities for learning and development; openly discusses his/her actions and their consequences both good and bad; has an ability to identify strengths and developmental opportunities and leverages insight to make adjustments to improve their effectiveness; courage to have the difficult conversation.

Championing Patient Needs:  Provides timely and professional care to patients; acts as patient advocate both within Mosaic system and within community as a whole; is responsive to patient needs and requests; has patient-centered approach, considering the specific needs of the patient when making care decisions.

Communicating Effectively:  Shares information.  Listens and involves others. Clearly conveys ideas in a manner that engages others and helps them understand and retain the message.

Decision Making/Judgment:   Approaches problems and decisions methodically and objectively; involves others as needed; uses sound judgment in making decisions and understanding the impact to themselves, customers, their team, and the organization; conducts the appropriate analysis to identify the symptoms and root cause of issues;  makes timely decisions.

Clinical/Technical Skills:  Demonstrates good clinical acumen leveraging evidenced based medicine; utilizes resources and tools such as “Up to Date” or “Choosing Wisely” to determine most appropriate treatment for patients; practices medicine within appropriate medical guidelines within their scope of practice, e.g. family practice, internal medicine, pediatrics, etc.;  consults with specialists as appropriate to patient needs; understands when and how to apply a multi-disciplinary approach to managing medical and psycho-social conditions.

Showing Caring and Understanding:  Shows empathy toward challenges, concerns and problems faced by others; takes a tolerant and patient approach with people who are struggling with difficult challenges; helps to put people at ease and make them feel more comfortable.

Solving Complex Problems:  Effective at thinking through complex problems and information, using traditional and innovative approaches, to identify effective solutions. Seeks to accept and build off the ideas of others for solutions others may not have considered.

Supporting Mosaic Mission:  Actively supports Mosaic’s mission and values; uses individual skills to add value to the mission of improving “the health and well-being of the individuals, families and communities”; aligns actions around organizational goals; gives priority to organizational mission and value when making decisions.

Teamwork:  Meets all team deadlines and responsibilities, listens to others and values opinions, helps team leader to meet goals, welcomes newcomers, and promotes a team atmosphere.

QUALIFICATIONS:

Work Experience:  Three years’ experience in a primary care setting or outpatient psychiatric setting preferred

Education, certification, and licensure:

• Nurse Practitioner (NP): Graduate of an accredited Psychiatric Nurse Practitioner (PMHNP) program. Licensed or eligible for licensure by the Oregon State Nursing Board. Must be professionally insurable. Possession of or eligibility for DEA certificate. Unrestricted Oregon Driver’s License and comprehensive automobile insurance. Eligible to participate in Medicaid and Medicare programs.
• Physician Associate (PA): Graduate of an accredited Physician Associate program with NEI Master Psychopharmacologist certificate. Licensed by Oregon Board of medical Examiners with possession of or eligibility for DEA certificate and CAQ certification within 1 year. Unrestricted Oregon Driver’s License and comprehensive automobile insurance. Eligible to participate in Medicaid and Medicare programs.
• Psychiatrist (MD/DO):  Graduate of an accredited school of medicine or osteopathy.  Licensed or eligible for licensure by the Oregon Medical Board. Must be professionally insurable. Possession of or eligibility for DEA certificate. Unrestricted Oregon Driver’s License and comprehensive automobile insurance. CPR certification required. Eligible to participate in Medicaid and Medicare programs

Skills & Knowledge:   Experience working with low-income populations preferred. Experience working on computers including typing/keyboarding skills. Excellent customer service skills and ability to handle dissatisfied patients effectively and respectfully. Ability to manage multiple tasks. Knowledge of health insurance plans. Ability to analyze and solve problems. Knowledge of standard office policies and procedures. Knowledge of regulatory requirements including CLIA and OSHA standards. Ability to work with practice management software.