Description

The Team Psychiatric Provider serves as a psychiatric subject matter expert (SME) within the integrated team and collaborates with our interdisciplinary care teams to improve the psychiatric care of our members. The Team Psychiatric Provider is responsible for (1) Supporting the management of an identified cohort of patients, through a modified Collaborative Care Model, (2) Supporting the behavioral health outcomes of the team's population through case review, brief consultation with the care team, and participation in regular team huddles, (3) Development of Targeted learning materials for the care team, and (4) Direct patient care to our most vulnerable Patients

Roles & Responsibilities

Provide Clinical Guidance and / or Direct Care for Members with Acute and Chronic Behavioral Health needs to include:  

• Guide behavioral health treatment of a specified cohort of behavioral health patients, through shared care with other behavioral health clinicians and the primary care provider, using a modified Collaborative Care Model
• Provide interdisciplinary collaboration to make recommendations for the successful management of high risk, high utilizing members with co-occurring behavioral health concerns, including but not limited to: screening, therapeutic interventions, approaches to communication, medication interventions
• Provide education and ongoing consultative support to on and offsite providers related to medical management for BH population
• Provide direct patient care to members requiring evaluation and access to psychiatry – direct care to include provision of diagnosis; recommendations for treatment; evaluation of treatment plan; evaluation of treatment adherence etc.
• Provide tele-psychiatry to appropriate members
• Provide peer to peer consultations as needed for successful management of member care
•  Support with Transitional Care Management, Emergency Department diversion and Crisis Intervention
• Outreach to local inpatient and outpatient mental health providers, when needed, to facilitate communication and care coordination
• Conduct post discharge visits for members discharging from inpatient psychiatric admissions
• Perform clinical outreach to local inpatient and outpatient mental health providers, when needed, to facilitate communication and care coordination review as needed for high-risk members
• Advise and assist with management of behavioral health medications, including long acting injectables (LAIs)
• Support with medication reconciliation especially post ED encounter and post hospitalization encounter
• Provide peer to peer consultations as needed for successful management of member care
• Provide tele-psychiatry to members, as appropriate, e.g., enrolled in home-based care, or in post-acute care settings
• Support Addiction Treatment with Emphasis on Medication-Assisted Treatment
• Support the interdisciplinary care team in providing ambulatory-based interventions for common substance use disorders, through us of medications such as buprenorphine and naltrexone
• Participate in developing clinical protocols for Medication-Assisted Treatment
• Provide direct patient care for a subset of complex patients with substance use disorders
• Assist in identifying and transitioning members who require a higher level of care for substance use disorders

Requirements

• 3+ years as a Psychiatric Nurse Practitioner (PMHNP
• DEA
• BLS certification required
• Mission-Driven to serve the underserved
• Passion for teaching primary care providers
• Strong focus on customer service is required
• Work without ego, and thoughtfully build successful relationships with team members and our external partners
• Must be able to work as part of a multidisciplinary team with constant collaboration within and across provider teams 
• Experience and comfort utilizing EMR
• Experience in population health management is preferred
• Experience with addiction medicine preferred
• Experience working with psycho-socially and medically complex Medicaid beneficiaries is strongly preferred