SUMMARY:
Provide quality and cost effective primary care services to patient population, meeting their diverse health and social needs, under the supervision of a physician.
The Chautauqua Center (TCC) expects all employees to respond and participate to emergency situation per emergency policies and procedures.
DUTIES AND RESPONSIBILITIES:
Clinical
Perform complete examination of patients including adults, children and infants
Assess and manage acute and chronic conditions and participate in disease registry
Screen all patients for health maintenance needs, including immunizations
Educates patients and family members in health promotion, disease prevention and birth control methods as appropriate
Assists in preparation and selection of patient education materials
Initiates diagnostic studies referring abnormal results of concern to Medical Director of specialist
Helps coordinate efficient flow of patients through the system of care
Helps monitor status of referrals
Obtain and review patient histories and develops patient care charts, ensuring completeness and accuracy
Helps facilitate creation and tracking of patient data, specimens and records
Practices safety, environmental, and/or infection control methods
Helps provide triage services and treatment services during disaster, per protocol
Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities.
Monitors the effectiveness of interventions.
Collaborates with multidisciplinary team members by making appropriate referrals.
Maintains hospital privileges as designated by TCC
Shares a call schedule with other providers
Other duties as assigned by TCC
Administrative
Provide trainings on procedures, risk management and emergency care
Participate in Quality Assurance, peer review and maintain confidentiality
Participate in quality improvement, chart audits, and process improvement programs both system wide and cluster specific
Participate in cluster specific meetings and administrative task as assigned by Medical Director or CEO
Helps in recording of no-show visits and lab results/refills
Participates or collaborate with marketing and other health education staff on education and patient recruitment health fairs
Maintain current knowledge-base and appropriate licensure
Performs miscellaneous job-related duties as assigned
Other duties as assigned by TCC
QUALIFICATIONS:
Graduate of an Accredited School of Nursing
Graduate of an Accredited Nurse Practitioner Program
Licensed to work in the state of New York
Board Certification
CPR certified
Knowledge of current principles, methods and procedures for the delivery of medical evaluation, diagnosis and treatment in area of expertise
Minimum 1 year experience in a primary care clinic
Legal authorization to work in the United States
Bilingual Spanish/English strongly preferred
Sensitivity in the provision of services to people of various ethnic, cultural, socioeconomic, education and lifestyle backgrounds
Computer literate in a Windows-based environment
A valid State Driver’s license with clean records and access to insured automobile
The Chautauqua Center is an Equal Employment Opportunity employer and does not discriminate in employment opportunities or practices on the basis of race, creed, color, religion, sex, national origin, nationality, ancestry, age, disability or status as a disabled veteran or veteran of the Vietnam era, pregnancy, affectional or sexual orientation, gender identity or expression, marital status, status with regard to public assistance, veteran status, citizenship or membership in any other legally protected class.
The contractual psychiatrist is responsible for supporting behavioral health care provided in a primary care setting by a team comprised of primary care and behavioral health providers.
Duties and Responsibilities:
Provide regularly scheduled (weekly) caseload consultations to behavioral health social workers and primary care providers. These consultations can be conducted onsite or by telephone and will focus on patients who are new to treatment or who are not improving as expected. Provide occasional telephonic consultation to the integrated team (both behavioral and primary care staff) as needed, focusing on the patients in the social workers caseloads. Work with assigned social workers to track and oversee their patient panels and clinical outcomes, using an electronic or other type of system capable of tracking clinical processes and patient outcomes. Suggest treatment plan changes, including medication recommendations for patients that are not improving as expected. Discuss patients who need referral for additional specialty mental health care and advise on treatment plans until patients are engaged in such care. Provide direct evaluation of patients, focusing on clients with diagnostic or therapeutic challenges who are identified in discussion with the patient’s social worker or primary care provider. To be provided onsite at primary care offices. Maintain professional cell phone and email accounts for contact during usual business hours. Respond to telephone calls from integrated team providers within one business day. Respond to urgent telephone calls within one hour, if available. Check professional email account daily. Respond to email questions/consultations within two business days, sooner if urgent.
Optional Activities:
Training: This may involve development and delivery of in-service training for primary care-based providers and staff regarding current understanding of best (evidence based) practices for the recognition and treatment of behavioral health conditions in primary care setting. QA/QI: Participate in quality assurance practices to ensure compliance standards are met, and patient outcomes are frequently re-evaluated.
Requirements:
- Licensed psychiatrist in New York State.
- Demonstrated ability to collaborate effectively in a team setting.
- Willingness to make treatment recommendations to primary care team for patients that psychiatrist does not see directly.
- Excellent communication skills.
- Positive, flexible, and solution-focused attitude.
- Ability to quickly integrate medical and psychiatric data and formulate effective and evidence-based clinical recommendations.
Desired:
- Board-eligible (or approved) in psychiatry.
- Experience with primary care psychiatry or consultation-liaison/contractual psychiatry.
The Chautauqua Center is an Equal Employment Opportunity employer and does not discriminate in employment opportunities or practices on the basis of race, creed, color, religion, sex, national origin, nationality, ancestry, age, disability or status as a disabled veteran or veteran of the Vietnam era, pregnancy, affectional or sexual orientation, gender identity or expression, marital status, status with regard to public assistance, veteran status, citizenship or membership in any other legally protected class.
Description:
The Psychiatric Nurse Practitioner (APRN) functions as a member of a multi-disciplinary team and contributes to the team and applies to the treatment of client’s the psychiatric and related skills acquired through the training and/or experience required for this position. S/he may provide services within one or more TCC’s program(s), and the relative concentration between and within programs may change with the needs of the Clinic.
Job Duties:
- Conducts psychiatric evaluation and formulates accurate diagnoses in accordance with the Diagnostic Statistical Manual (DSM). Manages prescribed medication, performs mental status examinations, develops and presents clear clinical impressions and recommendations that are specific and attainable. Provides therapeutic interventions appropriate to specific problems. Develops and documents clear clinical formulations.
- Demonstrates knowledge of psychopathology and other behavioral health concerns and effective modalities of psychotherapeutic intervention. Triages clinical emergencies and implements program specific safety and consultation protocols. Utilizes evidenced based best practice models where appropriate and adheres to model and program expectations.
- Demonstrates knowledge of internal and external levels of care, referral processes and resources. Makes clinically appropriate referrals for identified service needs in a timely manner.
- Communicates in a positive, effective manner with client, family, and all internal and external providers. Attends any required meetings and supervision.
- Demonstrates knowledge of program/department/agency goals and target outcomes, and adheres to practice standards and to data collection and reporting protocols.
- Documents all client related information in compliance with agency policy.
- Attends and is prepared for scheduled supervision. Seeks additional supervision or consultation as needed and follows through with supervisory directives.
- Provides service in the office and/or community settings outside of the office (e.g., homes, schools, hospitals, institutions, other community locations) as defined by the program.
- Communicates in a professional, positive, and effective manner with all clients, families, and collaborating professionals.
- Continues to develop knowledge and understanding about the history, traditions, values, family systems, and artistic expression of groups served as well as uses appropriate methodological approaches, skills, and techniques that reflect an understanding of culture.
- Assume other responsibilities as directed.
Qualifications, Education, and Experience:
- Graduate of an accredited School of Nursing
- Master’s Degree in Psychiatric/Mental Health Nursing
- Licensed to practice as a NYS Nurse Practitioner with Certification as a Psychiatric Nurse Practitioner
Experience in an ambulatory health center preferred.
The Chautauqua Center is an Equal Employment Opportunity employer and does not discriminate in employment opportunities or practices on the basis of race, creed, color, religion, sex, national origin, nationality, ancestry, age, disability or status as a disabled veteran or veteran of the Vietnam era, pregnancy, affectional or sexual orientation, gender identity or expression, marital status, status with regard to public assistance, veteran status, citizenship or membership in any other legally protected class.