Psychiatric Nurse Practitioner (NP) or Physician Assistant (PA)

Description

• Reports to the Manager of the assigned outpatient department.
• Reports to and works under the clinical supervision of a psychiatrist.

• Accountable to the Medical Director and System Director of Behavioral Health and the Department of Psychiatry Chair.
• Works collaboratively with physicians and all members of the patient care team.
• Prescriptive authority granted by specific specialty under the Michigan Board of Healthcare Professional licensing and DEA regulations. 

• Competitive compensation and full benefits
• 401(k) matching
• Continuing education credits
• Health and dental insurance
• Malpractice insurance
• Generous paid time off, holidays and flexible scheduling
• Our employees receive special discounts on a wide range of products and services
• Exceptional health, dental, vision and prescription drug insurance plans
• Student loan repayment eligible
• Relocation assistance
• Savings & retirement plans, disability insurance, identify theft protection and even home and auto insurance

1. Supports the Mission, Vision and Values of Munson Healthcare
2. Embraces and supports the Performance Improvement philosophy of Munson Healthcare.
3. Promotes personal and patient safety.
4. Uses effective customer service/interpersonal skills at all times.
5. As part of the psychiatric team, provides psychiatric APP services in an outpatient setting.  May also provide cross-coverage for inpatient psychiatric services.
6. Adheres to TJC and other regulatory agency requirements for documentation, patient care, competency and environment of care issues.
7. Observes the Munson Healthcare mid-level provider prescriptive authority guidelines.
8. Maintains knowledge of current medical/behavioral health trends and ongoing professional development in pertinent fields.
9. Participates in and / or serves as a resource for medical, nursing, and community education programs.
10. Works within stated parameters of credentialing related to psychiatry. 
11. Serves as a resource for behavioral health staff and recognizes the importance of working as a team.
12. Assessment:

• Collects health data in a systematic and ongoing manner involving the patient, family, and other health care providers as appropriate. 
• Determines the priority of data collection based on the patient’s immediate condition or needs.
• Documents relevant data in a retrievable form.
• Orders and interprets diagnostic tests and procedures relevant to the patient’s current condition.
• Conducts physical examinations.

• Derives diagnoses from the assessment data.  Validates with the patient, family, and/or other healthcare providers, if appropriate, and documents data and diagnoses.
• Utilizes complex data and information obtained during the interview, examination, and diagnostic procedures in identifying diagnosis.

• Involves the patient, family, and other healthcare providers in formulating outcomes from the diagnosis that are individualized and includes a time estimate for attainment.
• Determines outcomes that are culturally appropriate, realistic, attainable and measurable.
• Documents expected outcomes as measurable goals.
• Identifies expected outcomes that incorporate scientific evidence and are achievable through implementation of evidence-based practices.
• Supports the use of clinical guidelines linked to positive patient outcomes.
• Identifies expected outcomes that incorporate clinical and cost effectiveness, patient satisfaction, and continuity and consistency among providers.

• Develops an individualized plan of care with the patient and family involving appropriate health care providers to attain expected outcomes and to promote patient self-care abilities.
• Develops a plan of care that establishes priorities, provides for continuity, and is documented.
• Selects or designs strategies to meet the multifaceted needs of complex patient populations.
• Participates in the design and development of multidisciplinary and interdisciplinary processes to address patient care issues.
• Contributes to the development and continuous improvement of organizational systems that support the planning process.
• Includes the synthesis of patient’s values and beliefs into psychiatric and medical treatments within the plan.

• Develops and implements the plan of care in a safe, timely, and appropriate manner and documents interventions.
• Coordinates and collaborates in care delivery.
• Employs health teaching and health promotion strategies.
• Facilitates utilization of systems and community resources to implement the plan.
• Supports collaboration with colleagues and other disciplines to implement the plan.
• Fosters organizational systems that support implementation of the plan.
• Provides leadership in the coordination of multidisciplinary health care for integrated delivery of patient care services.
• Coordinates system and community resources that enhance delivery of care across continuums.
• Synthesizes empirical evidence on risk behaviors, learning theories, behavioral change theories, motivational theories, epidemiology, and other related theories and frameworks when designing health information and patient education.
• Synthesizes clinical data, theoretical frameworks, and evidence when providing care.
• Provides direct care including prescribing medications and therapies, consultation with/or referral to other health care providers.
• Meets department productivity requirements and independently monitors own appointment schedule.
• Designs health information and patient education appropriate to the patient’s developmental level, leaning needs, readiness to learn, and cultural values and beliefs.
• Utilizes and refers to evidence-based treatments, therapies, and procedures considering the patient’s comprehensive healthcare needs.
• Prescribes pharmacological agents based on a current knowledge of pharmacology and physiology.
• Provides patients with information about untended effects and potential adverse effects of proposed prescriptive therapies.
• Coordinates care and disposition plan with the patient’s attending psychiatrist. 
• Educates interdisciplinary staff regarding treatment of patients with behavioral health issues cared for on their unit.

• Evaluates the patient’s progress toward attainment of outcomes and includes the patient, family, and other health care providers as appropriate.
• Documents the patient’s responses to the interventions.
• Uses the results of the evaluation analysis to make or recommend process or structural changes, including policy, procedure or protocol documentation, as appropriate.
• Changes or modifies the plan of care, as appropriate.

• Master's Degree in Nursing or Physician Assistant degree

• Minimum of 3+ years experience in Behavioral Health preferred.

• State of Michigan Nurse Practitioner or Physician Assistant license required
• BCLS Certified
• For Nurse Practitioners: Psychiatric Mental Health certification (PMHNP)
• For Physician Assistants: Psychiatric practice certification

• Candidate must apply for and be granted applicable clinical privileges through MHC’s credentialing processes before rendering services
• Good judgment and problem solving skills.
• Excellent written and verbal communications skills.
• Ability to make quality, independent medical decisions.
• Time management and organizational skills.

• Community Education
• Free, discounted and unreimbursed healthcare services
• Healthcare programs