Psych Nurse Practitioner - Non-Crisis

Community Bridges, Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of programs throughout Arizona. CBI provides residential, outpatient, inpatient, patient-centered medical homes, medication-assisted treatment, and crisis services to individuals experiencing crisis, opioid use disorder, homelessness, and mental illness.Psychiatric Mental Health Nurse PractitionerFull Job DescriptionAt Community Bridges, Inc. (CBI), a psychiatric practitioner is an integral specialty for our whole person approach in our integrated system of physical, psychiatric, and addiction services. The scope of practice of psychiatric practitioners in the inpatient setting will see adults 18 and older, all genders, all socio-economic backgrounds, complex medical history, and co-occurring psychiatric disorders. Psychiatric practitioners at CBI will be expected to provide patient-centered, evidence-based care for patients as well as serve as patient advocates in all health-related matters, including the appropriate use of specialists, health services, and community resources.General Responsibilities:Complete Medical Practitioner Admission Orders and CON (for a Physician only) are completed and signed by the admitting medical practitioner, if the medical practitioner is not a physician, the practitioner will coordinate with the CPEC Medical Director to sign the CON within 24-hours of admission.Complete a psychiatric evaluation (HPI) in its entirety and document the evaluation in the patient file for each individual admitted to the inpatient behavioral health facility within 24-hours of admission. Review and acknowledge completed physical health H&P of each patient within 24-hours of admission.Review treatment plan and modify to meet psychiatric, medical detoxification, and physical health needs.Review cases with RN and Transition Coordinator daily during rounds as part of discharge planning process.Rounds completed daily in Inpatient between the hours of 0800 and 1600.Document daily rounds in progress notes.Monitor the treatment of physical health and/or coordinate with PCP and other prescribers while in treatment.Initiate or recommend Consults and Coordination of Care.Coordinate with one another when discharging, admitting, or transferring a patient to a different CBI program or level of care (or a facility outside the CBI system) and document in the medical record to ensure a smooth transition.Be available or will initiate coordination of care (doc to doc) promptly. Will initiate or will direct staff to obtain collateral information. Will review provided medical documentation and document findings.Provide necessary documentation and treatment for patients under petition or court-ordered treatment including Special Treatment Plan and coordinates Tx with the outpatient team.Document and sign full discharge orders and follow-up recommendations within 24-hours of discharge.Pharmacotherapy: Will prescribe appropriate pharmacotherapy for related psychiatric disorders, as well as coordinated care for physical health, substance abuse treatment, and pain management. Responsible prescribing practices will be adherent to accepted standards of care.Maintain at least 80% of e-prescribing with a goal of 100%.Addiction Medicine: Evidence in documentation of evaluating each patient for addiction medicine protocol prior to discharge.Suboxone Taper: Evidence in documentation of evaluating each patient for ongoing suboxone taper prior to discharge.Mental Health/Psychiatric Care: Evidence in documentation of evaluating each patient for ongoing mental health/psychiatric care prior to discharge.Physical Health: Evidence in documentation of evaluating each patient for ongoing physical health issues prior to discharge.Universal Responsibilities:Complete orientation as directed by CBI, which includes shadowing another CBI practitioner prior to working with patients.Complete a TB skin test prior to working with CBI patients and annually thereafter. Test results must be submitted to the Credentialing department annually.Obtain and maintain suboxone waiver for to treat the maximum number of patients for which the practitioner is eligible.Maintain necessary patient data logs as required when treating patients with buprenorphine to coordinate with the medical practice team and clinical team on caseload size.Provide evidence of CPR/First Aid prior to working with CBI patients and provide documentation of renewal every two years.Participate in quality management initiatives and correct any identified areas of deficiency within 72 hours; exceptions must be approved by the Director of Medical Practice in consultation with the CBI Medical Director.Maintain a minimum 85% compliance with documentation requirements.Not cancel patient appointments without prior notification to CBI.Not refuse to see CBI patient(s) without approval from the medical director.Adhere to the appointment scheduling protocols assigned by the medical director and monitored by the medical management team.Maintain a minimum 85% patient satisfaction. If performance falls below 85%, practitioner will submit a plan of correction to the Medical Director.Maintain a minimum of 75% follow-up rate.Complete and document all medication assessments and informed consents by the end of assigned shift or within 24 hours of seeing the patient.Review the Controlled Substance Prescription Monitoring Program prior to treatment and coordinate care with other prescribing practitioners.Utilize e-Prescribing for all patient prescriptions as established in the CBI electronic medical record.Attend regular staffing and rounds on assigned patients; participate in the development of the patient’s treatment plan; provide clinical expertise for the treatment team for patient care.Support utilization review activities by clearly documenting admission medical necessity and continued stay necessity.Promote collaboration in patient care by communicating with referring and receiving professionals.Attend and actively participate in practitioner meetings; participate in peer review activities and performance improvement projects.Comply with agreed upon work schedules to provide coverage at the facility and meet the clinical and business needs.Give a minimum of 60 days’ notice for time off and will coordinate with peers to arrange for coverage for scheduled shifts.Notify Director of Medical Practice and Medical Director in the case of an emergency and inability to cover a scheduled shift.Adhere to all policies and procedures established by CBI.Other duties as assigned.Documentation:Medical Professionals are expected to complete documentation within 24 hours of visit. Should documentation not be complete by allotted timeframe, Medical Professional must notify the Director of Medical Practice.Training:Medical Professionals may be asked to have new clinical staff of the same specialty or experience shadow them or be trained by them. Medical Professionals will be expected to attend educational meetings as deemed appropriate for their specialty.Integration:As Medical Professionals, it is important to recognize practice limitations and seek consultation with other healthcare professionals, when necessary, to provide optimal patient care.Benefits:Medical, Dental, Vision, Disability, Life, Supplemental plans, 401K with employer match - 100% vested upon enrollment, Generous PTO accrual, Wellness programs, Tuition Reimbursement and Scholarship Programs, incentives, and more!For the past four years, The Phoenix Business Journal has recognized CBI as one of the top ten healthiest mid-size employers in the Valley.CBI treats patients from all different walks of life and believes in maintaining the dignity of human life. Recovery is possible!

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