Advanced Practice Provider - Crisis Care - Behavioral Health - Health Care District of Palm Beach County
West Palm Beach, FL 33407
About the Job
This is a professional position in which the incumbent provides direct care for patients at the Health Care District's Primary Care Clinics. The incumbent works collaboratively with the Psychiatrist and Medical Providers to provide patient assessment and diagnosis, formulate treatment plans, prescribe medications, order laboratory tests, provide patient education, prepare medical records, and refer patients for inpatient care in accordance with statutes, regulations, and protocols regulating the profession. The incumbent works under the supervision of the Psychiatrist and the Medical Director. This position works in acute settings that address crisis mental health and substance use care between crisis settings as well as in an outreach setting with a multidisciplinary team where medical triage may occur for children and adults
The APP (ARPN - Psychiatry or PA-C Physician Assistant) will also be responsible for covering for other providers as appropriate at other clinics during vacations or other absences.
Responsibilities:Provide MedicallyNecessary Triage, Assessment, Treatment, and Follow-up Care
- Provide behavioral health services within the scope and practice as defined by the Florida Board of Nursing.
- Conduct triage of basic medical problems, treat basic medical problems, and refer appropriately to the right level of care.
- Obtain comprehensive health histories, request special diagnostic and laboratory tests, interpret test results, and develop comprehensive psychiatric treatment
- Provide mental health assessments, diagnoses, and treatment plans in identified areas; provide medication management for patients; and maintain appropriate health records
- Recommend and execute appropriate behavioral health and substance use referrals, including involuntary or voluntary psych /substance use diagnosis
- Conduct screening interviews and assessments to stratify safety risks and appropriate levels of care for the patient for mental health and substance use.
- Prescribe pharmaceuticals therapy consistent with a medical evaluation, treatment plan, and current standards of practice
- Refer clients for specialized or inpatient interventions as clinical situations dictate
- Provide medically necessary and appropriate care of acute and chronic psychiatric problems included in the DSM-V, referring to specialists as appropriate.
- Perform mental status examinations and appropriate physical exams.
- Provide phone or telehealth support to mobile response teams if needed.
- Utilize evidence-based strategies and training to de-escalate patients and their families, while working with the team to keep patients, staff, and bystanders safe.
Collaborate with AppropriateSystems Involved with Patient Care
- Work cooperatively with the legal system to ensure coordination of services, including court appearances when appropriate.
- Work collaboratively with community-based partners regarding incoming and outgoing referrals to provide patient-centered coordinated care.
Serve on interdisciplinary Team, Collaborate to Ensure All Patients Receive AppropriateCare
- Assess, plan, develop, implement, and evaluate an effective and efficient treatment program that will appropriately meet the needs of patients utilizing best care practices, industry standards, organizational guidelines, appropriate accreditation standards, and applicable federal laws, including HIPAA
- Provide leadership and facilitate a team approach to ensure all patients receive appropriate assessment and care.
- Triage and prioritize emergency appointments and walk-ins within a structured schedule
- Participate in a team management approach to patient care/treatment
- Requires working in a 24x7 model and must be available for night and weekend shifts.
- Participate in the patients’ plan of care, interdisciplinary team meetings, committee meetings, and rehabilitation meetings when necessary.
- Discuss findings as needed with the attending physician, consulting staff, and medical service providers.
Complete all administrative Tasks/ Functions Appropriate to the Role to Support Operations
- Maintain appropriate files; develop and follow through on treatment plans within organizational guidelines; and prepare reports on the clinical management of patients
- Maintain quality through participation in peer review, policy development, and quality improvement programs
- Maintain appropriate documentation of clinical services, including all necessary billing information
- Ensure accurate consistent use of encounter forms for all client contacts with behavioral providers to ensure accurate billing of third-party resources
- Maintain and update professional knowledge and proficiency through continuing education, staff meetings, workshops, and serving on special committees
- Bill appropriately to ethical standards
- Other related duties as assigned.
Customer Service:
Every employee knows and understands his/her customers and focuses on delivering to them the highest quality services(s) in the context of the overall mission.
Demonstrates the ability to maintain high levels of customer satisfaction by meeting expectations; builds and maintains positive relationships with customers and colleagues; interacts with all customers in a polite, friendly, and courteous manner; actively listens to assess customer needs; promotes a positive public image for the organization.
Communication:
The ability to express ideas effectively face-to-face, as well as in writing, in individual and group situations, adjusting language and terminology to the needs of the audience, and the ability to synthesize information received verbally and in writing.
Demonstrates the ability to share information in an organized, clear, and timely manner, both verbally and in writing; keeps co-workers, colleagues, staff, and supervisor appropriately informed; exhibits interpersonal skills and is an active and participative listener; uses appropriate style and language for the audience; productively processes information.
Teamwork:
Creates effective working relationships within and across organizational boundaries.
Demonstrates the ability to maintain a positive, achievement-oriented attitude that influences others to do the same; demonstrates a willingness to work through conflict constructively; invites information, constructive criticism, and cooperation from others; demonstrates integrity through respecting confidentiality and exhibiting high standards of personal conduct.
Initiative and Ingenuity:
The capacity for self-motivation that is manifested by innovation and creativity.
Possesses the ability to focus on improving outcomes by encouraging innovation; demonstrates the ability to anticipate obstacles and develop plans to overcome them; possesses knowledge in a particular area of trends and uses knowledge to modify existing processes; demonstrates creativity and the ability to make decisions that demonstrate a broad and creative range of options with a view toward long-term solutions; demonstrates openness to new information and approaches to stimulate in others the use of non-linear thinking; demonstrates initiative by performing duties without required prompting and close supervision; readily accepts responsibility and follows through to completion independently; accepts and adjusts to changes in the work environment and/or assignments by demonstrating flexibility.
Commitment to Quality:
Consistently maintains a high level of quality that meets specific standard operating practices and procedures, consistent with organizational goals.
Possesses the ability to identify quality processes to meet organizational standards and minimum standard operating practices and procedures; demonstrates an understanding of the organizational goals and priorities to apply quality processes to the work; stays abreast of current techniques, methods, and skills appropriate to standard operating procedures and practices; demonstrates abilities in planning for quality evaluation and measurement activities.
Productivity:
Employee makes use of work time efficiently and productively.
Possesses the knowledge, skills, and abilities for the position to meet facility and departmental requirements; demonstrates the ability to provide services, appropriate to the job description, to serve our customers better; demonstrates the ability to seek assistance from supervisor or other team members to assure good customer service; possesses the ability to seek assistance from supervisor or colleagues to assure good customer service; ability to multi-task and set priorities, according to schedules and guidelines.
Leadership/Creating a Shared Vision:
Can inspire, influence, and empower others to achieve departmental goals. Demonstrates leadership in keeping with the District’s overall mission, vision, and values.
Demonstrates the ability to create and communicate a vision for the department that reflects organizational values and is responsive to various stakeholders and customers; establishes and maintains an environment where new ideas and solutions to problems are encouraged, evaluated, and implemented; demonstrates the ability to interact effectively at different levels with different audiences, and develops relationships with colleagues and superiors across organizational lines; possesses the ability to role model high ethical standards and personal integrity for staff; able to build strong teams that are technically competent and who are characterized by a high degree of coordination and trust.
Promoting Quality, Customer Service and Productivity:
Utilizes continuous quality assurance processes to ensure quality, appropriate services are rendered to the customer to meet or surpass established goals and objectives
Demonstrates the ability to develop and communicate performance objectives, delegate assignments, and monitor customer service, quality, and productivity; possesses a thorough knowledge of the needs of the customer necessary to lead others; and develops quality evaluation mechanisms to link customer feedback to performance assessment; demonstrates excellent verbal and written communication skills, including supportive assurances to staff, gathering feedback, mentoring and the ability to lead staff to meet customer needs; maintains compliance with federal, state and local regulations.
Meeting Strategic Goals and Objectives:
Plans actions to accomplish designated and desired outcomes.
Possesses the ability to maximize the utilization of financial and other resources; demonstrates knowledge in strategic planning and possesses the ability to evaluate progress toward goals and modify the course as needed; ability to evaluate information from various sources and stakeholders to determine relevant solutions to problems; demonstrates sound fiscal judgment by maintaining department within budgetary parameters.
Diversity Competencies:
In the interest of ensuring continued workforce diversity at the Health Care District management staff is required to:
- Promote team building among a diverse workforce, model a positive attitude regarding diversity, create and maintain a work environment that is respectful and accepting of diversity, and demonstrate
recognition of the value of individual and cultural differences - Ensure that service delivery is provided in a culturally competent way and consistently treat customers, partners, and coworkers with dignity and respect.
Education: Successful completion of accredited Advanced Practice Registered Nurse (APRN) training according to the Florida Board of Medicine or successful completion of accredited Physician Assistant Studies program (PA-C).
Experience: Three (3) to five (5) years previous experience related to the above describe duties.
Previous experience assessing and providing medication management for patients with behavioral health disorders in a psychiatric or primary care setting.
Experience with children, adolescents, and adults necessary.
Working knowledge and experience assessing and treating adults/adolescents with alcohol and other drug abuse/dependence Expert clinical judgment and the ability to be self-directed and demonstrate initiative in an expanded role Advanced Practice Provider.
Certification: Must be certified by the ANCC (American Nurses Credentialing Center) as a PMHNP-BC
Current ACLS or BLS certification required.
Licensure: Must be licensed as a PMHNP-BC through the Florida Board of Nursing and she must be certified through the American Nurses Credentialing Center (ANCC) Must have DEA and DEAX number and follow all requirements for the waiver. Buprenorphine Waiver Training required within six months of hire.
Registrations: N/A
Training: N/A
Health Care District of Palm Beach County is proud to be an Equal Opportunity Employer and Drug Free Workplace. We embrace diversity and do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.