Per Diem Psychiatric ARNP - Crisis Solutions Center (CSC)

Description

Shift: Variable - no earlier than 8am, no later than 7pm

Other Benefits: 403(b), EAP, Sick & Safe Time

About DESC:

DESC (Downtown Emergency Service Center) is a nonprofit organization working to help people with the complex needs of homelessness, substance use disorders, and serious mental illness achieve their highest potential for health and well-being through comprehensive services, treatment, and housing. Our vision is a community where no person is abandoned, ignored, or experiencing homelessness. 

As the region's leading provider of services to multiply disabled adults who have experienced chronic homelessness, DESC serves almost 3,000 people each day. Our integrated service model is designed to help people secure and maintain appropriate, safe and affordable housing. DESC is recognized nationally and regionally as an innovator in developing solutions to homelessness.

JOB DEFINITION:

The Psychiatric ARNP is responsible for providing psychiatric evaluations, diagnosis & treatment; crisis stabilization; medication prescription; recommending rehabilitation services, and coordination with community providers as necessary. 

JOB DEFINITION:

The Psychiatric ARNP is a member of a multi-disciplinary team and is responsible for providing psychiatric evaluations, diagnosis & treatment; crisis stabilization; medication prescription; recommending rehabilitation services, and coordination with community providers as necessary. In conjunction with other psychiatric and management staff, this position has clinical responsibility for monitoring participant treatment and staff delivery of clinical services, assuring compliance with all local, state and federal laws and relevant contract and procedure requirements associated with operations within DESC. 

Services will be provided in participants' home and community at least 75% of the time which includes travel time to perform services. In conjunction with the project manager, team leader, Nursing Supervisor, psychiatrist and Medical Director, this position has overall clinical responsibility for monitoring participant treatment and staff delivery of clinical services. All members of the team are expected to work with participants in a variety of shared functions. This team is designed to work with individuals who have experienced long durations or multiple episodes in psychiatric hospitalizations and/or residential mental health treatment. Individuals served experience chronic or multiple episodes of severe mental illness, co-occurring substance use disorders and possibly homelessness. These individuals have either been unable or unwilling to participate and succeed in traditional treatment settings. Therefore, it is critical that the members of this team work together in a collaborative manner that eliminates the traditional treatment borders and barriers.

MAJOR DUTIES AND RESPONSIBILITIES:

• Coordinate client care with a multi-disciplinary team of social workers/case managers, chemical dependency professionals, psychiatric nurses, peer counselors, employment specialists and other mental health staff within the PACT team. 
• Perform full psychiatric evaluations and provide treatment and recommendations as appropriate, at DESC sites and in the community, as needed by program and individual need.
• Diagnose the nature and extent of mental and/or substance-related disorders by reviewing the client’s clinical record, requesting and reviewing known medical/psychiatric documentation, coordination with other providers, and evaluating the client's current physical and psychological condition. 
• Coordinate all psychiatric services provided with Program management, Medical Director, nursing and other management staff. 
• PACT always has a provider on-call who is available for consultation with other staff as well as Emergency Departments, first-responders, and other medical providers. 
• Maintain compliance with all related licensing, DEA, and other regulations.
• Conduct all work within principles of the Recovery model. 
• Evaluate clients and advise course of treatment. Respond to emergency situations as needed.
• Refer and advocate for clients to consult with a primary care physician on a regular basis. When appropriate, refer clients to other specialists.
• For all clients receiving medication treatment, conduct a face to face evaluation at least every 90 days or other schedule as related regulations or contract terms change.
• Document all client contacts and pertinent information according to agency, County, and State requirements within stated time lines. Provide treatment in compliance with relevant RSN policies and procedures and all loca