Advance Practice Provider Psychiatry Fellowship

Location: Township of Columbia

Job Description:

Position Summary The Advanced Practice Provider Fellow participates in a structured six-month fellowship designed to develop safe, high-quality clinical practice in psychiatry, behavioral health crisis care, and substance use treatment. The fellow may be a newly graduated or early-career Nurse Practitioner or Physician Assistant and will practice only within applicable licensure, credentialing, privileging, and organizational requirements. The position combines supervised patient care, didactic education, clinical case conference, direct observation, chart review, and progressive responsibility across outpatient, crisis, child/adolescent, adult, and substance use settings.

The fellow works under an assigned physician supervisor and senior APP mentor and receives increasing clinical responsibility as competencies are demonstrated. The position is expected to develop skills in psychiatric evaluation, differential diagnosis, treatment planning, psychotropic medication management, risk assessment, crisis stabilization, and care coordination. The fellow participates in interdisciplinary teams and collaborates with physicians, APPs, therapists, nurses, pharmacists, case managers, and community partners.

The fellow is expected to maintain timely, accurate, and clinically defensible documentation and to learn applicable coding, billing, EMR, and productivity standards. The fellow must demonstrate professional communication, accountability, receptivity to feedback, and appropriate escalation of clinical uncertainty or risk. Successful completion of the fellowship requires satisfactory competency evaluation and approval for transition to full clinical capacity, subject to applicable credentialing and organizational requirements.

Essential Duties and Responsibilities Conduct supervised psychiatric, behavioral health, medical, and substance use evaluations appropriate to the fellow's current level of training and legal scope.

Develop differential diagnoses and evidence-informed treatment plans under appropriate clinical supervision.

Provide supervised medication management, including medication selection, initiation, adjustment, monitoring, education, and follow-up within authorized scope.

Perform suicide, violence, medical, intoxication, and withdrawal risk assessments and escalate care appropriately.

Participate in behavioral health crisis evaluations, stabilization, safety planning, disposition planning, and higher-level-of-care referrals.

Participate in substance use disorder treatment and MAT experiences, including assessment, motivational interviewing, relapse prevention, and medication treatment when legally and organizationally authorized.

Complete timely, accurate, and compliant clinical documentation and develop competence in EMR, coding, billing, and workflow requirements.

Participate in interdisciplinary treatment teams, case conferences, supervision, and clinical consultation.

Complete required rotations, didactic assignments, competency assessments, and a quality-improvement project.

Demonstrate professional judgment, accountability, communication, patient-centered care, and continuous incorporation of supervisory feedback.

Supervisory Responsibilities This position does not have supervisory responsibilities.

Knowledge, Skills, and Abilities Prior clinical experience in behavioral health, psychiatry, emergency medicine, primary care, inpatient medicine, pediatrics, or substance use treatment.

Experience with psychiatric interviewing, medication management, crisis assessment, or integrated behavioral health.

Interest or experience in quality improvement, clinical education, or evidence-based practice.

Strong teamwork and communication skills.

Comfort working with patients across…