Integrated Primary Care & Psychiatry Provider; MD​/DO​/NP

• Location 198 E 121ST ST,New York, NY, ,United States
• Base Pay $ - $ / Year

The Integrated Care Physician/NP delivers comprehensive primary care and psychiatric services to individuals experiencing homelessness or formerly homeless individuals served by Janian Medical Care. Providers practice in a variety of community-based and non-traditional settings, including permanent supportive housing, transitional housing, safe havens, drop-in centers, mobile medical vans, clinics, and street-based outreach locations.

This integrated clinical role combines the functions of primary care and psychiatric treatment within a person-centered, community psychiatry model, allowing a single provider to address both physical and behavioral health needs. Providers deliver comprehensive medical care, psychiatric evaluation, medication management, brief psychotherapy, and care coordination while working collaboratively with interdisciplinary teams to address complex medical, behavioral health, substance use, and social needs.

Janian providers practice with a strong commitment to harm reduction, recovery-oriented care, trauma-informed care, and social justice. Providers are empowered to deliver flexible, creative, and patient-centered care that meets patients where they are and supports their individual goals.

The Integrated Care Physician/NP position is structured to include approximately 80-90% clinical time and 10-20% administrative and educational time, supporting documentation, care coordination, quality improvement participation, professional development activities, internal trainings, subcommittee work, supervision, and Grand Rounds participation.

A. Clinical Responsibilities (Approximately 80-90%)

• Independently provide comprehensive primary care and psychiatric services to Janian clients across community-based, housing-based, mobile, and street-based settings.
• Engage patients in care wherever they are located, including medical offices within housing programs, onboard mobile medical vans, drop in centers, safe havens, soup kitchens and community outreach settings.
• Identify, engage, and retain individuals in medical and psychiatric treatment using person-centered and recovery-oriented approaches.
• Obtain comprehensive medical, psychiatric, substance use, and psychosocial histories through direct encounters, chart review, and collateral information from interdisciplinary staff, family members, and community partners.
• Conduct general, focused, and in-depth medical examinations and psychiatric evaluations in homes, shelters, clinics, supportive housing programs, and community-based settings.
• Diagnose and treat acute and chronic medical conditions, psychiatric disorders, and co-occurring substance use disorders within scope of licensure.
• Develop individualized, patient-centered treatment plans that integrate physical health, mental health, recovery goals, and social determinants of health.
• Prescribe and manage medical and psychiatric medications utilizing Janian practice standards and evidence-based clinical resources.
• Provide psychotherapy, supportive counseling, motivational interviewing, psychoeducation, and psychiatric interventions as clinically appropriate.
• Perform clinical procedures within scope of licensure, as applicable, including wound care, ECGs, phlebotomy, gynecologic and genitourinary exams, administer long acting injectable medications, incision and drainage, and suture or staple removal.
• Apply harm reduction principles and trauma-informed care practices in all clinical encounters.
• Utilize internal and external consultation resources such as RubiconMD, Epic Carelink, UCSF Warmline, psychiatric supervision, and Janian clinical guidance documents.
• Support patient recovery, self-determination, and wellness goals through collaborative treatment planning.
• Advocate for patients and address barriers related to housing, benefits, employment, healthcare access, and other social determinants of health.
• Implement population health initiatives targeting individuals with high medical, psychiatric, and social complexity.
• Serve as a consultative clinical resource to interdisciplinary teams, including social workers, psychiatrists, nurses, outreach staff, case managers, and housing providers.
• Participate in weekly interdisciplinary and clinical case conferences.
• Work independently at assigned sites while maintaining regular communication with colleagues and supervisors for consultation…