Psych Nurse Practitioner

Community Bridges, Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different 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 Practitioner

Full Job Description

Community Bridges, Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different 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.
At 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 practitioner 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.
This document defines the skills, activities, and expertise that fall within the psychiatric practitioner’s scope of practice in the inpatient and outpatient setting.

General scope within their skills, competencies, and experience, licensed practitioner shall:

• 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
• Completes a psychiatric evaluation (HPI) in its entirety and documents the evaluation in the patient file for each individual admitted to the inpatient behavioral health facility within 24-hours of admission. Reviews and acknowledges completed physical health H&P of each patient within 24-hours of admission
• Reviews treatment plan and modifies to meet psychiatric, as well as, medical detoxification and physical health needs
• Reviews 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
• Documents daily rounds in progress note
• Monitors the treatment of physical health and/or coordination with PCP and other prescribers while in treatment.
• Initiates or recommends 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.
• Provides necessary documentation and treatment for patients under petition or court-ordered treatment including Special Treatment Plan and coordinates Tx with the outpatient team
• Discharge Orders and plan
• Documents and signs full discharge orders and follow-up recommendations within 24-hours of discharge
• Documents review of discharge plan with the patient
• 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:

• 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 TB skin test prior to working with CBI patients and annually thereafter to ensure professional is free from tuberculosis. Test results must be submitted to the Credentialing department annually.
• Obtains and maintains suboxone waiver for to treat the maximum number of patients for which the practitioner is eligible.
• Maintains…