Behavioral Health Psychiatric Nurse Practitioner

SUMMARY:

Part time and Full time positions available

APRN will provide direct clinical service to patients, provide clinical supervision to interns and staff, be involved in quality improvement activities, other administrative activities, and help to develop programming as needed.

With respect to clinical duties, core duties will include: psychiatric evaluations, consultation, and treatment of referred patients; prescribing medications and follow-up medication visits; provision of psychotherapy as needed; participation in mental health intake conferences and case presentations; consultation and evaluation of patients in regards to crisis situations and admission to a psychiatric mental health and/or substance abuse inpatient unit.   Treatment services provided will be based on credentialing privileges, related to areas of expertise, and follow accepted guidelines and best practices.  Services will be coordinated with other providers involved in the patient’s care including LCHC providers, the PCP, and providers from outside agencies.  APRNs will take a team-oriented approach to patient care and fully participate in integrating behavioral health care with primary care.

Direct services may be provided at various locations including but not limited to: 20 Central, 269 Union, Western Ave., 280 Union, school based health centers, and at other community sites/agencies.  Primary service location will vary based on responsibilities and can be changed based on clinic needs.   All clinical work and documentation will meet accepted standards of practice including those set by LCHC policy, JACHO, NCQA, state and professional associations, and contracted insurance companies.   Productivity target will be determined on a yearly basis and may need to be adjusted based on a variety of factors including specific duties and health care economics.

With respect to other duties, APRNs will be expected to assist with supervising  interns as appropriate depending on the practitioner’s experience level , and may present at trainings. APRNs will participate in ongoing quality improvement efforts as assigned by supervisors (Chief Behavioral Health Officer or Chief Medical Officer).  They will also be involved in program development and community consultation.  This may include serving as a health consultant for the Lynn Public Schools, local day care centers, after school program, day camps or other community related organizations; providing such services as programmatic consultation, preparation/review of health related policies and documentation or participating in health screenings, health education programs or counseling at health fairs and other similar community events.

CORE RESPONSIBILITIES

  • Respect and maintain patient confidentiality in all aspects of care including use of electronic information.  
  • Treat all patients and fellow staff in a welcoming and professional manner.
  • Demonstrate professionalism by appropriate attire, attendance, attitude and behavior within the department setting. 
  • Contribute to the team effort by supporting all team members and maintaining an open and positive attitude
  • Welcome new facility staff to the team by assisting with their orientation to the team and mentoring them as requested.

DUTIES AND RESPONSIBILITIES

 

Clinical Services

  • Provide comprehensive bio-psycho-social diagnostic assessment at intake and at any point needed throughout treatment.
  • Provide evidence-based psychopharmacological treatments.
  • Follow clinical guidelines with respect to prescribing practices.
  •  Follow clinic guidelines and protocols with respect to prescribing controlled substances.
  • Monitor and assess for medication side effects, adverse drug events, and drug interactions
  • Consult with and coordinate care with PCP.
  • If providing psychotherapeutic treatments, be well-versed in at least two treatment modalities.
  • If acting as primary therapist, provide case management services.
  • Provide ongoing treatment planning.
  • Provide crisis intervention and management services.
  • Use a team-oriented approach with special emphasis on communication and coordination of care.
  • May administer injectable medications for psychiatric indications

 

Supervisory/Clinical Leader Functions

  • Form working relationship with supervisee that clarifies expectations and boundaries.
  • Work with supervisee to assess strengths, weaknesses, and areas for clinical growth.
  • Encourage two- way communications; periodically assess ability to meet supervisee’s needs.
  • Review cases with supervisee for appropriateness of treatment plan, medication prescribed, and assessment of ongoing progress.
  • Evaluate supervisee’s ability to perform duties and associated core competencies.
  • Support supervisee in improving ability to perform duties and associated core competencies.

 

Life Long Learning

  • Attend supervision with psychiatrist of record or other administrative supervisor or designee.
  • Incorporate feedback from supervision to improve clinical skills and performance.
  • Engage in regular self evaluation of skills; elicit feedback from supervisors, colleagues, and patients; be open to constructive feedback.
  • Maintain CEUs as required by the state.
  • Attend CEUs relevant to current practice and patient population.
  • Attend 75% of health centered sponsored educational activities.

 

Indirect Services

  • Maintain patient records that meet health center, JACHO, professional, state, and legal standards.
  • Complete patient records in a timely fashion.
  • Bill services in a timely fashion.
  • Respond in a timely fashion to UR coordinators and office assistant when clinical information, extended care forms, refills, or PAs need to be completed.
  • Participate in peer review and clinical review activities as assigned
  • Attend staff meetings as scheduled
  • Read and respond to emails and EHR communications.
  • Conduct professional practice and behavior according to the policies and procedures of LCHC as well as the American Psychiatric Association Code of Ethics.

Customer Service:

  • Demonstrates an understanding of customer service principles by successfully completing on-line Customer Service training and ACES Training.
  • Utilizes the principles of customer service when interacting with patients/clients, team members and staff from other departments. 
  • Appropriately handles or seeks support when customer service breakdowns occur.

Cultural Competence:

  • Demonstrates knowledge of culture by successfully completing the on-line training on Cultural Competence. 
  • Utilizes an appreciation of and respect for diversity when interacting with patients/clients, team members and staff from other departments. 
  • Responds appropriately or seeks support when confronted with cultural biases or conflicts.

Emergency Situations:

  • In order to respond promptly and appropriately to emergency situations, any staff member may be assigned temporary duties which differ from those in the job description, or may be assigned temporarily to a different location or schedule. 
  • Understands that all staff should have a personal emergency plan in place to best respond to his/she job responsibilities should health center emergency arise 

SUPERVISION RECEIVED:

  • The Behavioral Healthcare Services Coordinator of Psychiatric Nurses will conduct weekly supervision with all psychiatric nurses.
  • Weekly supervision by the Supervising Psychiatrist who is psychiatrist of record.

SUPERVISION EXERCISED:

  • Provide weekly peer supervision with other professional staff of the Psychiatric Nursing Services.

      Requirements

       

      QUALIFICATIONS:

      1. Graduate Degree in nursing
      2. Licensure to practice psychiatric nursing in Massachusetts.
      3. Certified as a psychiatric nurse clinical specialist or psychiatric nurse practitioner in Massachusetts (PMHNP or PMHCNS)
      4. “X” license (DATA waiver) to prescribe buprenorphine strongly preferred
      5. History of good attendance and positive work attitude.

      EXPERIENCE:

      APRN will have previous experience in diagnosing, evaluating and treating patients with psychiatric disorders.  In particular, APRN will have previous experience in treating psychiatric illness with medication in addition to being comfortable with psychotherapeutic modalities.  APRN will have demonstrated sensitivity working with underserved multicultural populations in a community setting

      SPECIAL REQUIREMENTS:

      • The essential job duties of this position present risk of exposure to bodily fluids and blood borne pathogens.  Annual attendance at LCHC Bloodborne pathogen training is required.  
      • Up to date immunizations and annual TB testing is required.  
      • Hepatitis B vaccine and annual flu immunization are strongly recommended and available at no charge at the Health Center.  Declination form must be signed if Hepatitis B vaccine is declined.
      • Results of inquiry to Criminal Offender Record Investigation (CORI) must be acceptable under health center standards.

      Lynn Community Health Center (LCHC) provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, LCHC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation and training. LCHC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of LCHC’s employees to perform their job duties may result in discipline up to and including discharge. 

      Job Posting ID: 18-174 (Part time 20 hours); 19-032 (Full time); 19-146 (Full time)

      Hours

      Full-Time