Nurse Practitioner - Lewiston (403)

GENERAL SUMMARY:

Under the direction of the Chief Medical Officer, the Nurse Practitioner is responsible for direct and indirect outpatient care to adults presenting with mental illness.  This will include assessment, development of the plan of treatment, participation in on-going psychiatric medical management, recommendation of consultations and referrals, and participation in discharge planning. 

ESSENTIAL JOB DUTIES:*

Demonstrates commitment to the mission of the agency with a strong understanding and respect for the goals of agency activities.

Works collaboratively and effectively with other staff and professionals.  This will include, as indicated, coordination and participation with support staff, therapists, care managers, community support workers, and other medical colleagues.

Complies with the agency's policies and procedures, including those pertaining to medical services and medication management. 

Works from paradigms of Recovery, Trauma Sensitivity, and Co-occurring illness. Further, has respect for a consumer-driven plan of care to the extent that is medically safe and will pursue the least restrictive treatment interventions.

Provides general health screening and assessment as relevant to psychiatric medication management, e.g. monitoring weight, blood pressure, and blood sugar. 

Provides medication injections of psychotropic medications according to agency policies and procedures.

Works with Chief Medical Officer to develop or modify department policies and procedures and is proactive in bringing concerns regarding the system of care to the Chief Medical Officer.

Provides medication and health information and education as indicated, and as
is necessary to support a solid process of informed consent and risk/benefit
decision-making.

Meets and maintains documentation requirements per the agency's policies and procedures, and as required by the Chief Medical Officer.  This will include timely evaluation notes, progress notes, and activity/billing logs.

Seeks and advocates for referral of patients to other programs and providers as clinically indicated.

Maintains knowledge of relevant documentation and licensing standards.

Utilizes the consumer's electronic health record (EHR) to ensure that documentation is complete, accurate, timely and meets regulatory and agency standards.

Follows policies and procedures with regard to the EHR to ensure that the services provided are consistent with best practices, assessment and/or treatment goals.

Seeks to work collaboratively and to coordinate care with patients' primary
care providers.

Timely review, response, and documentation of lab work, as indicated.

Timely return of calls from patients, such as for reported side effects from medication, questions about medication or their plans of care, or calls from other providers.  Documentation of these contacts is required.

Available to assist with cross-coverage of other agency mid-level or physician providers of services to adult patients.  This would include such duties as assisting with managing refill requests, and assisting with managing urgent or acute clinical circumstances during usual work hours.

Advocates and participates in processes to obtain needed medication for patients; e.g., through indigent programs, prior authorization systems, and/or samples.

Addresses issues of patients' personal health and hygiene, as indicated, as part of their plans of care.

Participates as a member of a multidisciplinary treatment team.  Respects and considers input from everyone involved in patients' care or support systems.  This includes other staff and professionals, family and significant others.

Provides public education and professional consultation services by mutual agreement as directed by the Chief Medical Officer.

Serves as Psychiatric Consultant for Behavioral Health Homes, as needed.

OTHER DUTIES AND RESPONSIBILITIES:

Communicates effectively both verbally and in writing, establishes positive public relations and interacts effectively with a diverse array of professionals and consumers.

Maintains appropriate boundaries and displays respect and courtesy to all internal and external customers.

Demonstrates patience, caring, compassion, and sensitivity toward consumers.

Completes and submits required documentation in a timely manner and according to policies and procedures.

Participates in training to maintain or enhance job skills.

Ensures that confidentiality is maintained at all times in accordance with federal, state, and agency standards.

Adheres to the agency's Risk and Safety Management Programs.

Adheres to the agency's Organizational Standards for Performance (see attached).

Functions in a cost-effective manner with regard to the utilization of time, supplies and other agency resources.

Attends meetings and supervisions as required and necessary for the position.

Promotes and fosters effective relations, both inside and outside of the agency.

May use personal vehicle for agency-related business as required.

May perform other related duties as required.

EDUCATION AND EXPERIENCE REQUIRED:

Must be licensed as a Nurse Practitioner by the State of Maine, with one to three years of directly relevant experience working with individuals who have serious and persistent mental illness. 

Knowledge of current diagnosis, treatment methods, and pharmacology sufficient to meet the standard of psychiatric medical care is fundamental. 

Adult or Family Psychiatric specialty certification, DEA certificate and relevant experience required.

COMPETENCIES PREFERRED:

Detail-oriented with good organizational and time management skills

Ability to manage multiple priorities and tasks, and consistently meet deadlines.

Ability to demonstrate good problem solving and critical thinking skills.

Ability to work effectively on a multi-disciplinary team.

Ability to assess situations for personal and consumer safety.

Ability to respond effectively in crisis situations.

Ability to perform competent psychiatric evaluations including consideration of patients' general medical history and status, and differential diagnosis.

Solid understanding of the relationship of psychiatric/brain illness, psychodynamics, and general medical illness (holism).

SUPERVISORY RESPONSIBILITY:

Participates in recruitment, selection, and orientation of new staff members in accordance with agency and program policies and procedures.  Provides clinical supervision for other staff according to licensure or certification requirements.

WORKING CONDITIONS/PHYSICAL DEMANDS:

Normal office environment, not subject to extremes in temperature, noise, odors, etc.

Regular use of computer keyboards, telephone and operating office machines, requiring eye-hand coordination and finger dexterity. 

Occasional lifting and carrying of supplies, files, documents, records, etc.

The above statements are intended to describe the general nature and level of work being performed by people assigned to do this job.  The above is not intended to be an exhaustive list of all responsibilities and duties required.  The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.

*External and internal applicants, as well as position incumbents who become disabled as defined under the Americans With Disabilities Act, must be able to perform the essential job functions (as listed) either unaided or with the assistance of a reasonable accommodation to be determined by management on a case by case basis.

This job description does not constitute an employment agreement between the employer and employee, and is subject to change by the employer, as the needs of the employer and requirements of the job change.