Sign on and Relocation Bonus - $40,000!
Compensation
Psychiatric ARNP (DNP) - $173,871 - $194,128 (Based on experience and achieving bonus compensation metrics per our Behavioral Health Compensation Plan)
Psychiatric ARNP (Master's Level) - $168,366 - $189,172 (Based on experience and achieving bonus compensation metrics per our Behavioral Health Compensation Plan)
Job Summary
The Psychiatric Nurse Practitioner is responsible for providing integrated consultation with patients, as well as with behavioral health and medical colleagues, and direct patient care including psychiatric diagnostic evaluation, psychiatric medication services, and other preventive, educational, and therapeutic behavioral health services. The position requires professional expertise and responsibility for ensuring services meet the needs of patients and are being provided in accordance with best practices, state and federal law, and CVCH policies and procedures.
Job Specific Competencies
1. Provides behavioral health clinical assessment, diagnosis, treatment plans, and ongoing psychiatric medication services for patients.
a. Patient consultations may be scheduled, integrated, or provided through a local hospital setting.
b. Interventions follow evidence-based practices.
c. Provides timely reports according to policy and maintains appropriate documentation.
d. Treatment goals are measurable.
e. Informed consent and diagnoses are reviewed with the patient in a timely manner.
f. Complex cases are reviewed with a consulting and/or peer psychiatric provider.
2. Reviews, initiates, and maintains psychiatric medications for patients until referred back to PCP or alternate provider.
a. Evaluates the need for medications, initiates, reviews, renews, stops, and/or makes changes to psychotropic medications orders in accordance with established CVCH protocols and guidelines and state license.
b. Reviews with patient side effects of medications being prescribed.
c. Ongoing monitoring of patient's symptoms and medications until patient is referred off caseload.
d. Orders and interprets lab tests for patients receiving psychotropic medications as appropriate.
e. Provides consultation to CVCH Medical professionals concerning use of psychotropic medications and other behavioral health issues.
3. May assist in clinical supervision, shadowing of patient care, and oversight with student trainees, as requested.
a. Participates in group supervision and didactic trainings.
b. Provides in-service education to staff concerning psychiatric medications or related topics.
c. Documents and discusses patient care issues and reports feedback to trainee's supervisor.
d. Documents every clinical supervision with a trainee, as applicable.
e. Contributes feedback for performance evaluations of trainees.
4. Coordinates client care as part of the Primary Care Medical Home Model to assist with improved communication and care.
a. Coordination occurs internally with therapists, psychologists, PCPs, nurses, and other staff members involved with the patient.
b. Coordination occurs with external providers as care dictates (e.g. inpatient facilities, neurology, specialty providers).
c. Sends notes or other necessary documentation as appropriate.
5. May provide psychiatric oversight to Managed Care Organizations CVCH is contracted with.
a. Assists with oversight of the patients care as part of the treatment team.
b. Makes psychotropic medication recommendations when consulting with treatment providers.
c. Complex patients should be seen prior to any recommendations for medications, which is left to the discretion of the treating provider.
d. Makes recommendations related to care and medications for ongoing management.
e. Participates in any consultation groups related to care.
f. Monitors and tracks patients according to guidelines.
6. Responsible for documentation according to organizational, federal, and state guidelines.
a. Should be factual and accurate.
b. Minimal spelling errors and no unacceptable abbreviations.
c. Completed in timely manner.
d. All patient related encounters (phone, in person) should be documented using athenaNet.
e. Billing codes must be verified through appropriate documentation.
7. Maintains credentials essential for practice, to include licensure, certification, and CPE.
8. Attends CVCH Behavioral Health and Medical Provider meetings and represents the organization at any appropriate community committee as directed by the Behavioral Health Director.
General Duties and Responsibilities
1. Performs other duties and tasks as assigned by supervisor.
2. Expected to meet attendance standards and work the hours necessary to perform the essential functions of the job.
3. Expected to embrace, support and promote the core values of respect, integrity, trust, compassion and quality which align with the CVCH mission statement through actions and interactions with all patients, staff, and others.
4. Follows all safety policies and general housekeeping practices. Ensures the area and its equipment and supplies are neat, clean, safe and utilized appropriately at all times, and participates in emergency drills.
5. Demonstrates positive attitude toward patients, co-workers, and outside agencies.
6. Supports interdisciplinary team in area by listening to concerns and suggestions and by providing follow-up and feedback in a timely manner.
7. Keeps customer service and the mission of the organization in mind when interacting with all patients, co-workers, and others.
8. Must be able to tolerate frequent work interruptions, organize work and reset priorities in order to complete work responsibilities in a timely manner.
9. Follows all established policies, guidelines, and procedures, including federal and state regulations to assure safe practices and quality patient care. Includes following of Universal Precautions and Infection Control Standards and compliance with Joint Commission and HIPAA regulations.
Job Specifications
1. Education: Graduate from an accredited School of Nursing. Successful completion of an accredited Advanced Registered Nurse Practitioner (ARNP) program with emphasis in psychiatric care (Nurse Practitioner Certificate or Master's Degree).
2. Certification/Licensure: Current Washington State Advanced Registered Nurse Practitioner (ARNP) license with prescriptive privileges or eligibility to obtain licensure. Valid DEA Controlled Substance Registration Certification. ANCC certification as a "Clinical Specialist in Adult Psychiatric and Mental Health Nursing" or "Adult Psychiatric and Mental Health NP" or "Family Mental Health NP" preferred. Basic Life Support (BLS) required. ACLS or ATLS may be used to substitute for BLS. All Providers must be eligible for enrollment in Medicare and must not be currently opted out of the Medicare program
3. Experience: Two (2) years of experience as a practicing Nurse Practitioner in a clinical setting. Two (2) years experience in providing Psychiatric/Behavioral Health Care to mentally ill individuals preferred. Previous training and experience in community primary health care preferred. Experience working with low income, multi-ethnic populations.
4. Language Skills: English required.
5. Essential Technical/Motor Skills: Ability to communicate both verbally and in writing. Ability to write clear, concise and accurately. Knowledge of computer applications and equipment related to work. Must have basic computer and keyboarding skills and have the ability to enter data within company's computer/software system; must demonstrate manual dexterity.
6. Interpersonal Skills: Strong interpersonal and communication skills and the ability to work effectively with other staff and management and with a wide range of consumers and constituencies and members of the public in a diverse community. Demonstrated skill in developing and maintaining productive work teams. Ability to work in a fast paced environment under stressful situations. Ability to work with and/or around persons who are chronically mentally ill. Skilled in interpersonal relationships. Ability to work effectively in a community health setting utilizing physicians, nurse practitioners, physician assistants, and support staff. An awareness and appreciation for both the health and socioeconomic needs of a low-income, underserved population.
7. Essential Physical Requirements: This job is performed mostly in a typical inside, office environment. Essential physical requirements of this job include: light physical effort; repetitive motions of wrists, hands, and/or fingers; standing, walking, lifting, reaching, kneeling, bending, stooping, pushing, and pulling; frequent sitting; lifting and/or moving items weighing up to 20 pounds; ability to read forms and computer screens and to read correspondence and other documents.
8. Essential Mental Abilities: Essential mental abilities include: knowledge, background and interest appropriate to providing sensitive, professional, direct support to mentally ill clients; ability to exercise sound independent judgment; ability to analyze problems and develop situation appropriate responses to consumer issues; ability to make decisions in line with state and federal regulations; ability to read, comprehend, and analyze documents, regulations, and policies; ability to prepare and submit complete and succinct documents necessary to the job. Knowledge of current psychotropic medications and their uses. Knowledge of federal and state standards for clinical practice.
9. Essential Sensory Requirements: Essential sensory requirements include the ability to: read computer keyboard, monitor, and documents; prepare and analyze documents; read extensively; see, recognize, and assess non-verbal behaviors of consumers as part of the intake process; hear, recognize, and assess verbal presentations of consumers; receive and convey detailed information orally, by telephone and in person; convey accurate and detailed instructions by speaking to others in person and by telephone. Must be able to visually distinguish correct colors.
10. Exposure to Hazards: Incumbents in these positions may be exposed to communicable diseases and bodily fluids. Incumbents will be working with persons who may be psychotic and present difficulty in maintaining control. The noise level in the work environment is usually moderate.
Benefits
*Coverage below based on a 1.0 FTE; Medical, Dental, Paid Leave, Holidays, and CME benefits are prorated based on FTE
Benefit:
Coverage:
Effective:
Medical
Premera (Self Insured)
Preferred Provider
Employee/Spouse/Dependents; receive a Benefit Stipend of up to $500 per month
First of the month following the first date of employment.
Dental
Washington Dental
Employee/Spouse/Dependents receive a Benefit Stipend of up to $500 per month
First of the month following the first date of employment.
Paid Leave
120 hours - Year 1
136 hours - Year 2
Each year after that employee will accrue 8 hours of PTO each year, on their anniversary date, until they reach a maximum of 208 hours at 10+ years.
Paid Leave may be used immediately for sick leave and after 3 months employment for vacation. Maximum accrual cap of 320 hours; hours in excess of 320 hours will automatically transfer into the employees EIB. If an employee is within their 90-day introductory period and does not have holiday pool hours available, PTO may be used to cover the holiday if the employee has an available balance.
Extended Illness Bank (EIB)
Allows for maximum accrual of 200 hours
PTO hours in excess of 320 will transfer into EIB. Employees are eligible to use EIB hours after at least 3 consecutive scheduled working days of PTO (max 24 hours) which have been used for a personal illness and/or a qualifying event under FMLA or the WA Family Care Act.
Holidays
64 hours related to:
• New Year's Day
• Memorial Day
• 4th of July
• Labor Day
• Thanksgiving Day
• Day after Thanksgiving
• Christmas Eve
• Christmas Day
Holidays are based on an 8-hour day. Providers will receive a holiday pool of 64 hours as a 1.0 FTE at the beginning of each calendar year. Holiday pool hours must be used by December 31 of each calendar year; unused holiday pool hours will be forfeited. If an employee starts after the calendar year has begun, holiday hours will be prorated based on remaining holidays in the calendar year.
Diversity Days
3 Diversity Days
Available after the first payroll cycle after start date. Diversity days will be prorated based on start date as outlined below:
• Jan 1- April 30: 3 diversity days (24 hours if 1.0 FTE)
• May 1 - August 31: 2 diversity days (16 hours if 1.0 FTE)
• Sept 1 - Dec 31: 1 diversity day (8 hours if 1.0 FTE)
Please refer to the Paid Leave policy for additional details.
403(b) Retirement Plan
Lincoln Financial
150% CVCH match up to 3% of the employee's contribution
Immediately. Vesting schedule:
20% at 2 years, 50% at 3 years, 60% at 4 years, 100% at 5 years.
Spanish Immersion
$2,000
Employer will reimburse Provider up to $2,000, for participating in Pop Wuj Spanish Immersion program in Guatemala, or La Hacienda Spanish School in Mexico, for a minimum 3-week period, prior to the Provider's initial start date.
Benefit:
Coverage:
Effective:
CE
40 hours/ $3,000 per year based on 1.0 FTE
Available immediately. CE is loaded the first full pay period in January of each year and available to maintain licensure while working at CVCH. CE must be used by December 31 of each calendar year; unused CE will be forfeited. CE will be prorated based on start date into calendar year. CE is not available during provider's termination notice period. Refer to policy
Licenses/Dues
DEA Certificate; Professional Recertification, WA State Medical License. Access to CVCH provided Epocrates and UpToDate, $750 towards membership dues, subscriptions or misc. certification
Available after hire date.
Benefits are suspended once a Psychiatric ARNP has
