Senior Psychiatrist, Correctional Health Services

Work Shifts

Time: 8a-4p

Days: Mon-Fri

Facility: Various Locations on Rikers Island

Duties & Responsibilities

Correctional Health Services

The New York City jail system is the second largest in the nation. A significant number of individuals in the NYC jail system will receive care on the mental health service. The service strives to provide safe, holistic and evidence-based therapeutic interventions for the diverse range of mental health issues that face the population, from serious mental illness to the natural struggles that accompany incarceration. The service provides some of the most comprehensive and unique treatment modalities in the country, including specialty housing units for individuals with serious mental illness, a 24-hour on-call psychiatric service, robust creative arts programming, clinics in each of the facilities, substance use treatment, medication assisted treatment (MAT), integrated re-entry services that includes alternatives to incarceration, and relationships with multiple training institutions throughout the city. Furthermore, CHS has been engaged in an effort to better identify people with neurodevelopmental/neurocognitive disorders and to utilize psychological testing to connect people to services in the community (e.g., with OPWDD).

Summary of position

The Senior Psychiatrist is the psychiatric leader of the facility or program and works in close collaboration with the Mental Health Unit Chief, Clinical Supervisors, and Supervising Psychiatrists (if applicable) to ensure that safe, holistic, and evidence-based psychiatric care is provided to incarcerated patients with varying levels of mental health needs. A team-based approach to care is critical; one that incorporates all relevant mental health and medical disciplines as well as security staff. A major component of this position will be training, recruiting and retaining high quality staff and providing strong leadership and mentorship for existing staff.

Responsibilities Include (depending on location):

• Ensure the highest possible quality of mental health care both in the facility and in collaboration with the other jail facilities in the system. This includes active participation in quality improvement, staff and patient safety initiatives, treatment supervision, and personnel mentorship and management.
• In coordination with the facility-specific Mental Health Unit Chief, design, implementation, ongoing review, and monitoring of relevant clinical facility-specific procedures, policies and operating manuals.
• Direct clinical individual and group supervision of the relevant psychiatric prescribing staff, including psychiatrists, psychiatric nurse practitioners, and psychiatric physician assistants. This supervision must include both in vivo reviews of clinical skills as well as chart review.
• Close collaboration, including regularly scheduled meetings, with other relevant disciplines within the mental health, medical, nursing and operations departments, as well as the Department of Correction.
• Ensure that medication renewals are completed in a timely manner.
• Educate clinical staff about new developments regarding best practices in all aspects of psychiatric care, with specific attention to the challenges and issues facing a jail setting. (e.g., influence of legal case, dual loyalty, medication diversion)
• Ensure compliance with all regulatory standards.
• In collaboration with the Mental Health Unit Chief, oversee the orientation of new staff to the facility or program.
• Conduct regular and multi-disciplinary case conferences.
• Report on an as-needed basis to the CHS Morbidity and Mortality review committee.
• Work in collaboration with the Mental Health Unit Chief to manage clinical schedules, vacation requests, CME activities and other relevant activities as they pertain to psychiatric staffing and education.
• Participate in policy revision and creation, and practice guideline creations, related to psychiatric care, including input into the psychiatric medication formulary.
• Lead at least monthly interdisciplinary mental health staff meetings in coordination with the Mental Health Unit Chief and Clinical Supervisor.
• Personnel management of clinical staff, including setting quality standards, establishing effective recruitment and retention strategies, and managing workforce complaints.
• At least 30% of time devoted to direct clinical care, which may include direct supervision of psychiatric trainees. For smaller facilities or programs with less supervisory need, more direct patient care will be expected.
• On-call responsibilities for two weeks at a time, one to times per year, for off-hours issues that require high level clinical intervention.
• Other duties at the discretion of the Medical Director of Mental Health or the Chief of Service.

Minimum Qualifications

Applicants must have all of the following:
1. Graduation from a medical school approved by the Council on Medical Education and
Hospitals of the American Medical Association.
2. Completion of an acceptable internship in an approved hospital.
3. A license to practice medicine in the State of New York.
4. Certification by American Board in field of specialization or a faculty appointment of Associate Professor or higher in a medical school recognized by the American Medical Association.
5. Eight (8) years of satisfactory full-time paid experience in field of specialization including at least three (3) years in a supervisory or administrative capacity.(Training and experience required for certification will be credited toward required specialized experience.)

Department Preferences

• Excellent diagnostic and treatment skills with particular attention to issues of psychopharmacology, safe administration of medication in a variety of settings, medical complications of mental illness and therapeutic resistance
• Excellent interpersonal communication skills and ability to work collaboratively with other disciplines, including DOC staff
• Strong leadership skills with ability to identify staff needs and provide mentorship and education to suit those needs
• Buprenorphine waiver training highly encouraged but not required

Qualification Preferences:

1. Education
   1. M.D. or D.O. degree with active NY State license in good standing
   2. Completion of a 4-year psychiatric residency training program
   3. Active certification by the American Board of Psychiatry and Neurology in Psychiatry
2. Experience
   1. At least two years of post-residency experience working with individuals with mental illness in a criminal justice setting (jail, prison, probation and/or parole) or public health community setting
   2. At least one year of post-residency experience in a supervisory role in psychiatry
   3. At least one year of post-residency experience working with individuals with serious mental illness
3. An equivalent and satisfactory combination of education and experience may be considered

Benefits

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• Loan Forgiveness Programs for eligible employees
• College tuition discounts and professional development opportunities
• College Savings Program
• Union Benefits for eligible titles
• Multiple employee discounts programs
• Commuter Benefits Programs

If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.