Psychiatric Advanced Practice Provider (PMHNP or PA) - Psychiatric Emergency Services

Psychiatric Advanced Practice Provider

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

The Department of Emergency Medicine at the University of North Carolina is seeking a Psychiatric Advanced Practice Provider (PMHNP or Physician Assistant with relevant psychiatric training) to join the Emergency Department's Psychiatric Emergency Service (PES). This provider is responsible for the screening, ongoing evaluation, and treatment of patients presenting with mental health and/or substance userelated concerns in the Emergency Department.

The APP will augment the primary emergency medicine team by providing psychiatric assessment, diagnosis, and treatment, including but not limited to:

• Performing comprehensive psychiatric evaluations and establishing diagnoses
• Responding to behavioral emergencies
• Providing brief supportive therapy
• Prescribing and ordering evidence-based psychopharmacologic treatments
• Making recommendations regarding involuntary commitment when appropriate
• Collaborating with a multidisciplinary crisis team on resources and disposition planning
• Obtain relevant medical and psychiatric history, perform focused physical assessments, and review and interpret pertinent diagnostic tests and results.
• Timely and thorough documentation of psychiatric consult notes, including assessment and medical decision-making, treatment recommendations (including level of care), patient history, diagnoses, and mental status examinations.
• Prior emergency department and/or psychiatric crisis experience
• North Carolina First Commitment Certification Strong written and verbal communication skills, excellent organization, and the ability to function effectively in a fast-paced emergency department environment are essential.

Preferred Qualifications:

• Prior emergency department and/or psychiatric crisis experience
• North Carolina First Commitment Certification
• Additional Benefits
• Eligible for evening and weekend shift differentials
• Eligible for continuing medical education (CME) reimbursement through the Department of Emergency Medicine.

Schedule:

• Nights

Summary:

A Nurse Practitioner functions as part of the interdisciplinary healthcare team in accordance with privileges approved by the credentialing committee to provide high quality, cost effective care to patients within the APPs scope of practice in collaboration with a supervising physician. The APP reflects the mission, vision, and values of the organization, and complies with all relevant policies, procedures, guidelines and other regulatory and accreditation standards.

Responsibilities:

• Clinical: Obtains relevant health and medical history, performs thorough physical assessment, reviews and interprets pertinent diagnostic tests/results. Develops appropriate differential diagnoses. Develops and implements treatment plans including prescribing/ordering of appropriate evidence-based pharmacological agents consistent with departmental guidelines and privileging, and schedules appropriate follow-up management. Actively incorporates evidence-based hospital initiatives to improve patient care. Conducts preventive health screening based on age, history and patient needs. Maintains clear comprehensive yet concise records of all aspects of patient care. Maintains essential knowledge of general disease and pathologic processes. Maintains extensive knowledge of their specialty literature including awareness of developing areas. Consistently derives correct diagnoses through synthesis of clinical data and proper selection and interpretation of diagnostic studies. Develops comprehensive differential diagnoses for patients. Revises the plan of care to meet the changing needs of the patient. Prioritizes work and assists staff to provide prompt and efficient client flow. Consistently maintains high productivity according to identified standards. Leads/participates in projects to improve productivity. Appropriately performs medical procedures consistent with departmental guidelines, privileging, and clinical roles/responsibilities.
• Education: Appropriately and professionally educates clients and/or families regarding medical condition, treatment, and follow-up. Collaborates with clinicians, staff, and students to promote continuity and patient/family centered care. Develops educational materials based on learning needs of clinicians, staff, and students. Provide education/instruction to physicians, housestaff, nursing, ancillaries and/or students. Actively recognizes and participates in identification and achievement of self-learning needs. Attends education programs based on identified learning needs.
• Leadership: Provides instruction to physicians, housestaff, nursing, ancillaries and/or students including but not limited to precepting, shadowing, lectures, training classes, CE, rounds, morning report, and or staff meetings. Participates in community/network outreach programs. Develops/leads community/network outreach programs. Demonstrates both an understanding of the contexts and system in which healthcare is provided and the ability to apply this knowledge to improve and optimize health care delivery. Leads/participates in systems improvements.
• Professional: Interacts with patients and families in a respectful, courteous and timely fashion using appropriate communication for the patient and situation. Interacts collaboratively with coworkers, other team members and staff in a respectful, courteous, and timely fashion appropriate to patient care needs and situations. Responds quickly to meet customer needs and resolve problems. Accepts responsibility for outcomes of ones work. Shares responsibility for overall workload with team members.
• Quality/Research: Engages in daily continuous quality improvement by identifying and implementing processes for improvement. Consults with management in assessment, problem-solving, decision-making, and evaluating clinical/system issues and models of care. Leads interdisciplinary teams to provide integrated delivery of patient care services. Initiates and revises protocol(s) or guideline(s) to reflect evidence-based changes in care management Works to influence policy-making bodies to improve patient care. Develops new clinical programs or services within the department/unit/clinic to improve patient care.

Education Requirements: Completion of an accredited graduate-level Advanced Practice Provider (APRN or PA) program.

Licensure/Certification Requirements: Licensed as an Advanced Practice Provider (i.e., Nurse Practitioner, Physician Assistant, Clinical Pharmacist Practitioner, Certified Nurse Midwife, Certified Registered Nurse Anesthetist) in the state of North Carolina. Board certification if required by the Department. DEA.

Professional Experience Requirements: No prior experience required.

Knowledge/Skills/and Abilities Requirements: Demonstrated clinical competency. Effective leadership skills. Strong interpersonal skills. Ability to work independently and collaboratively. Demonstrated written and verbal communication and strong analytical skills. Effective interaction to ensure the successful care of patients in the clinical setting. Documentation in the medical record to substantiate accurate billing.