Psychiatry, Psychiatrist - Moonlighter (Brown Deer)

Job Description

Rogers Behavioral Health is a not-for-profit behavioral health system with a long history. For over 100 years we have been providing top quality psychiatric services to our patients and performing cutting edge research and are one of the leading healthcare providers in our field. RBH offers adults, as well as child and adolescent patients in our communities, the ability to receive care at multiple levels of services including: inpatient, residential, partial hospitalization, intensive outpatient and outpatient services. The three primary hospitals are located in Wisconsin, and numerous clinics spread from coast to coast in Wisconsin and 9 other states, including California, Colorado, Florida, Georgia, Illinois, Minnesota, Pennsylvania, Tennessee, and Washington. In this role, the physician will serve as a team leader in our patient care model, which is based on a multi-faceted treatment team methodology. Physicians have the opportunity to work in one or more levels of care, in both live and virtual environments, as well as support patient admissions, protocol development, quality assurance and peer review evaluations. Physicians will collaborate with nurse practitioners and physician assistants, as well as oversee residents and fellows during their educational rotations through our programs.

PRN Roles: PRN physicians may include either those individuals who are working elsewhere in the community and have an interest in supporting RBH on the weekends or as part-time coverage OR are moonlighting residents who are currently enrolled in their third year of residency or higher.

Services:

Attend to patients at the Site and via Telehealth:

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• The Physician will be expected to attend patients and assist with patient coverage at the locations assigned by Employer (the Site(s)). In addition, Physician may be expected to cover additional locations or Sites, as assigned by Employer if Site does not have enough patient availability for Physician to achieve RVU targets or daily patient visit goals or there are provider shortages at a particular location and Employer needs Physician to provide additional coverage.
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• The Physician will accept referrals from medical physicians, psychiatrists, in all areas and counties surrounding Site referrals, to attend their patients on the unit, and upon patient discharge the Physician will refer the patient to the referring physician for outpatient care, unless the patient expresses another preference, or the Physician determines that this is not in the best medical interests of the patient.
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• The Physician will be responsible for providing written and verbal discharge summaries to all referring physicians.
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• The Physician will continue to see patients on unit seen by Nurse Practitioners and Physician Assistants and serve as a collaborating physician for them as needed, including completion of psychiatric evaluations. Notwithstanding the forgoing, Employer does not guarantee any minimum or maximum number of patients at any one time.
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• The Physician may be required by Employer to participate in call coverage based on the pre-determined schedule established by the Employer, which will include an equitable division of dates across providers.
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The Physician will:

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1. Attend assigned patients depending on Physicians specific educational qualifications in Rogers programs to which Physician is assigned. These programs may include the following levels of care either in person or via telehealth:\n
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   • inpatient
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   • residential
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   • a) partial hospitalization program (PHP)
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   • b) intensive outpatient programs (IOP).
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   • c) outpatient services including individual counseling, patient assessments, and medication evaluations.
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• 1:1 therapy, medication management sessions with patients.
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• Weekly (or more often) staffing of patients.
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• Lead and sign a treatment plan for each patient.
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• Family education/therapy, as clinically indicated.
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• Attend unit meetings, status report as appropriate.
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Medical Activities:

The Physician shall perform all medical functions necessary to ensure the delivery of high-quality treatment for psychiatric disorders for patients at the Sites, including, but not limited to:

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• Conducting a psychiatric assessment of each patient within timeline defined by Hospital policy.
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• When applicable, conducting rounds for patients per Hospital policy, and as assigned to Physician.
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• Completing and signing discharge summaries timely, as defined by Hospital policy.
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• When applicable, completing emergency detentions of patients when conditions exist for taking an individual into custody under applicable state law, including filing statements concerning appropriateness of a patient for emergency detention and attending any required court proceedings or meeting standards around the duty to warn by calling the appropriate authorities to complete emergency detention.
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• Participate in quality assurance activities.
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• Medication education with nursing staff.
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• Inservice treatment team, as needed.
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• Attend the Medical Staff meeting and the Medical Staff Executive Committee meeting.
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• Provide supervision, including sponsorship of Advanced Practice Nurse Practitioners (APNP) and/or Physician Assistants (PA) upon request.
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Payor Relations:

The Physician will assist the Site in its contracting with payors for mental health services. The Physician will also assist in developing and maintaining positive working relationships with all contracted payors. The Physician will assist in the review of all denials of service from all payors that are deemed for medical reasons.

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• Interface with referring parties, the psychiatrist, family practice and/or pediatrician, to coordinate care, aftercare. Market Employer as appropriate, to include off-site meetings and marketing activities.
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• Review potential admissions, pending cases, and declined admissions, as needed, to assure Employer policy execution and compliance with EMTALA.
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Advocate:

In addition to the above duties and responsibilities, the Physician needs to be an advocate for the Sites. Advocacy is both an informal activity and a formal activity. It is expected that the Physician will provide support, information, education and services when appropriate opportunities present themselves. The Physician must be committed to assisting the Site in becoming highly visible and respected for the contributions it does and can make to quality patient care.

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• Participate in and support Employers quality assurance and performance improvement activities and meetings.
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• Take an active role in identifying new program development opportunities for patient care services and Employer.
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• Participate in community education of behavioral health issues, as requested by Employer.
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Admissions Support:

At the sole discretion of the Employer, Physician may be asked to devote some of their time and effort to supporting the admissions process.  Duties related to this task include the following:

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• Provide initial placement recommendations based on admitting criteria, clinical parameters, medical history and documentation obtained through screening process provided by prospective patient or representative. Review and evaluate completed admission screenings to determine appropriate program, level of care, and (if appropriate) mode of delivery for prospective patients.
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• Review admissions screening interview (ASI), transfer documentation (TRF/TCF), external provider documentation, charted history from prior Rogers treatment encounters, external treatment summaries, test reports, or letters from interested others. 
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• Determine the potential patient has sufficient cognitive and psychological functioning that would allow them to benefit from treatment and programming. 
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• Review and demonstrate an understanding of the various programs and modes of treatment delivery available at Rogers, as well as of the latest organizational guidance regarding when each is considered appropriate or necessary for a given patient presentation. 
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• Interact with team members, external providers and referents in a respectful manner reflecting positively upon the organization at all times. 
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• Convey recommendations and suggestions in a manner that facilitates managing patient/family expectations related to services provided. If necessary, promptly initiate contact with referring providers or treatment teams to determine accurate  clinical/programmatic recommendation for patients. 
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• Provide clear guidance to team on medical reasoning of recommendation and/or justification for level of care for most accurate relay to patients/families. 
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• Document progress using the visual tracking/management system provided. 
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• Attend all pertinent MDI huddles as directed by medical/clinical and admission Leader. 
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• Complete reviews/recommendations and all required supporting work and documentation in a timely manner in order to ensure quality prospective patient experience. 
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• Communicate professionally and accurately. Refer to and work with other departments and agencies as needed and according to departmental policies.
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• Report pertinent data to the attending provider and others on the team, verbally or in writing as necessary, and prioritize effectively and consistently in situations requiring immediate attention versus postponement.
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• Immediately communicate difficult problems with referents, patients, family members/significant others and co-workers.
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• Develop and maintain relationships with medical staff and other providers across RBH for ongoing re-review or other case communication. 
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Physical/Mental Demands:

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• Must have excellent interpersonal skills and ability to resolve conflict.
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• Ability to use initiative and judgement to organize, plan activities, formulate policies, delegate responsibility and make decisions affecting diagnosis and treatment of patients.
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• Must be able to relate to people in a manner to win their confidence and establish rapport.
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• Must be flexible to adjust to changing conditions, programs and various details of the position.
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• Verbal and hearing ability required to interact with patients and employees. Numerical ability required to maintain records and operation a computer.
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• Must be able to read and communicate through written, verbal and auditory skills and abilities.
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• Position requires walking, sitting and standing. Work is performed inside the building and is physically light. Lifting is moderate; must be capable of lifting a minimum of 20 pounds. Reaching, handling, grasping and manual dexterity are necessary to operate various office equipment.
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• Physically/Mentally able to perform job duties as verified by a physical exam by a licensed physician, per post-employment Physical
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Education/Training Requirements:

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• Licensed MD / DO
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• Board-eligible psychiatrist. Board certification preferred.
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• Leadership and/ or supervisory experience in a behavioral health organization is preferred.
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• Experience with process improvement implementation preferred.
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• Medical Doctor - Cert
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With a career at Rogers, you can look forward to a Total Rewards package of benefits , including:

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• Health, dental, and vision insurance coverage for you and your family 
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• 401(k) retirement plan 
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• Employee share program 
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• Life/disability insurance 
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• Flex spending accounts  
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• Tuition reimbursement 
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• Health and wellness program
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• Employee assistance program (EAP)
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Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of Rogers Behavioral Health. To link to the Machine-Readable Files, please visit Transparency in Coverage (uhc.com)