Psychiatry, Part Time - Psychiatrist Outpatient Clinics

Job Description

Under the general supervision of the Chief Medical Director and the Vice President of Direct Clinical Services, the Psychiatrist Outpatient (Part-Time) employee will function as the Clinical Psychiatrist for DWIHNs Direct Outpatient Clinics.  The Psychiatrist will provide medical direction, guidance, planning, and supervision for all outpatient behavioral health programs and provide quality care to DWIHN members.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Performs all duties and responsibilities required of a psychiatrist and provides quality and cost-effective care for the designated patient population in accordance with accepted medical standards and protocols.
• Performs psychiatric evaluations, re-evaluations, medication authorization, follow-up visits, and coordination with treatment teams.
• Performs primary care treatment and evaluation.
• Performs care and evaluations for clients with substance use disorders and individuals with dual diagnosis.
• Ensures timely documentation of notes.
• Diagnoses patients' mental health issues and treats them through medication and various forms of therapy. 
• Participates in Alternative Treatment Order evaluations and fulfills all Mental Health Code requirements.
• Administers evidence-based medications and treatment for behavioral health disorders.
• Performs relevant diagnostic and laboratory tests as clinically indicated.
• Collaborates and supervises other Advance Practice Providers (APP) as needed and directed. 
• Oversees and provides clinical supervision, discusses cases, and co-signs notes for APP. 
• Serves as team lead for psychologists, nurses, and social workers to provide integrated and coordinated care.
• Develops and oversees treatment plans by determining the nature and extent of cognitive, emotional, developmental, social, and behavioral disorders and establishes treatment goals and methodologies.
• Discusses patients progress toward goals with appropriate clinical staff.
• Maintains interdisciplinary treatment by reviewing treatment plans and progress, and consulting and collaborating with primary care physicians, mental health therapists, nurses, and other health care providers.
• Assures quality and safe service for patients and staff by enforcing policies, procedures, standards, rules, accreditation requirements and legal regulations.
• Maintains timely electronic medical records.
• Participates in continuing medical educational opportunities, reading professional publications, and participating in professional organizations.
• Provides crisis intervention when needed.
• Provides care compliant with licensing regulations and accreditation standards.
• Provides availability for calls regarding patients - after-hours and on holidays, weekends, and in lieu of employee absences.
• Provides medication assisted treatment for substance use disorders.
• Ensures that DWIHN standards of service are maintained.
• Educates, enforces, and ensures team compliance with DWIHN policies and procedures.

• Reviews eligibility assessments for members receiving outpatient services at DWIHN Clinics.

• Provides oversight and support for the following on request of the PIHP: utilization management/review; denial of services, appeals; retrospective reviews; reporting and review of deaths; reporting and review of sentinel events; behavior treatment plans, and clinical aspects of Medicaid Fair Hearings.
• Coordinates with Medicaid Health Plans (MHP) for integration of services.
• Provides training specific to the application of medical necessity criteria for all referrals to the Networks program for comprehensive mental health services.  
• Develops and implements new behavioral health programs to meet the needs of DWIHN members and community.
• Provides psychiatric expertise and consultation for complex cases.
• Monitors interdisciplinary teams by reviewing treatment plans and progress.
• Assists in decision making pertaining to the care of patients that is consistent with current medical practice and clinic policies and procedures.
• Oversees and is responsible for the quality, efficiency, and management of all services within the clinic.
• Develops care pathways and algorithms that improve clients care.
• Serves in a teaching capacity providing behavioral health education and training as well as professional development to clinic staff.
• Maintains oversight of electronic records for timely documentation and other standards.
• Reviews medical records for quality checks to assure accuracy in meeting clinical, legal, and quality requirements.
• Assures quality and safety of service by enforcing policies, procedures, standards, and legal regulations.

• Provides consultations for disability designation of members.
• Provides clinical coverage and consultation on any urgent clinical issue that may arise between the time that members contact the Access center and the time they are seen by providers.
• Identifies and reports in a timely manner any health and safety risks, accidents, incidents, injuries, and property damage at the workplace.

• Serves on committees as designated by the Chief Medical Officer.
• Performs all other related duties as assigned by DWIHNs Chief Medical Officer. 

KNOWLEDGE, SKILLS, AND ABILITIES (KSAS)

• Knowledge and experience with the Accreditation and Certification Standards Joint Commission.
• Knowledge of DWIHN policies, procedures, and practices.
• Knowledge of the DWIHN provider network and community resources.
• Knowledge of the Michigan Mental Health Code.
• Knowledge of MDHHS policies, rules, regulations, and procedures.
• Knowledge of Federal policies, rules, regulations, and procedures as it relates to DWIHN.
• Knowledge of the clinical care process (screening, assessment, treatment   planning, case management, and continuing care).
• Knowledge of and ability to use screening and assessment tools for behavioral health services.
• Knowledge of medical and behavioral health practices and terminology.
• Knowledge of compliance standards.
• Knowledge of Medical Necessity Criteria for Behavioral Health Services.
• Knowledge of documents / regulations that govern the provision of mental health services, e.g., Medicaid Manual Mental Health and Substance Abuse Chapter III,  State Plan for Medicaid, Michigan Department of Health and Human Services Quality Plan, BBA requirements and the Mental Health Code.
• Knowledge of the practices and principles of psychological, emotional, and      sociological assessment and diagnosis.
• Knowledge of diagnostics, psychopharmacology, and supportive treatment         approaches as applied to a severely mentally ill (SMI) adult population.

• Knowledge of diagnostics, psychopharmacology, and supportive treatment approaches as applied to the severe emotional disturbance (SED) child population.
• Knowledge of diagnostics, psychopharmacology, and supportive treatment approaches as applied to the Intellectual and or Developmentally Disabled (I/DD) population.

• Knowledge of the identification and treatment of co-occurring mental health and  substance use disorders (SUD). 
• Knowledge of psychotropic medications.
• Knowledge of Community Mental Health Services Programs (CMHSP) and       Prepaid Inpatient Health Plans (PIHP)
• Knowledge of community mental health services and resources.
• Knowledge of the DSM.

• Leadership skills.
• Training skills.
• Assessment and evaluation skills.
• Organizational skills.
• Planning skills.
• Analytical skills.
• Report writing skills.
• Decision Making skills.
• Critical Thinking skills.
• Interpersonal skills.
• Communication skills.
• Teaching skills.
• Written communication skills.
• Computer skills (Word, Excel, Access, Power Point, Outlook, Teams)
• Teamwork Skills.

• Ability to communicate orally.
• Ability to communicate in writing.
• Ability to work effectively with others.
• Ability to work with an ethnically, linguistically, culturally, economically and socially diverse population.
• Judgement/Reasoning ability.

REQUIRED EDUCATION:

Medical degree (M.D. or D.O.) from an accredited School of Medicine.

Board Certification in Psychiatry.

NOTE:   Additional Board certification in Child and Adolescent psychiatry is preferred. 

PREFERRED EXPERIENCE:

Three (3) years of experience as a psychiatrist. 

REQUIRED LICENSE(S).

State of Michigan license to practice as a medical doctor.

State of Michigan Controlled Substance License

A Controlled Substance Registration Certificate, for schedules 2, 2N, 3, 3N, 4, and 5 from the Drug Enforcement Administration (DEA) of the United States Department of Justice.

A valid State of Michigan Drivers License with a safe and acceptable driving record.

Basic Life Support (BLS) certification.

WORKING CONDITIONS :

Work is usually performed at the DWIHN Outpatient Clinic but may require the employee to drive to different clinic site locations throughout Wayne County and the State of Michigan.