Tele-Psychiatric Advanced Practice Provider (O-5 Billet) Non-Supervisory

Summary

Non-supervisory tele-psychiatric advanced practice provider who delivers psychiatric care to non-citizens in ICE custody. Uses secure, real-time audio and video telemedicine to conduct assessments, diagnoses, interventions, consultations, and information sharing from a distant location. This electronic communication uses interactive telecommunications equipment that includes audio and video equipment. This position is only open to USPHS officers and Call to Active Duty (CAD) candidates.

Duties

DUTIES AND RESPONSIBILITIES: Works within and performs functions as outlined in the IHSC Psychiatric Advanced Practice Provider Collaborative Practice and Prescriptive Authority Agreement and the IHSC formulary. Delivers comprehensive psychiatric care to detainees through utilization of telecommunications and information technology to provide access to psychiatric treatment across distance via scheduled appointments, emergent, or urgent care visits. Consults with the Clinical Director/psychiatrist for complex psychiatric patients and as required by IHSC policy. Provides integrated, consultative care including, but not limited to admission, discharge, and daily rounds for detainees that require higher levels of psychiatric care or close monitoring. Collaborates with members of the clinical services team to coordinate holistic, integrated patient care delivery. Performs thorough psychiatric evaluations and initiates individualized treatment plans for detainees as required by IHSC policy, or as required based on detainee psychiatric complaint. Follows IHSC policies in the management of significant mental illness including prevention of violence, homicide, self-harm, and suicide. Demonstrates discipline appropriate application of clinical knowledge within documented treatment plans, to include psychopharmacological and non-pharmacological, therapeutic treatment modalities. Coordinates psychiatric care needs of detainees including referrals to off-site consultants. Solicits and reviews pertinent psychiatric records as indicated. Interprets diagnostic and laboratory results when required for psychiatric evaluations. Provides relevant patient education to detainees verbally and/or with handouts. Ensures patient confidentiality and privacy of medical records. Mentors psychiatric APP onboarding and training. Actively participates in interdisciplinary training of IHSC staff. Participates in the psychiatric APP credentialing and peer review process. Assists in program development, policy review and revisions, and data collection. Attends on-site, regional, and national meetings as required. Completes all initial, annual, and ad hoc training as required. Assists with preparation for accreditation and ongoing compliance with standards. Maintains a level of productivity that is on par with the average psychiatric provider's productivity. May serve in acting capacity as part of the IHSC psychiatry services leadership team. May serve as medical escort of detainees as needed, for domestic/overseas travel. Utilizes and documents interpretation and/or translation and/or assisted communication services as needed to ensure ability to effectively communicate with detainees or others who are Limited English Proficient (LEP) or have a communication disability or impediment. Provides on-call coverage as needed after regular work hours which may require returning calls to the covering facility outside of normal work hours for urgent mental health needs. Documents detainee encounters in the electronic health record using required format, in compliance with IHSC policy and guidance. Exhibits flexibility and ability to adapt to sudden changes in schedules and work requirements. Travel may be required up to as much as 20% annually. Performs other duties and responsibilities as assigned. Qualifications

PHYSICAL DEMANDS: Sitting and/or standing for extended periods of time [6-8 hours]. Average manual dexterity for computer operations. Phone and computer use for extended periods of time. Must perform job duties in a stressful and often austere environment without physical limitations.

Education

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: A minimum of 3-5 years of full-time experience as a Psychiatric APP in direct patient care required. Knowledge of training methods and sufficient interpersonal skills to develop a rapport with detainees and co-workers when instructional and educational information is presented. Nurse Practitioner- Requires unrestricted PMHNP state license and national board certification through the American Nurse Credentialing Center (ANCC). - Current licensure as a PMHNP by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. - PMHNP degree from a graduate school of professional nursing accredited by the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN), typically a Master or Doctorial level education. - PMHNP board certification by the American Nurses Credentialing Center (ANCC). Physician Assistant (PA)- Requires unrestricted PA state license and national board certification through the National Commission on Certification of Physician Assistants. Current licensure as a PA by a State, the District of Columbia, the Commonwealth of Puerto Rico, or territory of the United States. - Graduate from a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). - Certificate of Added Qualification in Psychiatry from the NCCPA - required. Maintains a current license and meets continuing education requirements for the State(s) licensed in (It is the responsibility of the incumbent to fulfill the obligation(s) of their licensing or certifying body to maintain currency. This position will be required to perform clinical activities within the scope of licensure). Maintains unrestricted license with state of licensure Drug Enforcement Agency (DEA) to prescribe controlled medications- not required at the time of hire, but must be obtained within 90 days of the start date Maintains basic readiness status Maintains current CPR/BLS certification Maintains clinical professional skills via continuing education opportunities. Comprehensive knowledge of managing non-compliant patients, special needs populations, and patients with significant deficits in coping skills, thereby requiring continuing professional clinical support. Flexibility and ability to adapt to sudden changes in schedules and work requirements. How You Will Be Evaluated

We will review your resume and supporting documentation to ensure you meet the minimum qualification requirements. You may be selected for an interview at the hiring authority's discretion. You will be notified of selection or non-selection. Other Information

SUPERVISORY CONTROLS: 1. The incumbent functions under the clinical supervision of the designated collaborating psychiatrist. 2. The incumbent is administratively supervised by the Chief Psychiatrist. 3. Clinical assignments are usually of a long-term, recurring, or broadly defined nature. The officer plans and organizes their own work, determines prioritization of assignments, and seeks assistance as needed. Work is reviewed for attainment of objectives, completeness of documentation, and productivity through chart reviews conducted by collaborating psychiatrist, supervisor, and/or peers. The officer uses judgment in interpreting and adapting guidelines such as policies, standards, regulations, precedents, and work direction for application to specific cases. 4. The officer analyzes results and recommends changes in clinical guidelines and program policies. Modifications to accepted procedures must be approved and clearly document 5. The officer keeps the supervisor informed of the status of projects and consults with him/her on any significant problems encountered.