Psychiatrist FT - Crisis Care Centers

Job Title Psychiatrists - Crisis Care Center Full-T imeDepartment Crisis Care - Direct Support Reporting Structure Medical Director - CrisisPay Grade/Salary15Exempt/ Non-exemptExempt - Salary Bargaining Unit: N/AWork Location: VariesEmployment Status (FTE)Full Time 1.0Standard Hours40Job Summary

Under the supervision of the Medical Director, the Psychiatrist will perform clinical duties and activities as directed, covering the continuum of intensive crisis stabilization services (ICSS) including Crisis Stabilization Unit, Behavioral Health Urgent Care, and Mobile Crisis Services.

Principal Duties and Responsibilities

• Flexibility in scheduling. The standard schedule is generally during daytime hours, with alternative scheduling options available, including longer shifts, as mutually agreed upon in alignment with clinical and program needs.
• Flexibility to incorporate work across a variety of clinical settings within the organization based on the psychiatrist’s interests and preferences, in alignment with program needs.
• Provides direct clinical/patient care duties and responsibilities as required, including psychiatric evaluation, re-evaluation, disposition, coordination of medical services with nurse on duty, medication orders/prescribing, restraint orders, monitoring patients, etc.

• Incorporates Evidenced Based Best Practice Standards into service delivery.
• Provides care compliant with licensing regulations and accreditation standards.
• Determines medical necessity.
• Provides expertise on medical topics such as psychotropic medication, psychiatric evaluation, coordination of care, etc.
• Supervises coordination of care activities.
• Oversees discharge planning.
• Completes clinical documentation as required.
• Oversees and provides clinical supervision to Advanced Practice Providers; collaborates, discusses cases, and co-signs notes.

• Provides supervision and direction to the mobile crisis team.

• Completes doctor-to-doctor communications, as necessary.

• Reviews Eligibility assessments for members contacting the Crisis Care Center.

• Completes required trainings.
• Teaches students and Psychiatry residents and fellows, as appropriate.
• Participates in clinical and administrative meetings.
• Participates in Quality Assurance reviews.
• Initiates and/or continues emergency medication orders or restraints in accordance with state law.
• Collaborates with an interdisciplinary team to continuously improve productivity, efficiency, recovery outcomes, and medical care.
• Handles work responsibilities and challenges with honest and ethical behavior.
• Ensures appropriate responses to all medical emergencies.

• Provides clinical coverage and consultation on any urgent clinical issue that may arise between the time that members contact the Crisis Care Center and/or Mobile Crisis Team and until they are seen by our Clinically Responsible Service Providers.
• Attends shift handover meetings.
• Participates in on-call weekend coverage rotation as indicated.
• Understands and adheres to DWIHN compliance standards as they appear in the Code of Conduct and Conflict of Interest Policies.
• Maintains patient confidentiality per federal guidelines and DWIHN policy and procedures.
• Identifies and timely reports any health and safety risks, accidents, incidents, injuries, and property damage at the workplace.
• Performs any additional duties as assigned by the Medical Director.

Knowledge, Skills, and Abilities (KSA’S)

• 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 and ability to work with agitated patients in crisis and their families to implement behavioral management interventions.
• 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) population.
• Knowledge of the identification and treatment of co-occurring mental health and substance use disorders.
• 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-V Statistical Manual.

• Leadership skills.
• Training skills.
• Assessment and evaluation skills.
• Organizational skills.
• Attention to detail skills.
• Planning skills.
• Analytical skills.

• Clinical documentation skills.

• Report writing skills.
• Decision making skills.
• Critical thinking skills.
• Interpersonal skills.
• Effective listening skills
• Communication skills.
• Teaching 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.
• Judgment/reasoning ability.

Required Education

A Medical Degree from an accredited School of Medicine.

Board Certification in Psychiatry by the American Board of Psychiatry and Neurology.

NOTE: Additional Board Certification in Addiction Psychiatry and/or Child and Adolescent Psychiatry is preferred.

Experience Requirements

Two (2) years of professional experience in the treat­ment of behavioral health problems.

Required Licenses

• A valid and current Michigan License to practice as a physician.
• A valid and current Michigan controlled substance license.
• A valid and current Drug Enforcement Agency Registration.
• A valid State of Michigan Driver’s License with a safe and acceptable driving record.
• Must be able to be credentialed with: QMHP and/or QCMHP.

Working Conditions

Work is usually performed at the Crisis Care Center but may require the employee to drive to different sites throughout Wayne County and the State of Michigan.

EEOC Statement

DWIHN is an Equal Employment Opportunity Employer committed to fair, consistent, and merit-based hiring practices. All qualified applicants are considered for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, marital status, veteran status, sexual orientation, gender identity, or any other status protected under applicable federal, state, local law.

Employment decisions are based solely on job-related qualifications, demonstrated competencies, and organizational needs. DWIHN maintains policies and procedures designed to ensure that recruitment, selection, promotion and all other employment actions are conducted in a manner that is objective, equitable and non-discriminatory.