Job Description

POSITION SUMMARY: Under supervision of the Chief Medical Officer, provides guidance and direction to the designated sites’ Behavioral Health Medical Practitioners and collaboratively serves as a member of the designated sites’ leadership team. Provides direct medical/clinical care to members designated as SMI, dually diagnosed and/or referred including engagement, assessment, differential diagnosis, treatment planning, medication management, family meetings, supportive psychotherapy, patient education, risk assessment and discharge planning; performs related duties as required.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

The duties listed below are intended only as illustrations of the types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to this classification.

 

  • Provides medical/clinical leadership to the medical staff at the designated sites in close collaboration with the site leadership team; approximately 25% of the time.
    • Supervises, for clinical and administrative issues, all BHMPs including contract staff at designated sites; including conducting performance evaluations, providing ad hoc consultations and support, and participating in peer reviews and corrective action plans as needed.
    • Provides clinical supervision and guidance to Lead nurse and nursing staff related to standards of care in the practice of psychiatry including education and support around effective treatment and management of various psychiatric and medical conditions.
    • Participates in and recommends improvements in processes and clinical operations to ensure that efficiencies and productivity can be maximized for the benefit of the members being served and to keep organizational costs in line with budgets.
    • Serves as on-call as directed; appoints a designee in the event of non-availability.
    • Organizes and manages site based medical staff meetings in consultation and collaboration with the CMO in line with organizational mission, vision and values.
    • Models, directs and continuously develops/advances the integration of both behavioral and physical healthcare through designated Lifewell Primary Care providers and virtual integration with external primary care providers.
    • Provides necessary information to clinical team BHMP regarding inpatient utilization and quality improvement activities; in conjunction with site leadership inspires medical staff to reach organizational incentive goals to reduce inpatient, emergency department, and crisis utilization while increasing access to physical health services and competitive employment.
    • Participates in the recruiting and orientation of new medical staff and ensures medical staff are practicing in accordance with evidence based or best practices in line with the standard of care.
    • Reviews, oversees and signs all emergent and non-emergent amendments or petitions on behalf of Psychiatric Nurse Practitioners when an alternate psychiatrist is not available; and reviews COT final status reports under the direction and guidance of the CMO.
  • Performs other duties as required and special projects as assigned. Provides direct care to members and others as needed; approximately 75% of the time.
    • Serves as the attending psychiatrist to assigned members. Completes initial psychiatric assessments, progress notes, annual psychiatric updates, family interventions, develops differential diagnostic assessments, assessments of capacity for consent to treatment, risk assessments, patient education, progress towards treatment goals including medical, psychological, social, behavioral and developmental aspects of the member’s situation.
    • Documents member's progress in the clinical record in addition to medication flow sheets according to established policy. Completes medication education and informed consent when possible.
    • Completes medication education and informed consent when possible.
    • Documents all activities in the clinical record according to policy using approved forms
    • Orders follow-up blood levels and supportive laboratory tests according to standard medical practice. Reviews the health assessment completed by nursing staff, obtains a past and current medical history. Initiates contact with Primary Care Physicians, Emergency Room clinicians and psychotherapists according to established guidelines.
    • Assesses members’ needs and guides the clinical team while managing treatment plan updates, in addition to initiating contact with outside Providers according to established guidelines.
    • Serves as on-call as directed; appoints a designee in the event of non-availability.
    • Practices according to evidence-based practices and DBHS Performance Improvement Protocols and Technical Assistance Documents as posted on the DBHS website.
    • Actively participates in the Clinical Peer Supervision process as described in the Policy and Protocol consisting of weekly hourly supervision with the Chief Medical Officer or designee.
    • Provides necessary information to clinical team regarding inpatient utilization. Utilizes appropriate medication based on best practices, in addition to appropriately completing required documentation for preauthorization of pharmacy services.
    • Participates in all Quality Improvement activities as required including but not limited to polypharmacy.
    • Participates according to the recovery model and Arnold v. Sarn principles; knows and practices engagement skills including motivational interviewing; and assists members to define and achieve their own recovery goals.
    • Identifies potential barriers to quality care and opportunities for improvement and reports them to the Chief Medical Officer or designee.
    • Works closely with other personnel to ensure that each treatment modality is appropriate for the member in addition to working with outside psychiatric providers in crisis and inpatient services.
    • Performs specialized duties as required by special clinical situations or treatment populations consistent with license and scope of practice such as reviewing and signing all amendments and PAD petitions originated at their clinic; evaluates members for continuation of court ordered treatment; or prepares medical reports to the Psychiatric Security Review Board or Superior Court including treatment plan changes for those members on conditional release form Arizona State Hospital and receiving services at their clinic; and completes Specialized Treatment Plan (STP) and Forced medication Sheet (B form) whenever a member is placed on Court Ordered Treatment or needs to return to inpatient treatment on an Amended Court Order Treatment due to non-compliance.
    • Coordinates member care with the PCP or Integrated Care Provider and RBHA Care Management Department and coordinates transition of member care for PCP services into or out of the clinic setting.
    • Screens for physical health issues and ensures clinical interventions recommended by the RBHA care manager/care coordinator are incorporated into the members care.
    • Provide clinical coverage to any other clinic as needed in order to meet business/clinical needs due to inadequate medical coverage for the members.
    • Participates in medical staff meetings including regional and quarterly meetings; and participates in all required site meetings; and participates in any meeting as requested by Chief Medical Officer or designee.

EDUCATION/LICENSE/CERTIFICATION/EXPERIENCE REQUIREMENTS:

  • A doctorate of medicine or osteopathic medicine with a specialty in psychiatry
  • Licensure issued by the Arizona Medical Board
  • Full prescription authority with current D.E.A. licensure
  • 3 years of post residency experience
  • Leadership experience; preferred
  • Must be 21 years of age
  • Background Check
  • Minimum typing speed of 25 wpm

 

Important Notes

Lifewell Behavioral Wellness is a non-profit behavioral healthcare agency providing treatment, services and support for low-income clients diagnosed with serious mental illness (SMI), general mental health issues and substance abuse disorders. Lifewell offers residential, outpatient, community living and psychosocial rehabilitation programs which are client centered and adapted to address a broad range of needs.

Lifewell programs provide safe and supportive environments that foster recovery, healthy living and personal growth for clients as they build on existing strengths, focus on addressing deficiencies, and learn new social and vocational skills.