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Our Future Begins With You
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As a physician-led, nonprofit group practice, Lahey Clinic is known for introducing innovative technologies and pioneering medical treatments. A teaching affiliate of Tufts University School of Medicine, Lahey offers rich opportunities for physicians drawn to academic medicine.

Psychiatric Nurse Practitioner, Emergency Services

Job ID 136726 Date posted 03/01/2016
Job Description

Provides direct psychiatric services through comprehensive evaluation, diagnosis, treatment planning, counseling, and psychopharmacological treatment of assigned patients, during daily rounds at the Community Crisis Stabilization programs.

Basic responsibilities. Provides psychiatric evaluations, ongoing psychiatric assessments and treatments, and counseling to current CCS patients. Analyzes patient data and test or examination findings in the diagnosis of mental disorders of assigned patients.

? Data acquisition/coordination of treatment. Gathers and maintains patient information and records, including social, medical, and substance use history obtained from the Comprehensive Emergency Services evaluation, and directly from the patients, relatives and significant others, and other sources. Also collaborates directly with, or instructs others within the CCS to follow up with, physicians, psychotherapists, nurses, psychologists, social workers, or other professionals to obtain client history and to discuss treatment plans and progress.

? Treatments. Develops individualized care plans involving evidence-based psychotherapeutic and/or medication treatments to assigned clients, when indicated. Monitors patient responses to these treatments (including adverse effects for medications) and makes necessary adjustments or recommendations. Focuses on and screens for patient safety and harm-reduction with each patient meeting and with all forms of treatment.

? Documentation & supervision
Documents all client contacts within the CCS record on the designated form, and;
a. There is documented maintenance of: a collaborative agreement between the PNMHCS and the medical director, or another attending psychiatrist; and a consultation log including dates of consultation meetings and list of all Members reviewed. The agreement specifies whether the PNMHCS or the medical director, or another attending psychiatrist, will be responsible for this documentation;
b. The supervision/consultation between the PNMHCS and the medical director, or another attending psychiatrist, is documented and occurs at least one (1) hour per week for the PNMHCS, or at a frequency proportionate to the hours worked for those PNMHCS staff who work less than full-time. The format may be individual, group, and/or team meetings;
c. A documented agreement exists between the medical director, or another attending psychiatrist, and the PNMHCS outlining how the PNMHCS can access the medical director, or another attending psychiatrist, when needed for additional consultation;
d. The medical director, or another psychiatrist, is the attending psychiatrist for the Member, when a PNMHCS is utilized to provide direct psychiatry services to a given Member. The PNMHCS is not the attending for any Member;
e. If a PNMHCS conducts the initial face-to-face psychiatric evaluation of the Member, he/she presents the Member to the attending psychiatrist, or other psychiatrist on duty, within 24 hours, and documents all such activity; and
f. There is documented active collaboration between the medical director, or another attending psychiatrist, and the PNMHCS relative to Members? medication regimens, especially those Members for whom a change in their regimen is being considered.

? Adherence to regulations. Adheres to HIPAA and other pertinent regulations and laws mandated by federal and state agencies, including but not limited to the Massachusetts Board of Registration in Medicine and Board of Regulation in Nursing, Code of Massachusetts Regulations (CMR), Massachusetts Department of Mental Health and Department of Public Health, and by Lahey Health Behavioral Services and Lahey Hospital and Medical Center.
Leadership positions should describe the type and level of supervision exercised over specific job titles.

Please include the size of the budget managed if this position has budgetary responsibility.

The types of oral and written communications and internal and external interactions that are required in this position can also be included in this section.
Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions; demonstrates group presentation skills; participates in meetings. Writes clearly and informatively; edits work for spelling and grammar; varies writing style to meet needs. Possesses the ability to respond to common inquiries or complaints from consumers, regulatory agencies, or other service providers. Has the capability to define problems, collect data, establish facts and draw valid conclusions.

Must have successfully completed all educational and certification requirements to practice as an advanced practice registered nurse (APRN) for psychiatric care in the state of Massachusetts. Must possess and maintain current Massachusetts licensure as an advanced practice registered nurse and current licensures with both the DEA and State of Massachusetts for controlled substances (Buprenorphine licensure not mandatory).

Must possess knowledge of the standard principles and practices of diagnosing and treating (via psychotherapy and psychopharmacology) of mental disorders described in the Diagnostic and Statistical Manual (DSM); also, keeps current with developments in psychiatry via the literature, conferences, Internet, etc. Motivation to prescribe psychopharmacological medications carefully with the aim of maximizing patient benefit while avoiding/minimizing adverse effects and untoward drug interactions.

Must have outstanding planning and implementation skills, a strategic approach to problem-solving, a strong working knowledge of data-reporting and analysis skills, and sound interpersonal skills.

Must be computer literate in standard desktop applications, such as Windows, Word, and Excel.
Physical Requirements

While performing the duties of this job, the employee is regularly required to walk, hear, speak, and use hands to finger, handle, or feel. Sitting or standing for long periods of time, typical of office or emergency room work is also required. The employee must occasionally lift and/or move up to 25 pounds. Specific visual capabilities required by this job include close vision and the ability to adjust focus.
About Lahey Health

At Lahey Hospital & Medical Center, as one of the world's premier health care organizations, we provide superior health care leading to the best possible outcome for every patient. We exceed our patients' high expectations for service each day. We also help advance medicine through research and the education of tomorrow's health care leaders

We care for our patients with compassion and openness, unsurpassed expertise, a drive for continuous learning improvement, and with respect, caring, teamwork, excellence and commitment to doing our personal best.

Join our team and our mission of excellence by applying today!
How To Apply

Please apply directly online at Use the Job ID number 136704 to quickly locate the appropriate job listing. Once you have located the desired job, click on the checkbox in the 'Select' column, and then click the 'Apply Now' button, located at the bottom of the screen. Please note, you are only able to select 5 jobs at a time.