Per Diem Psychiatric ARNP

DESC (Downtown Emergency Service Center) is a nonprofit organization working to help people with the complex needs of homelessness, substance use disorders, and serious mental illness achieve their highest potential for health and well-being through comprehensive services, treatment, and housing. The Psychiatric ARNP is responsible for providing psychiatric evaluations, diagnosis & treatment; crisis stabilization; medication prescription; recommending rehabilitation services, and coordination with community providers as necessary. Major duties and responsibilities include: Coordinate client care with a multi-disciplinary team of social workers/case managers, chemical dependency professionals, psychiatric nurses, peer counselors, employment specialists and other mental health staff within the PACT team. Perform full psychiatric evaluations and provide treatment and recommendations as appropriate, at DESC sites and in the community, as needed by program and individual need. Diagnose the nature and extent of mental and/or substance-related disorders by reviewing the client’s clinical record, requesting and reviewing known medical/psychiatric documentation, coordination with other providers, and evaluating the client's current physical and psychological condition. Coordinate all psychiatric services provided with Program management, Medical Director, nursing and other management staff. Maintain compliance with all related licensing, DEA, and other regulations. Conduct all work within principles of the Recovery model. Evaluate clients and advise course of treatment. Respond to emergency situations as needed. Refer and advocate for clients to consult with a primary care physician on a regular basis. When appropriate, refer clients to other specialists. For all clients receiving medication treatment, conduct a face to face evaluation at least every 90 days or other schedule as related regulations or contract terms change. Document all client contacts and pertinent information according to agency, County, and State requirements within stated time lines. In coordination with the Medical Director and Psychiatrist, participate in clinical program planning, matters of regulatory compliance for medical staff, and other issues relating to delivery and integration of psychiatric care. Actively participate in staff meetings and in-service trainings. Provide weekly psychiatric consultation to treatment teams and individual consultation as time allows. Provide education to clinical teams and individually as opportunity and need presents. Demonstrate the ability to work effectively under supervision, as part of a multi-disciplinary team, and independently, when necessary. Take initiative to meet the changing needs of community mental health treatment. Participate in verbal de-escalation and physical interventions in emergent situations and be willing and able to assist other staff as needed to maintain a safe and secure environment. Requirements include: Masters degree in Nursing, Psychiatric. Washington State Department of Health license as a Psychiatric Advanced Registered Nurse Practitioner with prescriptive authority per WAC 308-120-400. Registration with the Drug Enforcement Agency. Must have a Washington State Driver's License, a reliable vehicle to use for work purposes and current auto insurance. Ability to work flexible hours as required by program and staffing needs including occasional evenings or weekends. Ability to share on-call Psychiatric consultation as scheduled with other provider. Be able to pass a Washington State Criminal background check. Knowledge and skill in working with co-occurring mental health and substance abuse disorders. Familiar with Recovery Principles, Crisis Intervention and Stabilization, Integrated Treatment of Co-occurring Disorders, Intensive Case Management, Illness Management, and relevant Evidenced based/Emerging best practices. Knowledge of Harm Reduction strategies. Ability to relate to a wide range of people, demonstration of highly developed communication skills, and a desire to serve mentally ill, chemically dependent, and homeless clients. Ability and interest in providing case consultations with a multi-disciplinary staff. Ability to remain open and receptive to constructive feedback. Ability to communicate with and coordinate staff from diverse backgrounds. Ability to work effectively with clients displaying a wide range of unpleasant and/or bizarre behavior. Subscribe to the philosophy of cooperation and continuity across programs and of consideration and respect for clients. Bilingual in Spanish/English preferred. DESC is committed to diversity in the workplace, and promotes equal employment opportunities for all staff members and applicants. The Agency will not discriminate against any employee or applicant for employment on the basis of race, creed, color, sex, gender, sexual orientation, age, national origin, marital status, or the presence of any sensory, mental or physical disability in any employment practice, unless based on a bona fide occupational qualification. Minorities and veterans are encouraged to apply.

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