Inpatient Psychiatrist

Location: Michigan-Lansing
Duration: Locum Tenens - Full Time
Job ID: 7777 (22598881)
Category: Psychiatrist Jobs
Company: A-Line Staffing Solutions
Contact: Roxanne Berendt
Practice Type:   Hospital
Job Posted: 12/28/20

Inpatient Psychiatrist - 7777 (22598881)

A-Line Staffing is recruiting for a Full time contract - 1099 Inpatient Psychiatrist opportunity in Battle Creek, MI. They are offering a generous compensation for an Independent contractor.

 

BE / BC Psychiatrist  

Full time, On-site - Contract

Battle Creek, MI

Hourly rate – Negotiable

Paid malpractice insurance

Health Insurance

 

QualificationsThe Candidate must meet the following requirements:

License: Contract physician assigned to perform the services covered by this contract shall have a current license to practice medicine in Michigan. All licenses held by the candidate shall be full and unrestricted licenses. Contract physician(s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract.

 

Board Certification: the candidate shall be board certified or board eligible in psychiatry and be currently certified in Basic Life Support (BLS) or equivalency. All continuing education courses required for maintaining certification shall be kept up to date at all times. Documentation verifying current certification shall be provided to company on an annual basis for each year of contract performance.

 

   
VETPRO: Registration into the companies credentialing software is required.

 

Technical Proficiency: The candidate shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read and write English fluently. Contractor shall provide documents upon request by the company to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational and shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

 

Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: The candidate shall provide copies of current CMEs to company upon request. The candidate registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current.

 

Training:. All contracted providers shall complete applicable TMS modules, training and orientation prior to providing any services at cpmpany.

 

 

HOURS OF OPERATION/SCHEDULING:

  • Business Hours: Monday through Friday 8:00 am to 4:30pm
  • Work Schedule: 8:00am to 4:30pm, and extended hours on Wednesday evening and Saturday’s once every six weeks. Contracted provides shall work efficiently to complete all tasks prior whenever possible, prior to the end of the normal eight-hour workday. However, the candidate is expected to remain on duty until the last patient has been seen. Approval for work beyond end of normal workday that shall result in an overtime charge shall be approved by the Chief, Psychiatry Service or designee PRIOR to performing the work unless the work involves a medical emergency. Methods to obtain approval can be as simple as sending a skype/IM message, email, or phone call and can be done at any point up to 4:30pm.
  • Off-hours Coverage: shall enter into an equal rotation with existing employee psychiatrists for on call coverage.
  • APOD Duties: Provide Psychiatry coverage to the Inpatient Mental Health Unit, Psychiatric consultation to the Medical Center, evaluate patients in need of mental health care in the Urgent Care setting, and process needs including possible admissions, respond to Psychiatric emergencies and provide triage reviews of outside facilities requesting transfer to Battle Creek Mental Health Inpatient Mental Health unit.
  • Frequency of APOD Duties: Up to three (3) days monthly – weekdays and up to 1 weekend monthly.
  • Weekdays: APOD duties on weekdays include providing in-house services from 7am to 6pm. After 6pm, the APOD is relieved of in-house duties and transitioned to back-up pager call to the POD and is not required to work in-house unless in the event of an unforeseen critical staff shortages, then APOD duties extend to stay overnight in-house until 7am the following day.
  • Weekends: APOD duties on weekends include being available by pager the entirety of the shift (Saturday/Sunday 7am-7am). The duties extend to provide in-house coverage in the event of critical shortages, APOD duties extend to stay overnight in-house until 8am the following day.
  • Triage Duties: Provide Psychiatric review/clinical review of outside hospitals/Emergency Room’s requests for possible admission to Inpatient Mental Health.

 

RESPONSIBILITIES:

  • Standards of Care: The candidate’s care shall cover the range of Psychiatry services as would be provided in a state-of-the-art medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by:
  • Direct Patient Care: 100% of the time involved in direct patient care, which includes team

meetings/huddles, mandatory training, appropriate QA/QI documents, etc.

  • Scope of Care: shall be responsible for providing Psychiatry care and includes: Physical Assessment, Psychiatric Evaluations and Mental Status Exams, Psychotherapy, Pharmacotherapy, Consultation, Clinical Supervision, General Medical Condition Care, Group Psychotherapy, Behavior Therapy, Family Therapy, Treatment Team meetings, Discharge Planning, referring patients to specialty care, histories and physicals, order prescriptions, labs, x-rays, and other pertinent tests, completes documentation requirements in a timely manner as per policy, completion of consults on other inpatient locations at the facility, and occasionally evaluates outpatients for medication. Contracted psychiatrists shall have an active and valid DEA license and shall have the ability to prescribe Buprenorphine and Clozapine.
  • QA/QI Documentation: shall complete the appropriate QM/PI documentation pertaining to all procedures, complications and outcome of examinations.
  • Patient Safety Compliance and Reporting: shall follow all established patient safety and infection control standards of care and shall make every effort to prevent medication errors, falls, and patient injury caused by acts of commission or omission in the delivery of care. All events related to patient injury, medication errors, and other breeches of patient safety shall be reported to the Safety Policy. As soon as practicable (but within 24 hours) Contractors shall notify COR of incident and submit to the COR the Patient Safety Report, following up with COR as required or requested.
  • Provide inpatient/outpatient, Urgent Care, APOD, psychiatric services to new and established patients. In general, the inpatient care includes acute, rehabilitative and long-term treatment as well as comprehensive psychiatric services to eligible patients and outpatient care diagnosis mental disorders, medication evaluation and management, conducts psychiatric assessments, treats mental disorders through a variety of modalities and provides adjunctive intervention for treatment of medical disorders.
  • See approximately 10-13 scheduled established outpatients per day and all unscheduled patients that walk-in if they are assigned to the cohort of patients the contract physician is covering. A lighter schedule is permitted for the first week. After that, the contract physician shall be expected to get up to speed and keep pace within an 8-hour workday. New patient appointments are 60-minutes and established patients are 30-minutes. Contract physician shall have the patients identify themselves by stating their name and social security number prior to initiating treatment.
  • See approximately 20-25 patients per day for inpatient. A lighter schedule is permitted for the first week. After that the contract physician shall be expected to get up to speed and keep pace within an 8- hour workday.
  • Contract physician shall keyboard a pertinent progress note into the Electronic Health Record (EHR) at the time of each outpatient visit or inpatient visit. This progress note shall generally include the following elements: Patient's chief complaint and/or the purpose of the visit; Pertinent physical findings; Studies ordered (laboratory, radiology, etc.); Provisional or confirmed diagnosis; Therapies administered; and Disposition of the patient at the end of the visit, recommendations for follow-up care, and instructions given to the patient or significant other. Contractor shall provide information about adherence with prescribed medications and about side effects and patient-reported outcomes of treatment.
  • The Medical Support Assistants shall assist the physician with administrative functions not requiring professional decisions. The duties consist of scheduling, canceling, re-scheduling patient’s appointment and/or consults; entering no-show information; monitoring the electronic wait list; preparing for clinic visits; monitoring both inpatient and outpatient appointments for areas of responsibility; ensuring encounter forms are completed in order to obtain appropriate workload credit; verifying and updating demographics and insurance information.
  • Contract physician shall address the clinical reminders due at the time of each outpatient visit or inpatient visit, which support the clinical practice guidelines in prevention and chronic disease management as outlined by the company. The clinical reminder notes shall be utilized as the documentation tool.
  • Contract physician shall electronically enter all doctor’s orders, consultation referrals, and requests for x-rays and lab work using EHR. Approved order sets shall be used, as appropriate.
  • Contract physician shall electronically complete an encounter form on each patient seen; listing the diagnosis for the visit and all procedures performed based on current company requirements.
  • Contract physician shall address all telephone calls from patients assigned to the cohort of patients the contract physician is covering within one (1) workday. A pertinent progress note shall be entered into the EHR. Failed attempts to contact the patient shall also be documented.
  • When the Contract physician is covering the mental health or residential rehabilitation and treatment facility (RRTP), Urgent Care, APOD, an inpatient ward/residential nursing staff contacts the Contract physician regarding a patient, it shall be the Contract physician's responsibility to determine whether the patient needs to be seen or not. RRTP essential duties of a contract psychiatrist covering for RTTP include ensuring the safety, medication management, and oversight of mental health needs of Veterans within in the RRTP program. Contract physician shall enter a EHR progress note that includes specifically what the RN reported regarding the patient, if orders were entered without seeing the patient or if the Contract physician is going to be delayed seeing the patient. In general, patients shall be seen by Contract physician when requested by a mental health or residential ward Nurse.
  • When covering the inpatient mental health or residential ward, the Contract physician shall see every patient who has a fall and/or injury and document the history, physical findings, and the care that was given. If an incident report was generated the Contract physician shall complete all aspects of the incident report and the severity level.
  • Chief of Psychiatry Service or designee shall provide orientation to contract physician related to all responsibilities during their tour of duty. Consider adding a statement that the Chief of Psychiatry Services or designee shall also be responsible for ensuring that the contract physician is aware of company requirements for screening for mental health conditions and for the risk of suicide and for the evaluation of positive screens, as well as requirements related to other programs for the prevention of suicide and opioid overdoses.
  • The Contract physician shall be responsible for the examination and disposition of all patients presenting for care, including established outpatient and patients who walk-in for the first time and those referred by other facilities, private physicians or private hospitals. The Contract physician has the authority to admit, treat, discharge or refer patients in accordance with his/her clinical privileges.
  • Inpatient Mental Health, Urgent Care, or Residential Ward Contract physician shall complete history and physical (H&P) examination including mental status examination and of medication reconciliation on all new admissions within 24-hours of admission or before end of their tour of duty, if less than 24 hours.
  • Initial treatment plan of care shall be developed in collaboration with interdisciplinary treatment team, the patient, the families of the patient, and the patient guardian where applicable and documented within the H&P.
  • Inpatient Mental Health or Residential ward Contract Physician shall complete discharge summaries on patients admitted and discharged over a weekend or holiday.
  • Coordination of off-site care: shall arrange urgent appointments and/or transfer of patients to other locations or private facilities, as appropriate.
  • Shall follow the company drug formulary and follow approval procedures of non-formulary drugs in accordance with company policy.
  • Contract physician shall address all patient alerts in the EHR prior to the end of each workday.
  • Contract physician may be assigned as the surrogate for an absent physician’s patient alerts and shall complete these patient alerts prior to the end of the workday. This would not be considered a routine duty and if completion of these alerts depended upon working beyond the normal 8-hour workday, overtime may be approved.
  • Contract physician shall address all written correspondence regarding patients assigned to the cohort that the physician is covering. This shall be done in collaboration with the Release of Information office or other appropriate staff.
  • Contract physicians shall carry a pager at all times during the assigned tour of duty and wear the furnished picture ID badge. Contract physician shall be issued a company owned pager and ID badge for use during their assignment. Contract physician shall respond to pages from staff within the facility in a timely manner (approximately 15-minutes) unless attending to an urgent clinical matter. The pager and ID badge shall be returned to company at contract completion
  • Contract physician shall be issued company owned keys to permit access to secure areas of the Medical Center, [link removed], exam rooms, staff restrooms, etc. These keys shall be turned in upon conclusion of the assignment.
  • Instrumentation and supplies: Company will supply appropriate instrumentation for all procedures and ancillary support staff commensurate with types of patients scheduled. Reusable Medical Equipment (RME) is any medical equipment designed by the manufacturer to be reused for multiple patients. Contract physician shall be responsible for knowing what reusable instruments, equipment, medical devices or supplies are in use in their clinical area.
  • Contract physician shall obtain, read, and follow Standard Operating Procedures (SOPs) or established guidelines for all RME in use in their clinical area prior to use.
  • Emergency/Disaster Procedures: In case of fire or other Medical Center disaster, the inpatient ward or residential Nurse Manger or the outpatient Chief, Mental Health Clinic shall immediately take charge of the evacuation of patients in accordance with published regulations. Chief, Psychiatry Service shall notify the Director of the nature of the emergency or disaster and report what action has been taken. The Contract physician shall ensure that he/she is familiar with fire and disaster instructions and shall attend all fire and disaster drills conducted during his/her tour of duty. Contract physician shall participate in fire drills and disaster drills while on duty
  • Restraints/Seclusion: The Contract physician shall become fully familiar with the Medical Center policy on Restraints and Seclusion and shall comply with requirements therein. If a patient needs a restraint which may include a chest Posey, wrist restraint, or mitts to prevent an injury or maintain a medical device, the clinician shall enter an order for restraining. Patients with restraints for medical reasons shall be evaluated every 24 hours. Patients with restraints for behavioral reasons shall be evaluated every four hours. This evaluation shall be documented, and a new order shall be written if restraints are to be continued.
  • Informed Consent: In accordance with Medical Center policy, when written informed consent is required, the Contract physician shall explain procedure and risks/benefits to the patient/guardian and obtain informed consent from patient/guardian. The contract physician shall be aware and participatory in ensuring compliance with all cpmpany policies regarding informed consent. Psychiatry department will ensure that contractor is adhering to the policies. The software used is called iMED and it electronically generates the informed consent. The provider, patient and witness sign on an electronic pad and the consent is stored in the EHR.
  • When the Contract physician is the only practitioner involved in the care of the patient during a hospital stay; he/she shall be responsible for completing all required medical record documentation, including the discharge summary and patient discharge instructions
  • Shall complete appropriate evaluation and paperwork for special incidents such as medication errors, falls, injuries and adverse drug reactions.
  • Shall, at all times, conduct themselves in a professional and ethical manner treating patients, visitors, and staff in a courteous manner. Sustained allegations of patient abuse, either verbally or physically shall result in immediate termination. Patient rights shall not be violated. 

For immediate consideration please reply directly to this posting. A-Line Staffing Roxanne Berendt cell# 586-256-1110

 

 


 

Qualifications:  The Candidate must meet the following requirements:

License: Contract physician assigned to perform the services covered by this contract shall have a current license to practice medicine in Michigan. All licenses held by the candidate shall be full and unrestricted licenses. Contract physician(s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract.

Board Certification: the candidate shall be board certified or board eligible in psychiatry and be currently certified in Basic Life Support (BLS) or equivalency. All continuing education courses required for maintaining certification shall be kept up to date at all times. Documentation verifying current certification shall be provided to company on an annual basis for each year of contract performance.