Under the supervision of the Medical and/or Specialty Director, the Provider is responsible for the provision of culturally competent care to patients in the designated specialty. This position is for a nurse practitioner with both Psychiatric and Family Nurse Practitioner licenses. Nurse Practitioners (Psychiatry and Family) provides diagnostic, preventative, and therapeutic services to UHC patients who are suffering from medical and mental disorders, as appropriate. This also includes the diagnosis and treatment of physical and behavioral health conditions, counseling and education, and continued comprehensive health care of any patient seen at Unity. The Provider is responsible for the clinical and administrative tasks required to deliver quality, safe healthcare services. By the nature of the profession, the level of assignment will call for a maximum degree of knowledge, professional judgment and ingenuity. Service sites may include UHC community health centers (CHC), homeless sites, and the Department of Corrections (DOC), Central Detention Facility and Correctional Treatment Facility, Health Services Division.

Supports the health center including UHC at DOC and the organization in contributing to the quadruple aim: improving health outcomes, improving patient experience, supporting care team well-being and the financial sustainability of the organization.

Performs patient care, health services, and other provider duties in a safe way that is compliant with policies and procedures of Unity Health Care. This includes essential and other important responsibilities and duties may include, but are not limited to the following:

• Obtains psychiatric and medical clinical histories or assessments
• Performs full range of psychiatric and medical services to include: examination, evaluation, diagnosis, and

treatment of patients. This includes Suicide Risk Assessments and treatment and management in suicide precaution and suicide watch cells.

• Determines diagnostic and screening tests needed, orders and interprets clinical and laboratory results
• Exercises psychiatric and medical clinical decision-making including diagnosis and treatment plan, emergently if needed
• Provides preventive health maintenance and education
• Responsible for the development of comprehensive and therapeutic treatment plans for an assigned caseload
• Provides direct services based on established treatment.
• Evaluates psychotropic and medical medication needs of UHC patients and recommend the appropriate treatments to patients.
• Manages on-site crisis intervention and medical emergencies.
• Periodically monitors, records, and provides appropriate feedback on clinical service delivery by the mental health and medical team.
• Writes referrals to hospitals, specialists, social services or other providers when needed
• Actively participates in quality improvement initiatives and seeks to continuously improve the quality of care for their patients.
• Conducts thorough peer reviews and provides constructive feedback to peers
• Documents in the medical chart in an appropriate and timely manner
• Reviews and implements clinical best practices and optimizes CME time to stay up to date
• Maintains a culture of safety and completes incident reports when issues arise and participates in the problem solving and improvement process
• Collaborates with health center leadership and staff on health outcomes
• Maintains clinical privileges and responds to inquiries in a timely and complete manner
• Conducts peer review and quality improvement activities on a regular basis.
• Attends meetings as assigned including monthly provider meetings if indicated.
• Prepares formal written reports on evaluations and recommendations for the authorized referral agencies.
• Performs other duties as assigned.

• Ensures a welcoming, patient-centered environment for all patients
• Communicates to patients respectfully and partners with them in their care by spending time actively listening and clearly explaining their recommendations
• Provides culturally competent and high-quality care and uses translation services when needed
• Timely in all patient facing duties- visits, returning phone calls, notifying of test results
• Responds to patient complaints and works towards resolution for the patient
• Provides excellent customer service and professionalism towards patients
• Maintains a clinical schedule that allows access for patients, including providing sufficient notice for time off, and providing options for patients to be seen when rescheduled on short notice
• Handles telephone calls after hours on a rotating basis as applies to their specialty
• Participates in call as assigned
• Arrives to work promptly.

• Embraces team mentality- including building trust, exchanging feedback, and showing appreciation with team members. Leads by example and works closely with others to provide comprehensive, team-based care
• Provides recognition to providers and team members who are performing well
• Teaches and coaches staff members to work at the top of their ability
• Participates in student and resident teaching as requested by Medical Director
• Attends and actively engages at team, center and organization-wide meetings
• Recognizes when they may be experiencing burnout and takes steps to improve it
• Displays professional conduct in all interactions and recognizes and reports concerns about professionalism in self or others
• Demonstrates flexibility and agility in working with others to meet the needs of patients

Financial Health

• Monitors own productivity and utilization levels
• Is willing to see patients if needed (e.g., late patients, walk-in patients) as the schedule and time allows
• Educates patients on the value of a health care visit
• Leverages nursing visits and other staff where appropriate
• Participates in population health efforts
• Works collaboratively with Medical Director to promote access
• Creatively identifies way to improve flow and efficiency in your day and works collaboratively with team members to implement improvements
• Locks notes in a timely manner (within 48 hours) and fixes and addresses any outstanding claims

Other Duties

• Serves on committee(s) as requested by Medical Director or CMO (e.g. P&T, Infection Prevention etc.).
• Effectively and ethically handles all forms of communication according to Unity Policy
• Performs other duties as assigned.

MINIMUM QUALIFICATIONS

• Must have a current DC Professional License as a Family Nurse Practitioner and a Psychiatric Nurse Practitioner (PMHNP/FNP). Must have CDS and DEA (registered in DC) registrations.
• Graduate of an accredited school of medicine or nurse practitioner, physician assistant, or other relevant professional school
• Board eligible or board certified/ licensed in area of specialty. Must be board certified/ licensed within one year of hire.
• Must be willing to accept "on call" duties on a regular rotation and sessions on evenings, weekends, and holidays when needed to provide patient coverage.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES

• Familiarity with standard concepts, practices, and procedures within the field.
• Demonstrated ability to effectively work and communicate with diverse populations.
• Demonstrated proficiency with business software (e.g. Microsoft Office Suite).

PHYSICAL EFFORT AND WORK ENVIRONMENT

• Some walking, standing, bending, and carrying of light items such as books and paper is required. For additional information, refer to ADA checklist.
• Must be physically able to sit, stand, and walk for long periods of time. Must be able to bend, lift, and carry files from one location to another.
• Must have visual acuity and the ability to differentiate colors, and sustain long periods of computer usage.
• May sit for prolonged periods of time at a desk or in an automobile and/or may use the telephone for long periods of time.
• The office environment may be stressful with multiple, time-sensitive tasks to be accomplished within a short period of time.
• Must be able to work any time of the day, independently with minimal supervision or with a team, be capable of making sound business decisions, and be detail oriented, alert, and self-motivated.
• Must be able to effectively manage difficult situations, staff and customers.

RISKS

The position involves everyday risk and discomforts, which require normal safety pre-cautions typical of such places as offices, meetings, training rooms, and other UHC health Care Sites. The work area is adequately lit, heated, and ventilated. All psychiatric and medical services shall be provided according to medically accepted community standards of care. The employee shall provide evidence of recent (within the past twelve (12) months) health assessment that includes a PPD and/or chest x-ray results.

The statements contained herein describe the scope of the responsibility and essential functions of this position, but should not be considered an all-inclusive listing of work requirements. Individuals may perform other duties as assigned including work in other areas to cover absences or relief to equalize peak work periods or otherwise balance the workload.

OTHER SIGNIFICANT FACTS

Although the position is assigned a specific shift, this position may be assigned alternate shifts to address the needs of Unity Health Care.