Psychiatric Mental Health Nurse Practitioner (PT Onsite, PCP for ages 15 and up, predominately adults)
Community Bridges, Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of programs throughout Arizona. CBI provides residential, outpatient, inpatient, patient-centered medical homes, medication-assisted treatment, and crisis services to individuals experiencing crisis, opioid use disorder, homelessness, and mental illness.
The schedule is flexible at 5‑8 hours a week.
Full Job Description
At Community Bridges, Inc. (CBI), a psychiatric practitioner is an integral specialty for our whole‑person approach in our integrated system of physical, psychiatric, and addiction services. The scope of practice of the psychiatric practitioner in the inpatient setting will see adults 18 and older, all genders, all socio‑economic backgrounds, complex medical history, and co‑occurring psychiatric disorders. Psychiatric practitioners at CBI will be expected to provide patient‑centered, evidence‑based care for patients as well as serve as patient advocates in all health‑related matters, including the appropriate use of specialists, health services, and community resources.
Shift Schedule
- PMHNP/FNP – for Crisis Sobriety Center – AM/PM shifts (Sunday – Tuesday rotating Wednesday) and (rotating Wednesday – Thursday – Saturday).
- PMHNP – (SMI Caseload) – Full time on site, Mesa location; 8 AM – 4 PM Monday – Friday.
- PMHNP – ACT/FACT – Full time on site, Central Phoenix 8 AM – 5 PM Monday – Friday.
Scope of Practice
- Complete urgent psychiatric and/or addiction medicine evaluations for patients referred to the 23‑hour observation unit from all referral sources including hospitals, urgent care centers, law enforcement, and other medical practitioners for assessment, diagnosis, and treatment recommendations.
- Complete urgent psychiatric assessment and/or addiction medicine, ambulatory detox, or physical health assessments with patients identified by CBI screening staff.
- Coordinate with other staff when admitting, transferring, or discharging a patient to a different CBI program or level of care and document in the medical record to ensure a smooth transition.
- Initiate or perform documentation of doctor‑to‑doctor communication and coordination of care.
- Evaluate all patients on the unit at least daily to adjust treatment and discharge planning.
Seclusion and Restraint
- Seclusion and restraint interventions are used in accordance with CBI policy.
- Provide assessment for appropriate use of seclusion and restraint, documenting staffing, current behaviors, medical and psychiatric conditions, and medications.
- Write or sign an order immediately if at the facility, or sign in the electronic health record within three hours if given verbally. The order must include date, time, specific restraint, and if chemical restraint is ordered, drug name, strength, dosage, route, and symptoms treated.
- Authorize a maximum duration of three continuous hours.
- Complete and document an assessment within one hour after the order for restraint or seclusion, including current behavior, reaction, medical condition, and decision to continue or terminate.
- Write a release order or document a second order at the end of three hours if restraint or seclusion needs to continue.
- Review cases and discharge plans during rounds with assigned CBI medical staff.
- Document and sign full discharge orders and follow‑up recommendations within 24 hours of discharge.
Admission Orders
- Practitioner admission orders are completed on admission (in person or verbally to a nurse) and signed by the admitting practitioner within 24 hours.
Daily Staffing and Rounds
- Everyone admitted to the 23‑hour observation unit will have at least one psychiatric evaluation every 24 hours, or sooner if clinically appropriate.
- Review cases with RN and crisis specialist during rounds as part of discharge planning.
- Document rounds in a progress note.
- Review cases with the incoming practitioner at the end of each shift.
- Maintain treatment of physical health and coordinate with PCP and other prescribers while in treatment.
Internal Consults and Coordination of Care
- Coordinate with other staff when discharging, admitting, or transferring a patient to ensure a smooth transition.
- Complete a psychiatric evaluation and record it for everyone admitted to the inpatient behavioral health facility.
- Write or sign orders for a pain management evaluation if clinically indicated and outside the scope of the attending medical practitioner.
- Provide necessary documentation and treatment for patients under petition or court‑ordered treatment.
Discharge Orders and Plan
- Document and sign full discharge orders and follow‑up recommendations within 24 hours of discharge.
- Document review of discharge plan with the patient.
- Evaluate each patient for ongoing mental health/psychiatric care and physical health issues prior to discharge and document in the electronic health record.
Universal Requirements
- Complete orientation and shadowing as directed by CBI before working with patients.
- Complete a TB skin test prior to working with CBI patients and annually thereafter; submit results to Credentialing annually.
- Obtain and maintain Suboxone waiver to treat the maximum number of eligible patients.
- Maintain patient data logs for buprenorphine treatment.
- Provide evidence of CPR/First Aid prior to working with CBI patients and renew every two years; submit documentation to Credentialing.
- Participate in quality management initiatives and correct deficiencies within 72 hours.
- Maintain minimum 85% compliance with documentation requirements.
- Adhere to appointment scheduling protocols assigned by the medical director and monitored by the medical management team.
- Maintain minimum 85% patient satisfaction; submit plan of correction if performance falls below 85% and may be removed if below for two consecutive months.
- Maintain minimum 75% follow‑up rate.
- Complete and document all medication assessments and informed consents by the end of assigned shift or within 24 hours of seeing the patient.
- Review the Controlled Substance Prescription Monitoring Program and coordinate care with other prescribers.
- Utilize e‑prescribing for all patient prescriptions via the CBI electronic medical record.
- Participate in practitioner meetings, state, regulatory, or accreditation surveys, peer review activities, and performance improvement projects.
- Adhere to all CBI policies and procedures.
- Other duties as assigned.
Documentation
Medical Professionals are expected to complete documentation within 24 hours of visit. If documentation is not complete by the allotted timeframe, the professional must notify the Director of Medical Practice.
Benefits
- Medical, dental, vision, disability, life, and supplemental plans; hospital indemnity/critical illness; pet insurance; dependent care savings; health‑care savings; 401(k) with employer match, 100% vested upon enrollment; generous PTO accrual; wellness programs; tuition reimbursement and scholarship programs; incentives, and more.
- Recognition as one of the top ten healthiest mid‑size employers in the Valley by the Phoenix Business Journal for the past four years.
Equal Opportunity
CBI is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected class status.