Employee group (Full time/Part-time/Limited/Casual): Full Time
Schedule (hours/days): Monday – Friday; Weekends and Holidays required as needed.
Employee subgroup (FLSA Status): Exempt
Department name: Psychiatry
Personnel area (School): School of Medicine
The Department of Psychiatry, Howard County General Hospital Location, at the Johns Hopkins School of Medicine is seeking a Nurse Practitioner to work collaboratively within a multidisciplinary health team to optimize team performance and patient outcomes. We are seeking an excellent clinician to provide clinical care to children, adolescents, and adults at the Johns Hopkins Howard County General Hospital Campus.
The Nurse Practitioner is responsible for providing high quality and effective patient care through the evaluation, diagnosis, and treatment of acute and chronic mental illness. In addition to providing direct patient care, the Nurse Practitioner also educates patients and family members regarding mental illness. The Nurse Practitioner shares responsibility for the provision of excellent health care in compliance with state and federal accreditation requirements, and practices within the guidelines of the Department of Psychiatry, Johns Hopkins Medicine and in accordance with the State of Maryland Board of Nursing. The Nurse Practitioner is granted privileges by the Howard County General Hospital Medical Board; these privileges list specific tasks and are reviewed annually.
Primary Duties and Responsibilities:
Rounding and medication management of child, adolescent, and adult patients in the ED who are awaiting disposition. Complete progress note in EPIC and bill for services provided.
Responds in timely manner to request from Emergency Department Physician for psychiatric
consultation for children, adolescents, and adults.
Required to participate in on-call after hours rotation shared by Psychiatry providers, reachable by phone and/or pager, which includes one weeknight of call per week. Required to participate in weekend call (6 weekends per year), which includes coming into the hospital to round on all inpatients, completing consults requested by med/surg units, and taking calls for admissions and discharges from the social workers in the ED. Required to participate in Department of Psychiatry provider and staff meetings.
Works collaboratively with the Consult Service Psychiatrist to assist with consults on the inpatient units as needed.
Performs psychiatric assessment, formulates diagnosis, and in consultation with referring physician recommends and completes appropriate disposition.
Discusses case with Attending Physician to determine if the patient has been cleared medically and to determine why a consult is requested.
Provides requesting physician with results of assessment and disposition plan.
Reviews chart, obtains all insurance authorizations necessary before providing service to patient. Contacts necessary insurance providers’ necessary obtains authorizations needed to complete disposition and documents on chart.
Interview patient and performs psychosocial assessment, mental status examination and past psychiatric history
Contacts family or any collateral informants necessary to provide information necessary to complete an assessment
Formulates an appropriate treatment/disposition plan for patient.
Coordinate care for patients to achieve clinical and organizational outcomes. Uses advanced clinical and theoretical knowledge to identify acute and/or chronic health problems through a comprehensive, age appropriate assessment of patients using skills in taking medical histories, screening, physical examinations, ordering diagnostic tests, making tentative diagnoses, prescribing appropriate medications and treatments. Provides evidence-based care and provides patient education for self-care chronic disease management.
Effectively uses resources. Prioritizes and organizes work to meet the changing priorities of Howard County General Hospital. Provides guidance and direction to other staff where applicable to promote quality improvement/patient safety projects.
Works collaboratively with medical and surgical consultants. Strive to meet and/or exceed established productivity targets for services provided.
Complete notes within the EPIC electronic medical record system on the day of visit and discharge summaries on the day of discharge for effective communication with primary care providers, medical consultants and informal care providers.
Accountable for own patient care decisions. On a regular and continuous basis, exercises administrative judgment and assumes responsibility for decisions, consequences, and results having an impact on people, costs, and/or quality of service within the functional area.
Responsible for other clinical duties as assigned.
Master's degree in nursing; Registered Nurse license and Certified as a Psychiatric Nurse Practitioner. Must be licensed as NP in State of Maryland or other state where practicing. Demonstrated competence in the delivery of health care to a diverse group of child and adolescent patients preferred. Current CPR certification required. Must maintain current licensure and certification during duration of employment. Completion of the HCGH credentialing process is required prior to start date.
Additional Knowledge, Skills and Abilities:
Knowledge: Advanced clinical skills in specialty area or equivalent. Successfully completes all training courses required for access to Epic and other clinical software systems. General computer knowledge and capability to use computer. Requires effective use of resources and cost awareness.
Skills and Abilities: Ability to incorporate into practice theoretical concepts and advanced clinical skills with patients, families, and interdisciplinary health care team members. Ability to analyze data to synthesize and summarize information and to make judgments regarding patient care. Analytical ability necessary to diagnose patients and to develop and implement plans of action for long and short term management of acute and chronic health. Ability to apply principles of evidence-based practice, scientific process, and service excellence in practice.
Ability to interact successfully with the public. Ability to perform effectively despite sudden deadlines and changing priorities. Ability to maintain personal composure in high stress situations, deadlines and changing priorities. Demonstrated interpersonal, written and verbal communication skills are required to service a diverse customer base. Advanced interpersonal skills necessary to communicate effectively with all members of the interdisciplinary health care team to enhance collaboration and problem-solving.
Ability to communicate effectively, both verbally and in writing, in order to provide information to patients and health care personnel. Ability to demonstrate and convey a favorable image of the organization and to conform to proper standards of professional dress, attitude and demeanor. Ability to demonstrate a high level of interpersonal skills required to interact with patients, patients’ families/visitors and clinical staff.
Proven ability to relate effectively to individuals of various backgrounds and cultures, including the understanding and appreciation of diverse cultural, ethnic, gender and international differences. Ability to perform with a high degree of accuracy and with meticulous attention to detail. Demonstrate a strong ability to use initiative and judgment and to identify, analyze and solve problems. Ability to demonstrate self-direction and initiation. Ability to work independently and as a part of a team. Ability to function effectively in a fluid, dynamic, and rapidly changing environment.
Able to operate patient care equipment to assess health; proficiency in using desktop computers or laptops, and general office equipment on a daily basis.
Physical Requirements: Work requires standing, bending, sitting and using/manipulating various health assessment instruments and machines, and/or walking for extended periods of time. Work may require positioning and assisting patients and transporting patients and/or equipment from one location to another with little likelihood for injury if proper body mechanics and procedures are followed.
Working Conditions: Possible exposure to communicable diseases, hazardous material, pharmacological agents, with little likelihood of harm if established health precautions are followed.
Internal Number: 954-en_US
About Johns Hopkins University
Johns Hopkins University remains committed to its founding principle, that education for all students should be grounded in exploration and discovery. Hopkins students are challenged not just to learn but also to advance learning itself. Critical thinking, problem solving, creativity, and entrepreneurship are all encouraged and nourished in this unique educational environment. After more than 130 years, Johns Hopkins remains a world leader in both teaching and research. Faculty members and their research colleagues at the university's Applied Physics Laboratory have each year since 1979 won Johns Hopkins more federal research and development funding than any other university. The university has nine academic divisions and campuses throughout the Baltimore-Washington area. The Krieger School of Arts and Sciences, the Whiting School of Engineering, the School of Education and the Carey Business School are based at the Homewood campus in northern Baltimore. The schools of Medicine, Public Health, and Nursing share a campus in east Baltimore with The Johns Hopkins Hospital. The Peabody Institute, a leading professional school of music, is located on Mount Vernon Place in downtown Bal...timore. The Paul H. Nitze School of Advanced International Studies is located in Washington's Dupont Circle area.