Summary Description: F/T Positions available for MDs in Columbia University Medical Center within the psychiatry service at New York Presbyterian Hospital. The Behavioral Health Community Crisis Stabilization Program Attending Physician positions are primarily responsible for the diagnosis and treatment of illness, substance abuse and injury of patients identified as in need of Community Crisis Stabilization provided by the new Behavioral Health Rapid Assessment and Crisis Intervention Program (BH Crisis HUB) and/or the Behavioral Health Critical Time Intervention (CTI) Program.These Physicians will be responsible for providing physical and behavioral healthcare to patients in crisis as defined by the DSRIP Community Crisis Stabilization (3.a.ii) mandate. Although there may be primary assignment of duties in one part of the BH Crisis Stabilization program, there will exist a fluidity of role functionality. There may be travel between all NYP Behavioral Health sites and the roles may require community travel in order to ensure the highest level of quality care for patients. The physicians will participate in a telephonic and in-person behavioral health crisis triage program, provide crisis intervention services, brief therapeutic treatment and enhanced disposition planning to patients referred to the comprehensive crisis program per the protocols of the program. Both physicians may be needed to assist with crisis intervention and disposition planning following NewYork-Presbyterian Hospital (NYP) Emergency Department treatment, within the NYP Ambulatory Care Network sites and with NYP inpatient Behavioral Health providers in order to avoid re-admission. Either physician will act as the collaborating physician for the BH Crisis Stabilization Program and the BH Crisis HUB/CTI nurse practitioners and social workers. There can be a primary assignment of duties across programs depending on the clinical needs required for program functioning. Both physicians will provide coverage for one another when needed.General responsibilities:Patient Care Management and Documentation; Psychiatric Consultation and Treatment; Crisis Intervention and triage; Coordination/Collaboration of Care; Quality Assurance; Patient Safety; Improve Health Literacy; Patient Education; Patient Rights; Service Excellence Day-to-day responsibilities:-Examines patients with appropriate types of medical equipment, instruments and tests as needed-Conducts mental health and substance abuse assessments to form diagnostic impressions and generate psychiatric evaluations-Orders or performs various diagnostic mental health and substance abuse assessments and examinations to provide information on a patient's condition-Ensures that the medical services provided meet all hospital protocols and professional guidelines.-Diagnose patients' conditions based on exams, tests and reports. Discusses results with patients and families and collaborating partners-Prescribes and administers medications and treatments-Instructs individuals and organizations in ways to preserve health and prevent disease-Accurately documents history, physicals, assessments and treatment in the EHR and other documentation as required-Participates in case discussions with the psychiatric team and regularly communicates with all of the patients' providers as needed-Formulates and collaborates on a goal-directed plan that includes mental health, substance abuse treatment, health maintenance, anticipatory guidance and appropriate medical and nursing interventions according to established protocols/practice agreements
Minimum Qualifications: Continuation from Position Description:-Ensures that all patients within the Critical Time Intervention team have a least one psychiatric evaluation per year and provides appropriate follow up of ongoing psychiatric care for patients awaiting a treatment provider.-Engages patients who have difficulty accessing psychiatric care in the community and provides indicated psychiatric care to these patients and in collaboration with primary care physician, internal, external sub-specialists and CBO partners.-Participates in hospital/medical staff committee meetings as required. Attends and serves on professional/civic service organizations as hospital representative-Maintains professional growth and development through seminars, workshops and professional affiliations to keep abreast of latest trends in field of expertise-Assumes responsibility for outcomes measurements as required-Suggests new initiatives to assist in providing the highest quality medical services-Recommends/initiates new initiatives to assist in providing the highest quality medical services-Performs other job related duties as assignedFor BH HUB operations:-Provides clinical consultation to the multidisciplinary Behavioral -Health Crisis HUB clinicians, behavioral health staff and program manager-Offer Crisis Intervention guidance and collaborative problem solving of Behavioral Health Crisis HUB activities-Collaborating physician for nurse practitioner-For CTI Program operations:-Provides clinical consultation to the multidisciplinary CTI team clinicians, behavioral health staff, and program manager-Available to provide additional clinical consultation to other areas of hospital serving the CTI population-Collaborating physician for nurse practitionerSupervision:-The physicians will be supervised by designated Columbia University Department of Psychiatry supervisors responsible for ensuring compliance with all CUMC policies and procedures -The physicians will take direction from NYP Program Manager for DSRIP selected activities-CUMC Supervisor and DSRIP Program Manager will co-develop and approve the physicians' schedules and conduct on-going reviews of performance -The physicians will bring administrative concerns, needs, and process problems to the attention of his/her respective supervisors. CUMC Supervisor and/or the physicians will communicate pertinent DSRIP issues to NYP Program ManagerTraining Requirements-Physicians assigned to the Behavioral Health Crisis Stabilization programs will participate in NYP Behavioral Health training modules -Assigned physicians will participate in NYP in-service training (protocols and processes)-Assigned physicians will be required to be credentialed at NYP Documentation RequirementsThe physicians will maintain timely and accurate documentation of required data elements, clinical assessments, and ongoing care plans in the NewYork-Presbyterian Hospital (NYP) Behavioral Health EHR. They will also document in the NYP designated electronic health record system. The physicians are responsible for monitoring, documenting, and reporting outcomes in collaboration with DSRIP team requirements. The Behavioral Health Crisis Stabilization program will provide the physicians with telephone and computer access. Other Requirements:Must have NYS license and DEA certificateInstructor level requires graduation from a psychiatric residency program.Assistant professor requires board certification in psychiatry and 2-3 years post-residency clinical experience. Columbia University is an Affirmative Action /Equal Opportunity Employer.
Preferred Qualifications: Training and/or experience in Psychiatry or subspecialty, clinical psychology, or other relevant fields.
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Internal Number: 334_65933
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