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Child Psychiatrist

Boston Medical Center
place Boston, 02103
local_atm $180K — $220K

Time Type:

Full time

Department:

Behavioral Health Urgent Care

All Locations:

10 Gove Street – Taylor Building, 1601 Washington Street

Position Summary:

The Psychiatrist as a member of the Behavioral Health care team provides direct care to referred pediatric, adult, and/or geriatric patients and may be required to demonstrate age-specific competency, depending upon clinical assignment and the population served, in a variety of clinical settings throughout the health center. The Psychiatrist is responsible for providing quality patient care in accordance with departmental policies and procedures. The Psychiatrist reports to the Medical Director of Behavioral Health or designee.

The Psychiatrist conducts psychiatric/psychopharmacological evaluations for referred adults, children and adolescents, and/or older adults, and determines which patients are best served in a primary care, specialty behavioral health, or community behavioral health setting. The Psychiatrist provides expert consultation to the medical and behavioral health staff in the management of psychiatric disorders in primary care. In certain situations and when appropriate, the Psychiatrist may follow the patient longitudinally. Education of the medical providers, behavioral health providers, PMHNP residents and students as well as supervision of PMHNP residents and students and other Psychiatrists are components of the position. Additionally, home-based overnight and weekend call coverage for emergency assessment and triage and/or prescription coverage to support the Administrator on Call is a component of the position. The position may involve both telehealth and in-person work.

NeighborHealth is regarded as an underserved area for the NHSC scholarship program.

What You'll Do

The successful candidate will be able to perform the following responsibilities:

  • Establishes rapport and develops therapeutic relationships with patients of diverse backgrounds and varying levels of motivation for change.
  • Demonstrates knowledge of the full range of community resources to properly guide and direct patients.
  • Renders accurate diagnoses utilizing the DSM 5.
  • Documents and presents completed assessments for clinical disposition in a clear and organized manner.
  • Provides consultation to and coordinates patient care with multidisciplinary staff in clinic and in the BHUCS.
  • Holds a DEA number, refers appropriate patients to the NeighborHealth Recovery Services program, and prescribes medications to assist with substance use recovery.
  • Provides urgent coverage and crisis intervention for referred patients.
  • Provides home-based overnight and weekend call coverage for emergency psychiatric assessment and triage and/or prescription coverage as needed to support the Administrator on Call.
  • Screens for domestic violence, substance use and risk behaviors with every patient, applying protocols for intervention with positive screenings.
  • Performs and documents outreach activities for patients who do not follow through, especially for those with known risk factors.
  • Demonstrates capacity to diagnose and effectively treat a range of behavioral health conditions, including anxiety, depression, adjustment disorders and moderate-severe personality disorders with evidence-based psychopharmacology.
  • Demonstrates excellent, advanced triage skills, assigning the appropriate level of priority at all times.
  • Provides education and supervision to the medical and behavioral health providers regarding psychopharmacological treatment and patient management.
  • Performs advanced, high quality, thorough psychosocial evaluation that contains data in support of the diagnosis, findings, recommendations and plans.
  • Meets the departmental documentation standards in a timely fashion.
  • Demonstrates excellent clinical judgement in assessing changes in risk, enlisting the Administrative and/or Medical Directors and initiating Special Clinical Reviews as indicated.
  • Attains working knowledge of all departmental policies and procedures and interprets them to new staff and assigned supervisees.
  • Applies short-term, solution-based and evidence-based pharmacotherapies to patients in the BHUCS.
  • Manages a full caseload consisting of patients seen for psychopharmacological consultation to medical providers, assessment, and medication management.
  • Maintains professional licensure, accumulating the required number and type of CMEs and submits the associated documentation to the Medical Director. Psychiatrists hired to serve a specific patient population (child & adolescent or geriatric) maintain subspecialty board certification or credentialing in that area and fulfill any training or continuing education requirements associated with the subspecialty.
  • May accept responsibility for and effectively manage a departmental project, procedure or new function.
  • Presents clinical cases for review at daily and weekly clinical meetings according to departmental standard.
  • Consistently achieves direct care target of 80%, regularly analyzing with Medical Director direct care data, no show rate, and access and makes adjustments accordingly.
  • Masters each computer-based application required for effective performance of the functions associated with the job description.
  • Provides consultation, training and supervision to departmental staff, medical providers, BH interns and PMHNP residents and students as needed.
  • Successfully manages all aspects of the particular assigned program or departmental function.
  • Performs all the required steps to ensure the generation of clean claims – completing documentation, submitting encounters on time, and completing re-authorizations.

Other Duties:

Please note, this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

What You’ll Bring:

  • Medical degree from an accredited medical school and completion of an approved psychiatric residency; completion of an accredited fellowship in Child & Adolescent Psychiatry or Geriatric Psychiatry required if hired to serve that patient population
  • Current and valid board certification in psychiatry; subspecialty board certification in Child & Adolescent Psychiatry or Geriatric Psychiatry required if hired to serve that patient population
  • Licensed to practice medicine in Commonwealth of Massachusetts
  • Current Massachusetts Controlled Substance Registration MCSR
  • Current DEA registration
  • Excellent knowledge and familiarity with current DSM criteria
  • Familiar with crisis assessment tools and techniques
  • Strong working knowledge of general psychiatric principles and practices
  • Excellent interpersonal and communication skills

Work Environment & Physical Requirements

  • This position operates in a professional office and clinic environment
  • Regularly required to sit, stand, walk, and use hands to operate a computer and other office equipment
  • Must be able to remain in a stationary position for extended periods while performing administrative and computer-based tasks
  • Occasionally required to lift or move items weighing up to 20 pounds (such as files, office supplies, or small equipment)
  • Must have adequate visual acuity, hearing, and manual dexterity to perform essential job functions
  • May occasionally move between clinic and administrative areas and be exposed to a typical clinical setting
  • Expected to follow all NeighborHealth and OSHA safety policies and procedures, including maintaining a safe and ergonomic work environment
  • Reads, understands and complies with all Standards of Conduct, Joint Commission policies, requirements set forth by the United States Department of Health and Human Services' Health Resources and Services Administration pursuant to Section 330 of the Public Health Service Act, applicable State regulations and guidelines, and all laws related to position responsibilities and employment at NeighborHealth.
  • Upholds procedures and systems to safeguard the confidentiality of  all patient and employee information
  • Upholds safety policies, practices, and procedures including safety, fire safety, electrical safety, proper body mechanics and material handling, office/ergonomic safety, and other employee safety measures.