Hours: Part time – One day a week (MWF)

Location: Burlington, NC – (Fully Remote)

Rate: $200 hourly rate  (1099)

Job Description/Summary

The Psychiatrist/Medical Doctor (MD) will be responsible for seeing the caseload assigned to them, particularly those with a mental health diagnosis(es). Consumers may also have a co-occurring diagnosis of Intellectual Disorder (IDD) and/or Substance Use Disorder (SUD).  MD will be responsible for all aspects of Medication Management, any supervision of other medical professionals such as Nurse Practitioners, Physician’s Assistant, etc. if outlined in the contract and a part of the agreement upon hiring. MD will monitor symptoms of consumers for whom they are seeing, educate on diagnosis, provide education on the purpose of prescribed medications, order and analyze Urine Screenings or other labs as necessary. MD will collaborate with other providers as necessary and see all consumers assigned to them according to clinical and medical necessity. MD will also review and sign off on Diagnostic Assessments and Person-Centered Plans.

Duties and Responsibilities

1. Diagnosis
   • Responsible for Psychiatric Evaluation of new patients
   • Review and signing of Diagnostic Assessments completed by Licensed Clinician as well as the patient’s Person-Centered Plan
   • Educate patients on their diagnosis(es) as necessary
   • Diagnoses and ICD codes should be based on the most current version of the Diagnostic and Statistical Manual
2. Treatment Planning
   • After initial Psychiatric Evaluation, MD will devise a medication management treatment plan according to the patients’ diagnosis/es, symptoms, while considering other factors such as substance use, allergies to any medications, etc.
   • MD will also become familiar with other services the patient may be receiving such as Outpatient Therapy, Peer Support Services, Community Support Team, ACTT, etc. as a part of his/her treatment plan
   • Monitor the treatment plan and how the patient is progressing or regressing and make adjustments to the plan as necessary
3. Medication Management
   • Order and analyze Labortory screenings as deemed medically necessary such as Complete Blood Counts (CBCs), Comprehensive Metabolic Panels (CMPs), thyroid function tests (TSH), vitamin B12/folate levels and urine drug screens, etc. to check for underlying medical conditions that may mimic psychiatric conditions, monitor medication side effects and screen for substance use.
4. Document Service note/log for each session completed with a consumer and the outcome of the session/medications prescribed, etc.
   • Write prescriptions based on the treatment plan and best course of practice for the patients on caseload
   • Educate patients on the purpose of the medications being prescribed and how to take them. Communicate with Guardians and Group Home staff if applicable.
   • Adjust medications as necessary based on symptoms
5. Patient Monitoring
   • Monitor patients based on medical necessity and schedule visits accordingly to help monitor symptoms and how medication is doing
   • Collaborate with other providers to receive feedback regarding how patients are doing
   • Revise treatment plan based on patient monitoring
6. Crisis Intervention
   • Sometimes light crisis intervention may be necessary for patients and may be needed directly from the Psychiatrist is considered a First Responder in the state of North Carolina. However, it is also important to note that we have other teams and services that readily respond to the patients’ crises. The Psychiatrist may need to direct the staff and/or team through a crisis, especially if it relates to their medications.
   • Admittance or referral for hospitalization may be necessary at times
7. Collaboration
   • Psychiatrist will be responsible for collaborating with other Providers whom may work with or give care to patients
   • Psychiatrist will need to work with Guardians for those patients whom have them
   • Psychiatrist will need to review medical records for collaboration of care with Primary Care Physician
8. Documentation
   • Responsible for all paperwork related to consumer’s care that falls under the MD’s/MD responsibilities
   • Complete a service note/log after each patient visit detailing what transpired during the session and what medications (if any) were prescribed and/or discharged
   • Documentation will be completed in accordance with all Federal and State rules and regulations
   • Documentation will be completed in a timely manner and charted in the patients’ files by the end of the day of that shift
9. Supervision (if agreed on in contract)

• Review and sign off on Diagnostic Assessments and Person-Centered Plans
• Supervision of other medical professionals such as Nurse Practitioners, Physician Assistants, etc. as necessary

10. Trainings

• MD will attend trainings that are necessary and mandated for the MD role
• Attend trainings/meetings as set forth by Senior Management
• Keep a good standing with the Licensure Board
• Keep Professional Licensure current
• Maintain any Board Certifications

11. Uphold Mission and Values

• Positively represent as well as any associated agencies.

• Uphold agency values and mission
• Understand and follow through with agency systems and protocols
• Follow agency policies and procedures
• Communicate positively and clearly with supervisor and coworkers
• Communicate positively and clearly with consumers/families
• Meet established deadlines and timelines
• Create and meet weekly, monthly, quarterly, yearly goals
• Maintain satisfactory attendance at work shifts, staff meetings and other assigned agency functions.
• Complete needed trainings
• Maximize and responsibly utilize agency and community resources

Complete duties assigned by supervisor or designee

• All Ethics should be upheld

Qualifications

1. A Medical Degree from a fully accredited Medical School is required for the position of Psychiatrist.
2. Fully licensed by the Medical Board to practice the medicine of Psychiatry
3. Board Certification
4. 2-5 years of work experience in a MD role and in working with adults struggling with mental health and substance abuse use disorders.
5. Knowledge of a MD’s role, North Carolina Service Definitions, various programs in North Carolina Mental Health and Substance Abuse
6. Knowledge and skills in the development of Person-Centered Thinking
7. Ability to maintain effective working relationships with consumers, families, and other service providers
8. Proficient in Microsoft Office Suite, Google Drive applications and other technology tools to support interactions with clients and staff is a plus
9. Strong time-management skills and the ability to operate in ever-changing environments and understanding the mental health population
10. Professional level of verbal and communication and interpersonal skills, both verbally and orally
11. Leadership skills are essential in being able to take the lead in the office setting, set an example/role model for other employees being supervised and to manage any challenges that may arise in the office, even if no other staff are available at the time.
12. Discretion and confidentiality are a must. The MD must adhere to Client’s Rights, HIPPA Laws, Confidentiality and must know what these are.
13. Flexibility/flexible thinking to adjust to new tasks or changes as change is inevitable and sometimes necessary in office and agency settings.
14. A proactive approach to problem-solving with strong decision-making skills is essential to this position.
15. Must have exceptional attention to detail to ensure tasks are completed thoroughly and correctly.
16. Must possess the qualities of ambitious, driven and a self-starter.
17. Pass a criminal background check

Working Conditions: The MD works in a changing environment that adjusts to the needs of the day as well as individuals in program services. The environment may, at times, be fast-paced with interruptions, distractions and deadlines. The MD needs to be flexible and be able to adjust to changing needs or activities.

Required Trainings: New Employee Orientation, CPR/First Aid, Blood Borne Pathogens, HIPPA/Privacy & Confidentiality, and any other assigned trainings deemed necessary by Senior Management.