Job Posting: Cedars-Sinai Medical Network (CSMN) is committed to delivering effective and efficient quality health care to our patients with co-existing mental health and medical conditions who are being managed in the primary care setting. The CSMN does this through a collaborative care model that embeds a core team of Mental Health (MH) professionals within our Primary Care Medical Home of which the Nurse Practitioner is a key member. In collaboration with the primary care physician and under supervision of the Mental Health medical director, the Nurse Practitioner will evaluate and treat patients in accordance with the reason for referral by the Medical Director/Psychiatrist/referring physician. The Nurse Practitioner will provide assessment, medication management, brief counseling, and pro-active follow-up for assigned caseload focusing on treatment adherence, treatment effectiveness and treatment side effects. The Nurse Practitioner will regularly review patient treatment response with the Program's Medical Director and/or PCP or other treating physicians and implement changes to the treatment plan as agreed upon. The Nurse Practitioner is responsible for liaising with members of the Department of Psychiatry (especially the Consultative Liaison Service that provides MH care for patients requiring hospitalization) and the external MH referral network to ensure coordination of mental health services. The Nurse Practitioner is responsible for communicating and coordinating treatment plans and goals with other CSMN providers of Population Health services, including the Primary Care Medical Home team, the Pain Management Team, Pharmacists, Ambulatory Case Managers, Inpatient Specialty Program Physicians and Case Managers—to ensure a collaborative care model. All activities will be in accordance with state and facility regulation and policy. ESSENTIAL DUTIES AND RESPONSIBILITIES: A. ADMINISTRATIVE ROLE
Assist with data collection, analysis, and review of CSMCF Population Health Mental Health Program performance
Assist with developing written program policy and procedures
Help to establish the nurse practitioner role within the embedded MH primary care team B. DIAGNOSIS The NP makes a diagnosis by:
Utilizing critical thinking in the diagnostic process
Discussing relevant findings with members of the health care team
Synthesizing and analyzing the collected data
Formulating a differential diagnosis based on the history, physical examination, and diagnostic test results C. DEVELOPMENT OF A TREATMENT PLAN The NP, together with the patient, family, MH medical director, primary care physicians and other MH clinicians will establish a mutually acceptable plan of care that maximizes health potential. Formulation of the treatment plan includes:
Ordering additional diagnostic tests, as indicated
Setting treatment goals for patients in both the inpatient and ambulatory care settings
Monitoring progress towards goals
Selecting appropriate pharmacologic and non-pharmacologic interventions
Developing a patient education plan
Communication with all members of the care team E. IMPLEMENTATION OF THE PLAN Actions by the NP are:
Consistent with the appropriate plan of care
Based on scientific principles, theoretical knowledge, and clinical expertise
Consistent with teaching and learning opportunities for patient and caregiver
Optimizing the patient's health care benefit coverage Actions include:
Ensuring that patients have appropriate follow-up visits per established protocols
Documentation of assessment and findings in the Medical Record.
Accurately conducting and interpreting diagnostic tests
Regular communication with patients primary treating physician
Prescribing pharmacologic agents and non-pharmacologic therapies
Providing relevant patient education and teaching
Making appropriate referrals to other health profe
Qualification Requirements/Preferences: Education Certifications/Licensure Experience Physical Abilities QUALIFICATIONS: Nurse Practitioners (NPs) are registered nurses with specialized advanced education and clinical competency to provide health and medical care for diverse populations in a variety of primary, acute and long term care settings. The Nurse Practitioner must have the following education and training:
Master of Science Degree in Nursing
Graduation from a Nurse Practitioner Program approved by the Board of Registered Nursing.
Current unrestricted Registered Nurse and Nurse Practitioner license issued by the State of California.
Minimum three years clinical nursing experience (including acute care).
Current Drug Enforcement Agency (DEA) Certificate and furnishing license (completed within one year from date privileges are approved).
Furnishing number issued by the Board of Registered Nursing (BRN).
Certification of ACLS and BLS
National Certification as a Nurse Practitioner, (or eligible) completed within one year from date privileges are approved
Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) Certification preferred
Experience working in a collaborative care mental health model in ambulatory care or as a provider in a primary-care-based mental health model strongly preferred.
Knowledge of population health practices and tools and managed care principles preferred
Experience in working with mental health needs of patients with chronic pain and other chronic comorbid conditions highly valued
Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scientists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opportunities for translational and clinical research and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major teaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly comp...etitive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.