PMHNP-BC at OhanaPsych / Ohana Care Clinic / Hilo

At OhanaPsych we are a tele-psychiatry practice serving adults and children who live in Hawaii. The Aloha Spirit is part of every interaction we have with our clients and among each other. Working with us, you will be appreciated every day for your part to help people in Hawaii access psychiatric care via telehealth. We are the largest outpatient psychiatric practice group in Hawaii, all nurse practitioners.

Work hybrid for a well-respected and growing tele-psychiatry practice, providers work a 10 hour, four-day work week, Providers are expected to have 36 hours of forward-facing clinical engagement time per week. Providers are given one hour for administrative time daily and 30 min for lunch. We are open from 7am-6pm HST, Mon-Fri. Providers are supported by a support staff helping you take care of a group of clients. Become part of a team of service oriented psychiatric practice providers. Check out our web site OhanaPsych.com we are growing again.

We are seeking an experienced provider but would consider an inexperienced provider new graduates are mentored to success. Provider to be Board Certified Psychiatric Mental Health Nurse Practitioner to join our well-respected practice. We provide telehealth psychiatric services to residents of Hawaii only.

Benefits:

Starting salary negotiable $150,000. We reward higher productivity based on WRVUs some providers are making $300,000 a year in this practice.

W-2 income, we withhold taxes

Health insurance, IRA with company match, vision insurance, dental insurance, disability insurance short-term and long-term

Education allowance for therapy trainings or CEUs

Electronic dictation software provided if wanted

Nurse Practitioner

Job Summary

Diagnoses and treats acute, episodic, or chronic illness, independently or as part of a healthcare team. Expectation of 36 hours forward facing and clinical engagement 4 hours of administrative time.

General Accountabilities

• Analyzes and interprets patients' histories, symptoms, physical findings, or diagnostic information to develop proper diagnoses.
• Diagnoses or treats acute health care problems such as illnesses, infections, or injuries.
• Recommends diagnostic or therapeutic interventions.

• Prescribes medications.
• Educates patients about self-management of acute or chronic illnesses.
• Orders, performs, or interprets the results of diagnostic tests.
• Maintains complete and detailed records of patients' health care plans and prognoses.
• Detects and responds to adverse drug reactions.
• Keeps abreast of developments in nursing.
• Refer patients for primary care conditions.
• Schedules follow-up visits to check patients or evaluate health or illness care.
• Performs routine or annual psychiatric/physical examinations.
• Supervises or coordinates patient care or support staff activities.
• Maintains current knowledge of state legal regulations for nurse practitioner practice.
• Keeps abreast of regulatory processes and payer systems.

Job Qualifications

• Education: Master's degree PMHNP-BC
• Experience: 3-5 years of related experience; or equivalent combination of education and experience
• Licenses/Certifications: Certifications and/or licensures having a Board of nursing license that does have prescriptive authority. Maintaining the NED prescriptive certificate in Hawaii so that we may have oral call-in capability. Providers that are not physically located in the state do not have to maintain a DEA license. However, they maybe required to do this to maintain NED certificate. And all providers licenses must be unencumbered with the ability to write for controlled substances if needed.

Skills

• Excellent verbal and written.
• Communication
• Active listening
• Active learning
• Critical thinking
• Social perceptiveness
• Monitoring
• Service orientation.
• Complex problem solving
• Instructing

Expectations

• Medication refills within 72 hours per our office policy.
• Replying to messages by your support person on the days that you are working and Microsoft teams within 2 hours of receiving.
• Being available and checking your schedule by the beginning of the shift clients may be added at the last minute.
• Completing and cleaning out your task list in practice fusion at least once a week.
• Peer review: reviewing 10 charts per quarter and giving them back to the medical director so that we may have a process improvement plan.

• Reading your emails and replying appropriately at least once a day when working.
• Been engaging to clients and not having a poor engagement as watched monthly. Clients must have a willingness to reengage with you. This should be less than 10% of clients that you see for evaluation that wish to not go ahead further. The current average in the practice is less than 1%.And that is client's not willing to schedule a follow-up appointment. These reports will be sent out to all providers monthly. If a failure to connect with a client, refer to another provider in the practice as proper.
• Expectation of all notes to be clearlycompletedwithin48 hours of seeing the client. To have a less than 5% failure of this.
• Writing letters to our referral sources after evaluation by you to involve primary care in an integrated treatment model. This letter should be written within 48 hours of doing the evaluation. Same period as notes to be completed. Certainly, reaching out to primary care with the phone call will suffice make sure to documented in your note. The expectation of the practice group this is done 100% of the time. Nurse Practitioner letters are designed to communicate with the primary care team treatment plans barriers to care not just that we have seen the client. If we are not taking the client in our practice because of a treatment impasse recommendation for care need to be conveyed to the primary care team. EX. client will not agree to coming off benzodiazepines. They do not want appropriate care for their diagnosis etc. etc.
• Scheduling your follow-up appointments at the end of your session on a routine basis. Or communicate with your front office staff person to schedule the follow-up for you. This should be done 99% of the time by the provider. This is in order so you can control your schedule. And so the client does not drop off your schedule, because no appointment was scheduled for follow-up. Clients can choose to self-schedule but please document this in your note.
• In case of not being able to report to work at 7 AM on your scheduled day to work. You do communicate with the practice manager or anyone on the executive management team. Giving sufficient time notice or as soon as available that you will not be able to work prior to 7 AM so that we can tell clients that they cannot be seen or be moved to other providers’ schedules.