Physician Assistant and Nurse Practitioner Unpaid Intern

Family & Children's Services · Tulsa, Oklahoma, USA

  • Internship

About the role

Under supervision of FCS MD or DO and following state regulations for the evaluation and prescribing of medications for new patients and follow‑up consumers, Nurse Practitioner and Physician Assistant students will work within a Certified Community Behavioral Health Center (CCBHC) model to provide medication services, including office‑based opioid treatment and outpatient withdrawal management. NP and PA students can be responsible for outpatient care of medical and psychiatric clients, liaison for hospital and emergency care, participation in inpatient care teams, and assistance to management, as requested. Students must demonstrate knowledge of co‑occurring disorders and appropriate interventions. NP and PA students will maintain and adhere to the State of Oklahoma Scope of Practice Guidelines for their profession and adhere to university expectations.

Position Specific Duties & Responsibilities

Consumer Engagement, Assessment & Prescribing Duties

  • Be familiar with CCBHC standards, understand the history, philosophy, structure, and purpose of CCBHC, and demonstrate fidelity to the model.
  • Conduct psychiatric assessments including review of psychiatric history, course of illness, response to treatment, mental status examination, and DSM‑V diagnosis.
  • Provide pharmacological management assessments (including review of vitals), prescribe psychotropic medications as clinically indicated, monitor consumers for side effects, and educate consumers regarding psychotropic medications and medication compliance.
  • Provide office‑based opioid treatment when appropriate, including medication‑assisted treatment and withdrawal management.
  • Provide support and education to family members of clients to help them become knowledgeable about mental illness, collaborate in the treatment process, and assist in their family member's progress.
  • Maintain an 85% to 90% scheduling fill rate.
  • Provide on‑site crisis assessment for consumers.
  • Participate and supervise treatment planning meetings.
  • Offer services to consumers that are welcoming, engaging, integrated, and comprehensive in scope of practice.
  • Collaborate with the psychiatry team to ensure consumers obtain medication prescriptions and refills, offer services to walk‑in clients, intervene to stabilize crisis situations, and design successful treatment tracks.
  • Direct and collaborate with staff nurses to develop, revise, maintain, and supervise team psychopharmacological and medical treatment and medication policies and procedures.
  • Serve as liaison between F&CS and various hospital and emergency treatment facilities to obtain needed inpatient treatment for clients.
  • Collaborate with staff nurses in assessment of consumers' physical health, making appropriate referrals to community physicians for comprehensive assessment and treatment, and coordinating medical treatments with psychiatric treatment.
  • Document consumer progress to maintain a permanent record of psychiatric outpatient treatment in the F&CS electronic health record within the same day of service provided.
  • May schedule evening clinics for consumers who are unable to meet during normal daytime work hours.
  • Complete all PAP signatures and application process requirements daily to ensure maximum acquisition of free medications into the F&CS pharmacy for distribution to consumers.
  • Provide psychiatric and primary care consultation to Adult Behavioral Health Home team via tele‑psychiatry.
  • All psychiatry providers will be trained on the use of tele‑psychiatry equipment and the necessary agency, state, and federal requirements governing tele‑psychiatry.
  • When appropriate, psychiatry providers will be asked to provide services via tele‑psychiatry.
  • Family and Children Services will not deny services to any consumer who does not wish to participate in tele‑psychiatry services.

Qualifications

Education

  • Must be enrolled in an Advanced Registered Nurse Practitioner or Physician Assistant program with a psychiatry specialty.

Experience

  • Previous experience in mental health preferred.

Performance Competencies

  • Provision of ongoing assessment and prescribing duties
  • Documentation
  • Provision of individual, group, and family education
  • Knowledge of…

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