Tri-City Medical Center

  • PSYCHIATRIC LIAISON

    Posted Date 1 month ago(10/18/2018 12:40 PM)
    ID
    2018-7209
    FTE Status
    Full-Time .9
    Shift
    Day
    Cost Center/Dept
    7010 - Emergency Room
    Work Schedule
    7A-7P
  • Overview

    Position Summary:

     

    The Psychiatric Liaison (PL) is a (licensed) mental health PL  who is responsible for performing psychiatric assessments in department or home care and nursing units throughout TCMC. Serves as the liaison between the department, home care, nursing units and Behavioral Health Services (BHS). The PL conducts assessments and coordinates for the safe admission, transfer, referral, or other appropriate disposition of patients according to their needs. The PL also serves as a liaison to the community and responds to law enforcement, friends, families, and others in the coordination of appropriate treatment for patients who are experiencing a psychiatric emergency. The PL is responsible for verifying and obtaining authorization from the patient’s insurance company and ensuring the appropriate placement for patients requiring admission or transfer. Patients not requiring inpatient services are assisted with appropriate outpatient referrals.

     

    Major Position Responsibilities 

    • Thoroughly assesses the patient’s emotional and psychiatric needs. If relevant, patient’s families or significant others are contacted in order to obtain a clear clinical picture of the patient’s needs in order to obtain the appropriate disposition.

    • Promptly respond to each request from the Emergency Department and nursing units for service and collaborates with the referring physician and/or nurse to determine the reason for the request.

    • Coordinates with law enforcement regarding number of psychiatric patients and the availability of beds in BHS.

    • Consults with the referring physician and/or nurse in charge of the patient to determine the exact request for services.

    • Discusses his/her clinical impressions and recommendations with the referring physician and patient’s nurse and prepare for the expedient placement of the patient.

    • Completes all required documentation including the PL Assessment, Suicide Risk Assessment, Elopement Risk Assessment, logs, and Requests to CMH as applicable.

    • Initiates 72 hour holds when clinically indicated and advises patients of 72 hour hold if indicated.

    • Verifies payer benefits for all admissions and provides clinical information to insurance reviewers for pre-authorization.

    • Coordinates admission to the inpatient unit with the psychiatrist and nursing staff.

    • If a patient is being considered for admission to BHS at Tri-City Medical Center, the on-call psychiatrist is contacted. If the psychiatrist accepts this patient for admission to BHS, the PL coordinates the admission with BHS staff, including facilitation of RN reports.

    • Patients are transferred as expeditiously as possible after being medically cleared. The PL will ensure that the patient is in a gown, has been searched for contraband and weapons, and all clothing and other personal belongings are bagged and given to the BHU RN.

    • The PL records the activity from each shift according to documentation expectations in the patients record.

    • Performs patient assessments on medical units of the hospital upon referral and completes clinical documentation in accordance with hospital standards. Collaborates with on-call psychiatrist as needed

    • Collaborates with medical unit social workers and case managements to achieve satisfactory dispositions and transfers.

    • May provide ongoing supervision to MFT, PhD, and PsyD trainees and interns.

    COMMUNICATION:

    • Develops and maintains effective communication, through written and/or verbal mechanisms, with the physician, patient/family/significant other and internal/external members of the health care team.

    • Communicates on a frequent basis with the PL supervisor. Immediately contacts the BHS Director if a situation requires immediate attention from management.

    MEETINGS:

    • Participates in regular staff meetings.
    • Attends regularly (monthly) scheduled PL meetings.

     

    ORGANIZATIONAL SKILLS:

    • Utilizes organizational and time management skills to proficiently perform these duties in a fiscally responsible and clinical manner.

    PROBLEM SOLVING:

    • Actively utilizes problem-solving techniques.  Uses sound clinical judgment when assessing and dispositioning patients. Is able to handle high stress situations and uses clinical skills to defuse escalating patients, family members etc.

    Safety and Infection Control Responsibilities

    • Responsible to maintain a safe and clean work environment, including unit based specific safety and infection control requirements

     

    Qualifications:

    • Minimum of 1 year professional experience within an acute inpatient setting or 2 years within an acute outpatient setting.
    • Familiarity with psychiatric symptoms, diagnoses, medications and referrals
    • Possess a working knowledge and understanding of the DSM-5.
    • Ability to communicate effectively utilizing both written and verbal skills.

    Education:

    • Masters Degree in a relevant healthcare field (Psychology, Social Services, Marriage and Family Therapy, Nursing) required.

    Licenses:

    • California license at the Masters level or above (LMFT, LCSW, Psychologist, or Registered Nurse) required.
    • Current CA drivers license and insurance, required (Home Health only)

     

    Certifications:

    • Certification as a Supervisor for Intern and Practicum students, preferred.
    • NVCI required within 90 days of hire or transfer .

     

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