Psychiatric ARNP - CSC, CRP, ORCA

Shift: Office Day

Days Off: two days per week, open to discussion with qualified applicants on which days are preferred; working occasional weekends is requested.

Supervised by: Senior Medical Lead of CSC, with support from the Outpatient Psychiatric Provider Supervisor

Insurance Benefits: Medical, Dental, Life, Long-term Disability

Other Benefits: Employee Assistance Program (EAP), Flexible Spending Account (FSA), ORCA card subsidy, Paid Time Off (34 days per year), Retirement Plan

Union Representation: This position is a part of a union and is represented by SEIU Healthcare 1199NW.

About DESC

DESC (Downtown Emergency Service Center) is a nonprofit organization working to help people with the complex needs of homelessness, substance use disorders, and serious mental illness achieve their highest potential for health and well-being through comprehensive services, treatment, and housing. Our vision is a community where no person is abandoned, ignored, or experiencing homelessness.

As the region's leading provider of services to multiply disabled adults who have experienced chronic homelessness, DESC serves almost 3,000 people each day. Our integrated service model is designed to help people secure and maintain appropriate, safe and affordable housing. DESC is recognized nationally and regionally as an innovator in developing solutions to homelessness.

Job Description

This position will work 3 days per week at the DESC Crisis Solutions Center, which provides care to individuals in a behavioral health crisis who do not need emergency department care; 1 day per week at the DESC Crisis Respite Program, which provides shelter and behavioral health care to individuals who have discharged from a behavioral health hospital; and 1 day per week with our specialized opioid use disorder treatment team.

This position will work alongside psychiatric nurses, case managers and social workers, substance use disorder professionals, peer specialists, support staff and collaborate with other psychiatric and medical providers.

MAJOR DUTIES AND RESPONSIBILITIES:

• Coordinate client care within a multidisciplinary behavioral health team.
• Perform psychiatric evaluations, establish treatment plans collaboratively with clients, prescribe and monitor medications as indicated; this is inclusive of opioid use disorder treatment; all in context of a multidisciplinary team.
• Evaluate clients in crisis and advise courses of treatment. Recommend plans for ongoing longitudinal care.
• Participate in program meetings and in-service trainings; participate in clinical reviews and case conferences for clients as indicated.
• Take initiative to meet the changing needs of community behavioral health treatment.
• Participate in verbal de-escalation in emergent situations and be able and willing to assist other staff as needed to maintain a safe, secure environment.
• Other duties as assigned.

MINIMUM QUALIFICATIONS:

• Advanced Registered Nurse Practitioner, Psychiatric, licensed in the State of Washington with the Department of Health in good standing.
• Registration with the Drug Enforcement Agency.
• Advanced knowledge and experience prescribing psychiatric medications.
• Be able to pass a Washington State Criminal background check.
• Knowledge of harm reduction principles and strategies.
• Ability and interest in providing case consultations with a multi-disciplinary staff.
• Ability to remain open and receptive to constructive feedback.
• Ability to communicate with and coordinate with staff from diverse backgrounds.
• Ability to work effectively with clients displaying a wide range of psychiatric behaviors.

PREFERRED QUALIFICATIONS:

• Knowledge, skill, and proficiency in working with co-occurring mental health and substance use disorders. Training on buprenorphine is available after hire.
• Experience with buprenorphine prescribing.
• Experience working in atypical health care settings (e.g., street outreach, housing, day centers, jails, etc.).
• Doctoral degree.
• Bilingual in Spanish/English.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee will be required sit for long periods of time, communicate with other persons by talking and hearing, required to lift and carry items weighing up to 25 pounds and to operate computer hardware systems. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

EQUAL OPPORTUNITY EMPLOYER

DESC is committed to diversity in the workplace, and promotes equal employment opportunities for all staff members and applicants. The Agency will not discriminate against any employee or applicant for employment on the basis of race, creed, color, sex, gender, sexual orientation, age, national origin, caste, marital status, or the presence of any sensory, mental or physical disability in any employment practice, unless based on a bona fide occupational qualification. Minorities and veterans are encouraged to apply.