Las Vegas, Nevada
Advanced Practice Nurse Job Opening in Las Vegas, Nevada - Litmus Test
Integrity, flexibility, empathy, and excellence are our company values. They motivate us to keep a cool company culture that comes through in all we do. Everyone who fits well into our company culture does these things:
This company values your feedback and constructive criticism regarding management, administration, and company policies and procedures. Let your direct supervisor know when you have input.
Pair your complaints and criticisms with solutions.
Instead of saying some version of ?that?s not my job? when someone asks you to do something, try some version of ?let me see if I can help.? We love delegation and job descriptions too, but it makes for a better workplace when your teammates show a sense of excitement about supporting one another.
It?s especially important to tell your supervisor when you feel overwhelmed, stuck, or in need of training or professional development.
When conflicts or problems arise in the workplace, be solution-focused and action-oriented. Don?t cry over spilled milk. Don?t fan the flames of gossip or hearsay.
If you have difficulty with your peers or direct reports, try to resolve it one-on-one without gossip or consult with your supervisor about how to proceed. If you have difficulty with your supervisor, consult with our human resource employee support line about how to proceed.
When mistakes happen, sometimes it?s the situation, not the person. Have empathy for others, and consider their context before jumping to conclusions about them.
We aim to cover you in your absence, and we?d like you to do the same for others, including days off and lunch breaks.
Take the time to understand how our business works.
Seriously read this job description in depth because ? we mean it.
And for the catch-all statement: you must be a team player and prepared to help out with any given function on daily working with people who do these things sounds exciting to you, read on!
Function of the Nurse Practitioner:
Our company is special because we offer therapy and psychiatry in house so practitioners can truly work together. This wouldn?t be possible without other support departments, such as quality assurance, IT, administration, and accounting.
We challenge the professional hierarchy by putting the trained, licensed professional with the most rapport and knowledge of clients? symptoms, family dynamics, and biopsychosocial needs in charge of the treatment team: the psychotherapist. Great, so what?s that got to do with you as a psychiatric provider? The therapist is your teammate in treatment teams, and you play a related, distinct role by directing management of medication and psychiatric emergencies, keeping the team on time and focused, and generally enforcing rules and setting limits. You also help the therapist address certain questions: What should other professionals involved in the case be doing to supplement the clinical work? How should the treatment team prioritize presenting problems? What?s really going on in this case that people have been missing? How should the team change the course of treatment to overcome resistance or stagnation?
Trauma-informed, family systems, and multisystemic therapy. Hopefully these sound up your alley because these form the framework of our care. Healthy Minds believes that, with rare exception, mental health treatment for youth cannot be effective if we are not addressing the youth?s family system. Along with your psychiatric expertise, these frameworks should inform your therapeutic technique, strategy, and conceptualization as you complete your diagnostic interview, develop and update treatment plans, and engage with your clients.
Why this job sucks:
Documentation. Nobody really likes keeping up with their notes, especially when someone comes around to remind you that you?re behind every so often. It?s nice knowing someone has your back when it comes to meeting legal and ethical requirements for documentation, but let?s be honest, it sucks having someone check up on you when you?re a professional. In your position, documentation may be your best defense in organizational or political matters as well. Everyone is looking for reasons to document more, right? We also put the therapists in charge of the treatment team simply because they tend to be more familiar with the client, and we think you might actually think that sucks. Why? Because this is not the norm in our community and is likely a departure from what you?re used to at other locations. But who knows, maybe you?ll like this.
12 Reasons you should quit your job and work here anyway:
We offer the best of both worlds: flexibility for independent clinical judgment and weekly clinical group consultation meetings with your colleagues.
We put ethics, clinical care, and outcomes ahead of coverage and cost constraints for every client we accept into our care.
You like getting rewarded for solving big problems.
You think it sounds exciting to be a part of a growing company that puts quality before quantity and is changing the mental health system and the lives of children and families.
You think measuring outcomes is important and that our key outcomes are legit:
# of psychiatric hospitalizations, # of psychotropic medications, # of runaways
You think being relaxed and friendly at work should be normal.
If you think our policies and procedures aren?t as fresh as this job description, it?s cool because anyone with a good idea can influence our policy.
When it comes to diversity, you think companies should value the inherent, unique perspectives and insights, not the checkboxes on the demographic form.
Our company has grown quickly and wisely such that there are positions and departments we don?t even know we need yet.
You want to work in a company where executives and owners take responsibility for their mistakes.
Job Specific Duties and Responsibilities:
Seriously read this job description in depth because ? we mean it.
Many of our clients are court-involved. Read and consult the your board?s guidelines for court involved therapeutic care within the probationary period so you can ensure adequate informed consent occurs with all parties.
Solid intakes involve multiple sources of information and collaboration with clients, families, and collaterals. Please do this when possible and clinically appropriate.
We couldn?t leave it up to the front desk to make decisions about gathering releases of information (i.e., who, how many, what information), so that became your job.
Know when it?s time to focus on rapport instead of information gathering.
We take diagnosis seriously, and you should too. Be cautious and empathic by considering your clients? situation and contemplate multiple explanations for presenting problems.
You must be able to transform biopsychosocial and diagnostic information into a clinical treatment plan with time-limited, realistic, measurable objectives upon opening a case and on an ongoing basis with treatment plan updates, in collaboration with the client?s therapist.
Treatment planning occurs and is documented in every session
Set a good example by using objective, behaviorally-based language, not subjective, vague euphemisms when completing all documentation.
Confidentiality of health information is important. Follow HIPAA and HITEC.
You don?t have to document in the office, but you do have to finish all of the current week?s documentation by Monday next week. (We have electronic medical records to accommodate your Hawaii travel.)
Oh, and your documentation must be accurate down to the proper billing code and procedures. No making stuff up.
We expect you to attend clinical group consultation meetings every week so you can confer with your teammates and eventually know everything.
We run around telling people our services are evidence-based. Please regularly review state and national standards of practice for mental health, pharmacy, and psychiatry to ensure the safest and highest quality care.
Attend quarterly Medical Staff meetings
Be able to appropriately assess and manage emergency situations that may come up in the clinic
Be able to assess, diagnose and treat the variety of psychiatric disorders present in children and adults based on DSM 5
Understand and appropriately refer for and utilize ancillary testing in assessment, diagnosis and treatment of clients.
Be able to consult with peers in the field whenever appropriate and document these consultations.
Be able to work with and appropriately collaborate with medical assistants as well other staff in the office
Be familiar with the processes for Prior Authorization Requests (PARs)
Be able to collaboratively work with therapists at varying levels of training and schools of thought.
Know when to request assistance from colleagues when problem solving client, office or staff issues.
If you have difficulty with your peers, consult with your supervisor about how to proceed. If you have difficulty with your supervisor, consult with the ADP employee support line about how to proceed. One of the things we specifically pay ADP for is to be a resource for you.
When conflicts or problems arise in the workplace, be solution-focused and action-oriented. Don?t cry over spilled milk. Don?t fan the flames of gossip or hearsay.
Pair your complaints and criticisms with solutions.
We aim to cover you in your absence, and we?d like you to do the same for others, including days off.
It?s especially important to tell your supervisor when you feel overwhelmed, stuck, or in need of training or professional development.
Try to avoid saying some version of ?that?s not my job? when someone asks you to do something. We love delegation and job descriptions too, but it makes for a better workplace when your teammates show a sense of excitement about supporting one another.
This company values your feedback and constructive criticism regarding management, administration, and company policies and procedures. Let your direct supervisor know when you have input.
Take the time to understand how our business works.
And for the catch-all statement: you must function as a resource to all staff on daily basis.
Analyze and evaluate patient data or test findings to diagnose nature or extent of psychiatric disorders.
Appropriately prescribe, direct, or administer psychotherapeutic treatments or medications to treat mental, emotional, or behavioral disorders.
Collaborate with team psychologists, marriage and family therapists, psychiatrists and social workers, or other professionals to discuss treatment plans and progress.
Gather and maintain patient information and records, including social or medical history obtained from patients, relatives, or other professionals.
Counsel patients and caregivers during office visits.
Educate guardians, relatives, or significant others of patients' conditions or treatment.
Be able to work with a variety of patients.
Be willing to teach, take continuing education classes, attend conferences or seminars, or conduct research and publish findings to increase understanding of mental, emotional, or behavioral states or disorders.
Review and evaluate documentation, evaluation and treatment modalities of other psychiatric providers
Be willing to serve on committees to promote or maintain community mental health services or delivery systems.
Maintain detailed and accurate patient electronic medical records
Be willing to work closely with state agencies that our company works with.
Qualifications :
3-5 years of experience in working in the field of child and adolescent psychiatric care.
Must have graduated from an accredited APN program and have at least three years? experience in treating children and adolescents.
Must maintain active Nevada license and remain in good standing with the appropriate licensing board(s)
Lead by example, demonstrate a team player attitude, and share our values ? integrity, flexibility, empathy, excellence
Thorough knowledge of the current accepted diagnostic tools (ie (DSM 5)
Awareness of, sensitivity to, and respect for cultural variation and the power of personal values and biases
Experience and demonstrate confidence identifying and implementing evidence-based practices
Experience working in crisis settings with individuals and families
Ability to work flexible hours
Ability to remain calm and courteous in the face of rudeness and disrespect
Ability to be aware of and understand clients? reactions and your reactions to clients
Competence with Word, Excel, internet-based programs, and customized databases
Ability to predict the future. Not really but you have to be able to identify warning signs for when something is likely to go wrong and then generate and implement solutions.
Ability to consider multiple perspectives and alternate explanations when problems arise
Ability to identify and pair problems with solutions along with alternative solutions when you don?t get your way
Ability to manage public speaking
Ability to prioritize and get things done
Job Type: Full-time
Required experience:
Child and Adolescent Psychiatric care: 3 years
Required license or certification:
Advanced Practice Registered Nurse
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