Contracted Psychiatric Prescriber - Community Support Program

Sauk County Human Services is seeking a Contracted Psychiatric Prescriber for the Community Support Program.  The Community Support Program (CSP) is a treatment program for persons with serious and persistent mental illness. A range of treatment, rehabilitation and support services are provided through a team approach. The Sauk County CSP team includes a psychiatrist, clinical coordinator, psychiatric nurses, case managers, psychotherapists, and mental health technicians.
 
Contract Hours: 40-50 per month; approximately 6 days per month of onsite psychiatric care, with flexibility for telehealth.
Office Location: 425 6th Street Reedsburg, WI 53959 however, services are generally provided in the community throughout Sauk County.
Pay: Negotiable based on experience.
Benefits: This is a contracted position and the individual hired will not receive county benefits.
How to Apply: All interested applicants will need to send their resume to Kayla Thomas, CSP Manager, at kayla.thomas@saukcountywi.gov & Jessica Mijal, Human Services Director, at jessica.mijal@saukcountywi.gov 
 
The purpose of the CSP Psychiatric Prescriber is to provide psychiatric treatment, assessment, medication, and oversight to consumers in the Sauk County CSP. The CSP Prescriber will provide consultation and clinical oversight to members of the CSP team.
CSP teams commit to the following principles to help participants live their best life.  

• Coordinated care: Staff on a CSP team work together to meet the participant’s needs and goals.
• Community services: More than half of the care and treatment happens where participants live and other locations in their community.
• Individualized plans: Treatment plans vary based on the participant’s needs and goals.
• Hope: Staff on a CSP team create a feeling that recovery is possible for all participants.
• Recovery: Staff on a CSP team help participants focus on the recovery they want.  
• Person centered: Participants work with a CSP team to guide the services they receive. 

Essential Duties and Responsibilities

• Act as a licensed practicing psychiatric prescriber, providing psychiatric services including psychiatric evaluations. 
• Use critical thinking and medical expertise to assess and evaluate consumers for further psychiatric intervention, or a higher level of care, whether it be for physical, mental health, substance use, or other needs.
• Perform standards of practice for medication psychiatric providers, which includes the delivery of ethical medication prescribing abiding by all federal laws, rules, and regulations. Meet all Department standards for quality care and services. 
• Complete medication orders using electronic prescribing, conduct personal quality assurance checks, complete medication consent forms, give directions to and educate pharmacies, clinical staff, and consumers, and verify, and implement orders from other health care professionals. 
• Order labs and review lab results with support of psychiatric nursing staff. 
• Complete documentation within the electronic health record, as specified by applicable federal and state statues, rules, and regulations. Review and document interfacing with Wisconsin Prescription Drug Monitoring Program (Wi/ePDMP). 
• Provide consultation, collaboration, and education with internal providers and programs, external clinics and providers, physicians, and other disciplines in the community. 
• Complete and sign insurance paperwork, disability paperwork, accommodation requests, and other documentation as requested by consumers or providers. 
• Provide consumers with psychiatric psychoeducation regarding risk and benefits of medications, adverse reactions, food/medication interactions, symptom management, medication compliance, health conditions and wellness activities.
• Comply with all pertinent federal and state statues, rules, regulations, and county ordinances related to data and information systems compliance and confidentiality of information, including all federal regulations implementing the Health Insurance Portability and Accountability Act of 1996 (HIPAA). 
• Understand and abide by all administrative policies, procedures, and directives of the Department, and comply with and adhere to the clinical policies, procedures and directives of the Department. 
• And other duties as assigned.

Additional Duties and Responsibilities

1. Participate in ongoing professional training, development, and clinical supervision to maintain professional licensure and board certification. 
2. Maintain personal professional liability insurance and general liability insurance in the amount of 1,000,000.00 dollars single limit and $300,000,000.00 dollars annual aggregate coverage. 
3. Complete a caregiver background check including the Background Information Disclosure (BID) form and provide results prior to expiration (printed) to the Department.
4. Provide back-up nursing support and completion of vitals.
5. Provide supervision to psychiatric interns.

Knowledge, Skills and Abilities

• Maintain all relevant licenses and certifications
• Psychotropic medication prescribing and possible side effects
• Ability to analyze data and information using established criteria, in order to define consequences and to consider and select alternatives. Ability to compare, count, differentiate, measure and/or sort data and information. Ability to assemble, copy, record and transcribe data. Ability to classify, compute, tabulate, and categorize data
• Ability to counsel, treat and mediate, which may include providing first line supervision. Ability to persuade and convince others. Ability to advise and interpret how to apply policies, procedures and standards to specific situations
• Ability to utilize advisory data and information such as: client records, program forms and reports, tax forms, Social Security documents, leases, insurance forms, progress notes, recovery plans, representative payee forms, guardianship reports, referral documents, evaluations and assessments, Wisconsin Statutes Chapters 51, 75, 36, and 48, Physicians’ Desk Reference, client medical charts, proactive behavior management techniques, screening and testing measurement guides, case plans, school records, medical reports, psychological evaluations, activity logs, family assessments, laws, and routine and non-routine correspondence
• Ability to communicate verbally and in writing with department personnel, medical service providers, law enforcement personnel, attorneys, probation and parole personnel, community based residential facility personnel, adult family home staff, Department of Health Services personnel, advocacy groups, Department of Transportation personnel, employers, utility company representatives, landlords, business owners, educators, school personnel, caregivers, consultants, civic groups, the general public, therapists, support groups, consumers, and consumers’ collateral contacts and families
• Ability to use functional reasoning development in performing functions within influence systems such as associated with supervising, managing, leading, teaching, directing and controlling
• Ability to apply situational reasoning ability by exercising judgment, decisiveness and creativity in situations involving the evaluation of information against sensory or judgmental criteria
• Use fine and gross motor skills to perform tasks such as operating a motor vehicle, telephone, computer keyboard, dictation machine, adaptive aids, and augmented communication devices
• Exert effort in moderate to light work, such as lifting, carrying, pushing, pulling, stooping, crouching, crawling, climbing, balancing, and standing for long periods of time
• Recognize and identify degrees of similarity and differences between characteristics of colors, forms, sounds, odors, textures, etc. associated with objects, materials, and ingredients

Education and Experience Requirements
Licenses/Certifications: 
Licensed in Wisconsin as a Psychiatrist, Psychiatric Nurse Prescriber, or Psychiatric Physician’s Assistant 
Preferred:                    
Experience with providing outpatient psychiatry services in a clinic setting
Knowledge of Community Support Program (CSP)
Knowledge of Comprehensive Community Services (CCS)
Knowledge of American Society of Addiction Medicine (ASAM) Criteria
Knowledge and experience of Medication-Assisted Treatment (MAT)
 
Any combination of education and experience that provides equivalent knowledge, skills and abilities may be considered.