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Job Description

Psychiatric Consultant

JOBSUMMARY
Theconsultingpsychiatristisresponsibleforsupportingbehavioralhealthcareprovidedinprimarycaresettings
byateamcomprisedofprimarycareandbehavioralhealthproviders.

DUTIESANDRESPONSIBILITIES
1. Provideregularlyscheduled(usuallyweekly)caseloadconsultationtobehavioralhealthcaremanagers
(CMs).Theseconsultationsaretypicallyconductedbytelephoneandfocusprimarilyonpatientswhoare
newtotreatmentorwhoarenotimprovingasexpected.
2. Provideoccasionaltelephonicconsultationtoprimarycareproviders(PCPs)asneeded,focusingonpatients
intheCMscaseload.
3. WorkwithassignedCMstotrackandoverseetheirpatientpanelsandclinicaloutcomesusinganelectronic
registryorothertypeofsystemcapableoftrackingclinicalprocessesandpatientoutcomes.
4. Suggesttreatmentplanchanges,includingmedicationrecommendationsforpatientswhoarenotimproving
asexpected.
5. Discusspatientswhoneedreferralforadditionalspecialtymentalhealthcare(e.g.,toacommunitymental
healthcenter)andadviseontreatmentplansuntilpatientsareengagedinsuchcare.
6. Useapopulationfocusedregistrytodocumentrecommendationsfortreatmentand/orreferralswithin24
hoursofconsultingwithaCMsothattheycanbeeasilysharedwithPCPsandothertreatingproviders.
7. ClearlycommunicatetoCMsandPCPsthelimitationsoftheconsultationandtreatmentrecommendations
ifyoudidnotevaluatetheclientinperson.Includethefollowingdisclaimerstatementacknowledgingthese
limitationsinallconsultnotes:
o Theabovetreatmentconsiderationsandsuggestionsarebasedonconsultationwiththepatient'scare
managerandareviewofinformationavailableinregistry.Ihavenotpersonallyexaminedthepatient.
Allrecommendationsshouldbeimplementedwithconsiderationofthepatient'srelevantpriorhistory
andcurrentclinicalstatus.Pleasefeelfreetocallmewithanyquestionsaboutthecareofthispatient.
8. MaintainprofessionalcellphoneandEmailaccountsforcontactduringusualbusinesshours.
9. RespondtotelephonecallsfromprimarycareprovidersandCMswithinonebusinessday.Respondto
urgenttelephonecallswithinonehour,ifavailable.
10. CheckprofessionalEmailaccountdaily.RespondtoEmailquestions/consultationswithintwobusinessdays,
soonerifurgent.
11. Coordinatewithotherconsultingpsychiatristsforvacationcoverage.
12. Whenpossible,visiteachparticipatingclinicatleastoncewheninitiatinganewconsultingrelationshipand
thenatleastonceperyeartomeetclinicprovidersanddiscussongoingcollaboration.

TYPICALWORKLOAD
Atypicalworkloadforaconsultingpsychiatristincludesthefollowing:

1. Caseloadfocusedconsultation(3hours/designatedCM*/week).
Thisincludesregular(weekly)consultationwiththeassignedCM,preparationforconsultationand
documentationofrecommendationsintheregistry.Thismayalsoincludeconsultationaboutpatientswith
PCPs.Theseconsultationsmaybeperformedinpersonorbytelephone/video.

*AfulltimeCMmayhaveacaseloadof50100patients.3hourswillbedesignatedtoeachCMwhois
workingat0.5orgreaterFTE.TheconsultationtimeisadjustedandallocationsareproratedforCMswhowork
smallerFTEs(e.g.,0.4FTE).


OPTIONALACTIVITIES

1. Directevaluationofpatients
Directevaluationofpatients,focusingonclientswithdiagnosticortherapeuticchallengeswhoareidentified
indiscussionwiththepatientsCMand/orPCP.Suchconsultationmaybeprovidedinpersonorvia
telemedicine(videoortelephone).

2. Training
Thismayinvolvedevelopmentanddeliveryofinservicetrainingforprimarycarebasedprovidersandstaff
regardingcurrentunderstandingofbestpracticesfortherecognitionandtreatmentofbehavioralhealth
conditionsinprimarycare.

REQUIREMENTS

Licensedpsychiatristorpsychiatricnursepractitioner.
Demonstratedabilitytocollaborateeffectivelyinateamsetting.
Willingnesstomaketreatmentrecommendationstoprimarycareteamforpatientsthatconsultantdoesnot
seedirectly.
Excellentcommunicationskills.
Positive,flexible,andsolutionfocusedattitude.
Abilitytoquicklysynthesizemedicalandpsychiatricdataandformulateeffectiveandevidencebasedclinical
recommendations.

DESIRED

Boardeligibleinpsychiatry.
Experiencewithprimarycarepsychiatryorconsultationliaisonpsychiatry.

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