PA/ARNP Hospitalist - Psychiatry

The ARNP/PA Hospitalist provides psychiatric assessment, treatment, and care coordination across University of Iowa Health Care inpatient psychiatry, crisis stabilization, and hospital-based psychiatric consultation services. Clinical responsibilities may include care of adults admitted to general inpatient psychiatry units and the Crisis Stabilization Unit (CSU), consultation for medically hospitalized patients, telepsychiatry services across University of Iowa Health Care campuses, and cross-coverage of other inpatient, emergency, and acute psychiatric services as operational needs dictate.

The ARNP/PA Hospitalist collaborates with interdisciplinary teams to deliver evidence-based psychiatric care, support transitions of care, and promote positive patient outcomes. Responsibilities include psychiatric evaluation, diagnosis, medication management, treatment planning, patient and family education, and consultation to care teams managing individuals with complex psychiatric, behavioral, and neuropsychiatric needs. The provider also participates in inpatient psychiatric consultation services and partners with the Behavioral Emergency Support Team (BEST) to conduct proactive rounding on patients at elevated risk for challenging behaviors. Additional responsibilities may include proactive behavioral consultation, interdisciplinary behavioral support initiatives, and development of recommendations to promote patient safety, therapeutic engagement, and staff support across hospital settings.

The ARNP/PA Hospitalist may also provide care on the Neurobehavioral Specialty Unit (NBSU), a specialized inpatient service for adults requiring enhanced behavioral support, individualized programming, and advanced neurobehavioral interventions. In collaboration with interdisciplinary teams, the provider contributes to psychiatric treatment, behavioral assessment, medication management, and implementation of individualized care plans to promote safety, stabilization, and progression toward less restrictive levels of care.

Health information technology, including telepsychiatry and video teleconferencing, may be utilized to facilitate patient care, consultation, care coordination, and continuity of services. This position may require weekend, holiday, evening, or night coverage as clinically indicated.

University of Iowa Health Care—recognized as one of the best hospitals in the United States—is Iowa’s only comprehensive academic medical center and a regional referral center. Each day more than 12,000 employees, students and volunteers work together to provide safe, quality health care and excellent service for our patients.

Characteristic Duties and Responsibilities
•    Assure clinical competency and expertise in area of specialization. 
•    Function independently and/or as a member of an interdisciplinary team to plan, deliver and evaluate health care for the adult patient population. 
•    Instruct and counsel patients regarding physical and mental health on matters such as diets, disease prevention, health promotion, therapy, and normal growth and development.
•    Discuss testing and treatment options and the associated risks, benefits and limitations with patients and families to assist them in making informed decisions.
•    Evaluate, treat, and institute procedures essential to providing an appropriate response to emergency medical situations.
•    Collaborate inter-professionally to monitor and evaluate the quality of patient care. 
•    Promote health maintenance that spans the continuum of health from outpatient to inpatient settings and back to the home care arena. 
•    Order and interpret laboratory tests, imagining studies and other related studies.
•    Order diets, physical therapy, inhalation therapy, or other rehabilitative services.
•    Prescribe and administer medications.
•    Provide anticipatory guidance and counseling to patients/families. 
•    Document medical history, physical examination, patient assessment and plan of care in the medical record and generate appropriate health reports for outgoing correspondence. 
•    Initiate and coordinate referrals to other health care team members or agencies.
•    Serve in a consultative resource capacity by providing expert knowledge and behavioral skills that impact clinical practice and patient outcomes. 
•    Maintain effective working relationships with faculty, staff, students, and the public.
•    Participate in educating fellows, residents, and other students in health sciences.
•    Develop, assist with and/or participate in clinical research and incorporate research findings into practice. 
•    Serve in a consultative resource capacity by providing expert knowledge in the field of Psychiatry.
•    Participate in the UI Health Care PA/ARNP Hospitalist Council and professional activities in the department, hospital, community, and professional organizations.
•    Responsible for administrative activities and special projects as assigned.

Supervision
Clinical practice oversight is received from the Clinical Director and/or Medical Director and through a collaborative practice agreement with direct supervision APP Lead Supervisor.